Ponatinib-Related Vasospastic Angina

Int Heart J. 2024;65(2):349-353. doi: 10.1536/ihj.23-355.

Abstract

Tyrosine kinase inhibitors (TKIs) are essential drugs for chronic myeloid leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia. Cardiovascular or arteriothrombotic adverse events have been reported in patients treated with TKIs. We report 3 cases of Ponatinib-related vasospastic angina, in which prophylactic administration of nitrates or calcium channel blockers was effective.

Keywords: Cardio-oncology; Chronic myeloid leukemia; Onco-cardiology; Tyrosine kinase inhibitor; Vasospasm.

MeSH terms

  • Coronary Vasospasm* / chemically induced
  • Coronary Vasospasm* / drug therapy
  • Humans
  • Imidazoles / pharmacology
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / chemically induced
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive* / drug therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / chemically induced
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / drug therapy
  • Pyridazines* / adverse effects

Substances

  • ponatinib
  • Imidazoles
  • Pyridazines