期刊
INTERNAL MEDICINE
卷 61, 期 21, 页码 3293-3299出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.9090-21
关键词
anagrelide; heart failure; cardiomyopathy; essential thrombocythemia; myeloproliferative disease
Anagrelide, a medication used to treat essential thrombocythemia, can cause cardiomyopathy and heart failure. A Japanese patient with ET developed heart failure after 18 months of treatment with anagrelide, but the cardiac function returned to normal after discontinuation of the medication and guideline-directed heart failure therapy.
Anagrelide is used worldwide to treat essential thrombocythemia (ET) by reducing platelet counts. Cardio-myopathy and heart failure (HF) are rare but serious complications associated with anagrelide use, although no cases were reported during Japanese Phase I to III studies. A 46-year-old, otherwise healthy, Japanese ET patient developed HF with reduced ejection fraction after 18 months of treatment with 1.0-3.5 mg of anagre-lide daily. HF was stabilized with anagrelide withdrawal and guideline-directed HF therapy. The cardiac func-tion returned to normal after six months. This case suggests that anagrelide can cause cardiomyopathy and HF in ET patients, regardless of nationality, comorbid cardiovascular conditions, or therapy duration.
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