Case Study

Nature Clinical Practice Cardiovascular Medicine (2005) 2, 53-57
doi:10.1038/ncpcardio0069  
Received 29 October 2004 | Accepted 17 November 2004

Reversible cardiomyopathy caused by administration of interferon alpha

Aarif Y Khakoo, Marc K Halushka, J Eduardo Rame, E Rene Rodriguez, Edward K Kasper and Daniel P Judge*

Correspondence  * Department of Cardiology, Johns Hopkins University School of Medicine, Carnegie 568, 600 North Wolfe Street, Baltimore, MD 21287, USA

Email
 djudge@jhmi.edu

Background A 56-year-old man with normal cardiac function received treatment with interferon alpha-2b for malignant melanoma. Eight months after the initiation of therapy he developed fatigue and dyspnea on exertion. Two months later, he was admitted to hospital with ORTHOPNEA, worsening dyspnea and cough. Physical examination findings were consistent with congestive heart failure. Laboratory studies were notable for hypothyroidism. Echocardiography revealed severe, global left-ventricular dysfunction.

Investigations Echocardiogram, electrocardiogram, serum chemistries, coronary angiography, right-heart and left-heart catheterization and endomyocardial biopsy.

Diagnosis Interferon alpha-2b-induced cardiomyopathy.

Management Intravenous dobutamine and dopamine for cardiogenic shock and discontinuation of interferon alpha-2b.

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