A Case Study of Atrial Fibrillation Induced by Utidelone in Palliative Chemotherapy for Metastatic Breast Cancer - Report - MDSpire

A Case Study of Atrial Fibrillation Induced by Utidelone in Palliative Chemotherapy for Metastatic Breast Cancer

  • By

  • Qihuan Shen

  • Yuhao Huang

  • Haoran Li

  • Baoying Chen

  • Huadi Shi

  • Zumin Xu

  • April 29, 2026

  • 0 min

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Clinical Report: Atrial Fibrillation Induced by Utidelone in Palliative Chemotherapy

Overview

This report details a case of atrial fibrillation in a 57-year-old male with metastatic breast cancer following utidelone infusion. The findings suggest a potential association between utidelone and arrhythmias, emphasizing the need for cardiac monitoring during treatment.

Background

Atrial fibrillation (AF) is a significant concern in cancer patients, particularly those undergoing chemotherapy. Utidelone, a novel drug approved for metastatic breast cancer, has not been widely associated with cardiotoxicity in prior studies. Understanding the cardiac effects of such treatments is crucial for patient safety and management.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • A 57-year-old male with metastatic breast cancer developed atrial fibrillation after utidelone infusion.
  • Prior cardiological evaluations were normal, with no history of cardiovascular disease.
  • Utidelone has been associated with common adverse effects but not previously with atrial fibrillation.
  • The case suggests a potential link between utidelone and arrhythmias, warranting further investigation.
  • Close cardiac monitoring is recommended during treatment with utidelone.

Clinical Implications

Healthcare providers should be vigilant in monitoring cardiac function in patients receiving utidelone, especially those with pre-existing risk factors. This case underscores the importance of recognizing potential drug-related arrhythmias in cancer therapy.

Conclusion

This case highlights the need for increased awareness and monitoring of cardiac events associated with utidelone in palliative chemotherapy settings. Further studies are necessary to establish a definitive causal relationship.

References

  1. Temple Health, Case Study: ICU-Based Chemotherapy for High-Risk Cardiac DLBCL Patient
  2. Temple Health, Advanced Diagnosis and Therapy for Paroxysmal Atrial Fibrillation and Chronic Blood Loss Anemia
  3. The ASCO Post, Risk of Atrial Fibrillation and Associated Outcomes After Allogeneic Hematopoietic Stem Cell Transplantation
  4. Clinical Research in Cardiology, Combination of Cadonilimab and Anlotinib Shows Promise in Treating Rare Cardiac Angiosarcoma with Multiple Metastases: A Case Study and Review of Existing Literature
  5. 2024 ESC Guidelines for Management of Atrial Fibrillation: Key Points - American College of Cardiology
  6. Efficacy and safety of utidelone in pretreated patients with metastatic breast cancer in China: a multicenter, real-world study
  7. 2024 ESC Guidelines for Management of Atrial Fibrillation: Key Points - American College of Cardiology
  8. Efficacy and safety of utidelone in pretreated patients with metastatic breast cancer in China: a multicenter, real-world study - PMC

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