RT Journal Article SR Electronic T1 Bradycardia associated with pegylated liposomal doxorubicin administration: a case report JF European Journal of Hospital Pharmacy JO Eur J Hosp Pharm FD British Medical Journal Publishing Group SP 128 OP 130 DO 10.1136/ejhpharm-2015-000817 VO 24 IS 2 A1 Zhaolu Xie A1 Wei Wu A1 Haiyan Xing A1 Yongqing Cai A1 Xianfeng Wang A1 Jianhong Chen YR 2017 UL http://ejhp.bmj.com/content/24/2/128.abstract 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.