PT - JOURNAL ARTICLE AU - Zhaolu Xie AU - Wei Wu AU - Haiyan Xing AU - Yongqing Cai AU - Xianfeng Wang AU - Jianhong Chen TI - Bradycardia associated with pegylated liposomal doxorubicin administration: a case report AID - 10.1136/ejhpharm-2015-000817 DP - 2017 Mar 01 TA - European Journal of Hospital Pharmacy PG - 128--130 VI - 24 IP - 2 4099 - http://ejhp.bmj.com/content/24/2/128.short 4100 - http://ejhp.bmj.com/content/24/2/128.full SO - Eur J Hosp Pharm2017 Mar 01; 24 AB - The cardiotoxicity of doxorubicin is dose dependent and progressive, but its mechanisms remain unclear. Measures to prevent the cardiotoxicity of doxorubicin have had limited success. We report here on a patient who had received intravenous infusion of pegylated liposomal doxorubicin and developed sinus bradycardia despite the prior administration of the iron-chelating agent, dexrazoxane. The adverse effect of pegylated liposomal doxorubicin might be due to the difference in metabolic related genes for anthracyclines. Therefore, monitoring the cardiac condition of patients who receive doxorubicin treatment, even at low doses, is highly recommended.