Léčba levosimendanem jako „bridge therapy“ u pacienta s metastatickým tumorem varlete a těžkým systolickým srdečním selháním – soutěžní kazuistika

Title in English Levosimendan treatment as a "bridge therapy" in a patient with metastatic testicular cancer and severe systolic heart failure - competition case report


Year of publication 2013
Type Article in Periodical
Magazine / Source Kardiologická revue
MU Faculty or unit

Faculty of Medicine

Field Cardiovascular diseases incl. cardiosurgery
Keywords heart failure; levosimendan; hemodynamics; testicular cancer
Description We report a case of a young male with non-ischemic cardiomyopathy who was admitted to our clinic with severe systolic heart failure. Etiology was unclear, ischemic heart disease was not confirmed. Subsequently, hemoptysis occurred and examinations revealed a disseminated tumor of testicular origin. During the course of cancer treatment, as well as during the current remission of the tumor, the patient requires rehospitalization for decompensation of heart failure, managed with levosimendan. According to hemodynamic and laboratory parameters this treatment is highly efficient, quickly helps to stabilize the patient and increases his chances of being placed on the waiting list for heart transplantation, as soon as the complete remission of the tumor has prevailed for five years. A possible association of the tumor and rapid onset of heart failure is also discussed.
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