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Open Access 12-08-2024 | Heart Failure | Case Report

Case report: heart failure related to intravitreal injection of anti-VEGF

Authors: Yuying Sui, Yong Zhao, Nannan Zhou, Haihui Sun, Yuanyuan Sun, Junni Liu, Zunzhe Wang, Jianchun Wang

Published in: BMC Cardiovascular Disorders | Issue 1/2024

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Abstract

Background

Intravitreal injection of anti-vascular endothelial growth factor is considered the first-line treatment for polypoidal choroidal vasculopathy. It has potential risks for circulatory system, which should be particularly carefully evaluated in older patients. In this case study, we aim to discuss the potential impact of this treatment regimen on cardiac health.

Case presentation

This case report describes an elderly patient with no prior history of heart disease who exhibited unexpected heart enlargement and dysfunction. Throughout the patient’s hospital stay, various potential causes were investigated, leading to the hypothesis that a 10-year history of intravitreal injections of anti-vascular endothelial growth factor could be related to the observed clinical manifestations. The patient was advised to discontinue this treatment, and after a 2-month follow-up period, there was a gradual improvement in the patient’s cardiac structure and function.

Conclusion

This manuscript highlights the importance of conducting cardiac examinations before and after anti-vascular endothelial growth factor treatment, especially for individuals at risk of heart diseases like the elderly. It emphasizes the need to carefully weigh the benefits and risks of treatment regimens to ensure optimal therapeutic outcomes.
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Metadata
Title
Case report: heart failure related to intravitreal injection of anti-VEGF
Authors
Yuying Sui
Yong Zhao
Nannan Zhou
Haihui Sun
Yuanyuan Sun
Junni Liu
Zunzhe Wang
Jianchun Wang
Publication date
12-08-2024
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2024
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-024-04095-4

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