Trastuzumab-Induced Myocardiotoxicity Mimicking Acute Coronary Syndrome

Trastuzumab is an important biological agent in the treatment of HER2-positive breast cancer, with effects on response rates, progression-free survival, overall survival and quality of life. Although this drug is well tolerated in terms of adverse effects, trastuzumab-associated myocardiotoxicity has been described to have an incidence of 0.6–4.5% and in rare cases, the drug can trigger severe congestive heart failure with progression to death or even mimic acute coronary syndrome with complete left bundle branch blockade. In this paper is reported a case of trastuzumab-associated myocardiotoxicity manifesting as acute coronary syndrome in a 69-year-old female. The patient is currently undergoing a conservative clinical treatment that restricts overexertion

Reclamation status of a degraded pasture based on soil health indicators

Pasture degradation is a concern, especially in susceptible sandy soils for which strategies to recover them must be developed. Microbiological and biochemical soil health indicators are useful in the guindace of soil management practices and sustainable soil use. We assessed the success of threePanicum maximum Jacq. cultivars in the reclamation of a pasture in a sandy Typic Acrudox in the northwest of the state of Paraná, Brazil, based on soil health indicators. On a formerly degraded pasture withUrochloa brizantha (Hochst. ex A. Rich.) R.D. Webster, a trial with threeP. maximum (cv. Massai, Tanzânia, or Mombaça) was conducted. Lime and phosphate were applied at set-up, and mineral N and K as topdressing. A remnant of degraded pasture adjacent to the trial was used as control. Twenty-three chemical, physical, microbiological and biochemical attributes were assessed for the 0-10 cm topsoil. The procedures for reclamation improved most of the indicators of soil health in relation to the degraded pasture, such as soil P, mineral N, microbial biomass C, ammonification rate, dehydrogenase activity and acid phosphatase. CO2 evolution decreased, whereas microbial biomass C increased in the pasture under reclamation, resulting in a lower metabolic quotient (qCO2) that points to a decrease in metabolic stress of the microbial community. The reclamation of the pasture withP. maximum, especially cv. Mombaça, were evidenced by improvements in the microbiological and biochemical soil health indicators, showing a recovery of processes related to C, N and P cycling in the soil