Evidence map›Paper›PMID 41733524›Full record

ArticleJACC. Case reports2026

Bortezomib-Induced Myocarditis in a Patient With Multiple Myeloma.

Adriana Domínguez-Linares, Ana Karen Nieto-Dolores, Mauricio Garcia-Cardenas, Alfonso Gonzalez-Trejo, Estela Ayala-Bustamante, Hugo Armando Valencia-Hernandez, Adriana Viñas-Mendieta, Enrique Ruiz-Mori, Nilda Espinola-Zavaleta

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adriana Domínguez-LinaresNational Institute of Neoplastic Diseases, Lima, Peru; School of Medicine, San Martín de Porres University (USMP), Lima, Peru.
Ana Karen Nieto-DoloresFaculty of Medicine, Popular Autonomous University of Puebla, Puebla, Mexico.
Mauricio Garcia-CardenasNational Institute of Neoplastic Diseases, Lima, Peru.
Alfonso Gonzalez-TrejoFaculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Estela Ayala-BustamanteNational Institute of Neoplastic Diseases, Lima, Peru.
Hugo Armando Valencia-HernandezSchool of Medicine, Villa Rica University, Boca del Río, Mexico.
Adriana Viñas-MendietaNational Institute of Neoplastic Diseases, Lima, Peru.
Enrique Ruiz-MoriNational Institute of Neoplastic Diseases, Lima, Peru.
Nilda Espinola-ZavaletaDepartment of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico; Department of Echocardiography, ABC Medical Center, Mexico City, Mexico. Electronic address: niesza2001@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBortezomib is a reversible proteasome inhibitor used as first-line therapy for multiple myeloma and mantle cell lymphoma. Although effective, it can in rare cases cause cardiotoxicity, including myocarditis. CASE SUMMARY: A 58-year-old man with multiple myeloma (MC I, lambda light chain type) developed progressive dyspnea and edema after VTD (bortezomib, thalidomide, dexamethasone) therapy. Echocardiography showed severe left ventricular systolic dysfunction (left ventricular ejection fraction: 35%, global longitudinal strain: -10%) with elevated troponin I (3,176 ng/L). Coronary computed tomography angiography ruled out ischemia, and cardiac magnetic resonance imaging confirmed extensive acute myocarditis. Bortezomib was discontinued and guideline-directed heart failure therapy was initiated, resulting in complete clinical and echocardiographic recovery (left ventricular ejection fraction: 52%, global longitudinal strain: -17%) within 3 weeks. DISCUSSION: Bortezomib-induced myocarditis is extremely rare. Proposed mechanisms include proteasome inhibition-induced endoplasmic reticulum stress, mitochondrial dysfunction, and impaired NF-κB signaling. TAKE-HOME MESSAGE: Early recognition, prompt drug withdrawal, and timely heart failure therapy are essential to ensure full recovery.

Indexed as

bortezomibcardiotoxicitycase reportmultiple myelomamyocarditisproteasome inhibitor

Identifiers

PMID41733524
PMCPMC13080526

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.