Table 1. Non-Myopathic Cardiac Complications Associated With Trastuzumab [6, 13-17].
Complications | Study | Symptoms | Further testing and results | Cardiomyopathy present |
---|---|---|---|---|
Asymptomatic new LBBB | Piotrowski et al [6] | No symptoms | No | No |
New RBBB | Piotrowski et al [6] | No Symptoms | No | No |
T-wave inversions in anterior leads | Olin et al [13] | Chest pain | Left heart catheterization revealed normal coronaries. | No |
Sinus node dysfunction | Olin et al [13] | Syncope | No | No |
Symptomatic new LBBB | Two studies (Tu et al [14] and Ribiero et al [15]) | Chest pain and shortness of breath | Left heart catheterization revealed normal coronaries. | Yes |
Ventricular tachycardia | Oliveira et al [16] | Sudden death | Autopsy showed LV hypertrophy, myocardial lymphocytic infiltrate, pulmonary congestion. | Yes |
Non-sustained ventricular tachycardia | Ferguson et al [17] | palpitations and near-syncope | Holter revealed NSVT | No |
LBBB: left bundle branch block; RBBB: right bundle branch block; LV: left ventricular; NSVT: non-sustained ventricular tachycardia.