학술논문

Implantable cardioverter defibrillator for alectinib induced ventricular fibrillation.
Document Type
Letter
Source
Clinical Toxicology (15563650). Jul2020, Vol. 58 Issue 7, p781-784. 4p.
Subject
*IMPLANTABLE cardioverter-defibrillators
*VENTRICULAR fibrillation
*BRUGADA syndrome
*ATRIAL arrhythmias
*ANAPLASTIC lymphoma kinase
Language
ISSN
1556-3650
Abstract
Sir, Although there are no formal guidelines for prophylactic implantable cardioverter defibrillator (ICD) implantation in patients with primary cancer treatment induced arrhythmia, it can be safely undertaken and should be considered on an individual case basis, particularly when continuation with treatment may afford a reasonable quality of life. His electrocardiogram (ECG) whilst on alectinib therapy had shown asymptomatic sinus bradycardia with heart rate around 60 beats per minute (bpm) and consistently normal corrected QT interval (QTc). For patients on treatment with ALK TKIs, such as alectinib, crizotinib, certinib and brigatinib, emphasis is therefore laid upon ECG surveillance, concurrent pharmacological and electrolyte vigilance, and clinicians should be alert to clinical symptoms which may be attributed to ventricular arrhythmias. [Extracted from the article]