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Androgen Deprivation Therapy Cardiotoxicity

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Clinical Cases in Cardio-Oncology

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Abstract

The patient is a 63-year-old male, case of metastatic castrate-sensitive prostate cancer on goserelin injections every 3 month. Given his initial Gleason1 grade of 8, as well as doubling Prostate-specific antigen, (PSA) in 7 months since starting treatment, he was started on androgen receptor inhibitor, apalutamide. 2 weeks after starting treatment with apalutamide, patient presented with chest pain and shortness of breath. Follow up echocardiogram showed LVEF: 46%. Coronary angiogram showed moderate diffuse coronary artery disease but no significant obstruction. He was provided with betablocker, aspirin, and ramipril.

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Correspondence to Atooshe Rohani .

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Rohani, A. (2021). Androgen Deprivation Therapy Cardiotoxicity. In: Clinical Cases in Cardio-Oncology. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-71155-9_11

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  • DOI: https://doi.org/10.1007/978-3-030-71155-9_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71154-2

  • Online ISBN: 978-3-030-71155-9

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