Acute left bundle branch block as a complication of brachytherapy for lung cancer.
Endoluminal brachytherapy for lung cancer ensures the delivery of a maximal therapeutic radiation dose to the tumor with a minimal effect on normal surrounding tissues. We report on a 62-year-old man, who acutely developed LBBB and heart failure 48 hours after the second course of combined endoluminal and external beam radiation therapy. After administration of angiotensin converting enzyme inhibitors, diuretics, and anti-inflammatory drugs, electrocardiographic changes resolved and patient completely recovered. Radiotherapy was reintroduced after ten days.
Department of Cardiology, Clinical Centre of Serbia, Teaching Hospital of Lung Diseases, 11000 Belgrade, Visegradska 26/20, Serbia. nada.vasic@kcs.ac.rs
Nada
N
Vasic
Ruza
R
Stevic
Dragica
D
Pesut
Dragana
D
Jovanovic
D000208:Acute Disease; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D001918:Brachytherapy / Q000009:adverse effects*; D002037:Bundle-Branch Block / Q000188:drug therapy / Q000209:etiology*; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D004562:Electrocardiography; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
D000319:Adrenergic beta-Antagonists