Evidence map›Paper›PMID 42138669›Full record

ArticleJACC. Case reports2026

Myopericarditis After Combined Idarubicin and Quizartinib in FLT3-ITD-Positive AML.

Zachary R Spahr, Moises A Vasquez, Adarshvardhan Tangella, Mohammad Saad Husain, Allen J Taylor

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

5 authors.

Zachary R SpahrDepartment of Medicine, MedStar Georgetown University Hospital/Georgetown University School of Medicine, Washington, DC, USA. Electronic address: zachspahr@gmail.com.
Moises A VasquezMedStar Heart and Vascular Institute, Washington, DC, USA.
Adarshvardhan TangellaMedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC, USA.
Mohammad Saad HusainMedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC, USA.
Allen J TaylorMedStar Heart and Vascular Institute, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnthracyclines are key components of induction therapy for acute myelogenous leukemia with well-understood cardiotoxicity. Quizartinib inhibits FLT3 and has been shown to potentiate apoptosis and promote maladaptive remodeling after myocardial infarction in mice; however, the impact of FLT3 inhibition on a heart already exposed to anthracyclines is poorly understood. CASE SUMMARY: A 64-year-old man with acute myelogenous leukemia developed fever, hypotension, troponin I elevation, and diffuse ST-segment elevation after treatment with cytarabine and idarubicin followed by quizartinib. Cardiac magnetic resonance imaging showed late gadolinium enhancement consistent with myopericarditis and a new reduced left ventricular ejection fraction. Quizartinib was stopped, and the patient received colchicine and guideline-directed medical therapy. Quizartinib was successfully reintroduced at a lower dose without recurrence of cardiac injury. DISCUSSION: This case illustrates a "two-hit" mechanism resulting in acute myopericarditis. The reversibility of the injury and the successful rechallenge emphasize the potential role of dose modification and close monitoring when combining targeted therapies with anthracyclines. TAKE-HOME MESSAGES: Drug-induced myopericarditis should be suspected when cardiotoxic agents are administered sequentially. Rechallenge with a reduced dose may be feasible.

Indexed as

cardiomyopathyelectrocardiogramimaging

Identifiers

PMID42138669
PMCPMC13309693

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