title: Acute cardiogenic shock induced by infusional 5-Fluorouracil.
abstract: A 49-year-old patient with metastatic carcinoma of the bladder and no prior history of heart disease presented with diffuse ST elevation, elevated troponins, and biventricular dysfunction requiring intensive care unit admission and inotropic support after receiving her first course of infusional 5-fluorouracil (5-FU). Over the course of several days, the patient's cardiac function and clinical status returned to baseline. A follow-up echocardiogram performed 5 days after initial presentation revealed an ejection fraction of 59 percent, with no evidence of wall motion abnormalities. Subsequent 5-FU chemotherapy was discontinued, and the patient went on to receive second-line chemotherapy.
authors.affiliation: Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: Jeffrey
authors.identifier: 0000-0001-8428-7579
authors.initials: J
authors.lastname: Sulpher
authors.affiliation: Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: Franco
authors.initials: F
authors.lastname: Dattilo
authors.affiliation: Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: Susan
authors.identifier: 0000-0003-0291-5194
authors.initials: S
authors.lastname: Dent
authors.affiliation: Division of Cardiology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: Michele
authors.initials: M
authors.lastname: Turek
authors.affiliation: Division of Medical Oncology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: M Neil
authors.initials: MN
authors.lastname: Reaume
authors.affiliation: Division of Cardiology, The Ottawa Hospital, Ottawa, ON, Canada K1H 8L6.
authors.forename: Christopher
authors.initials: C
authors.lastname: Johnson