Hyperthermia Potentiates Doxorubicin-Related Cardiotoxic Effects

Young Duk Kim, David Eric Lees, Charles R. Lake, Jacqueline Whang-Peng, Joan Bull, William Schuette, Rosalie Smith

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


The intercurrent administration of doxorubicin hydrochloride to a patient undergoing whole-body hyperthermia for the treatment of metastatic cancer repeatedly produced ventricular irritability and cardiac dysfunction. Individually, doxorubicin and hyperthermia were tolerated by the patient without incident. Catecholamine determinations showed that the administration of doxorubicin under hyperthermic conditions increased the liberation of both epinephrine and norepinephrine. The acute synergistic cardiotoxic effects occurred with doxorubicin dosages that were severalfold less than those associated with only mild and transient ECG disturbances under normothermic conditions.

Original languageEnglish
Pages (from-to)1816-1817
Number of pages2
JournalJAMA: The Journal of the American Medical Association
Issue number17
Publication statusPublished - Apr 27 1979
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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