Electrocardiographic features of immune checkpoint inhibitor-associated myocarditis.
Journal article
Song, Wenhua, Zheng, Yi, Dong, Mei, Zhong, Lin, Bazoukis, George, Perone, Francesco, Li, Guangping, Ng, Chi Fai, Baranchuk, Adrian, Tse, Gary and Liu, Tong 2022. Electrocardiographic features of immune checkpoint inhibitor-associated myocarditis. Current Problems in Cardiology. 48 (2), p. 101478. https://doi.org/S0146-2806(22)00375-9
Authors | Song, Wenhua, Zheng, Yi, Dong, Mei, Zhong, Lin, Bazoukis, George, Perone, Francesco, Li, Guangping, Ng, Chi Fai, Baranchuk, Adrian, Tse, Gary and Liu, Tong |
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Abstract | Immune checkpoint inhibitors (ICIs) are associated with immune-related adverse events including myocarditis, whilst improving cancer-related outcomes. There is thus a clinical need to identify electrocardiographic manifestations of ICI-related myocarditis to guide clinical management. PubMed was searched for clinical studies and case reports describing electrocardiographic changes in patients with ICI-related myocarditis. A total of six clinical studies and 79 case reports were included. This revealed a range of presentations for patients on ICIs, including supraventricular arrhythmias, ventricular arrhythmias and heart block, and new changes of ST-T segment unrelated to coronary artery disease, ST-segment elevation or depression and T-wave abnormalities. Several patients showed low voltages in multiple leads and new onset Q-wave development. Patients with ICI-related myocarditis may develop new arrhythmia and ST-T changes, and infrequently low voltages in multiple leads. [Abstract copyright: Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.] |
Keywords | Myocarditis; Electrocardiogram; Immune checkpoint inhibitors |
Year | 2022 |
Journal | Current Problems in Cardiology |
Journal citation | 48 (2), p. 101478 |
Publisher | Elsevier |
ISSN | 1535-6280 |
Digital Object Identifier (DOI) | https://doi.org/S0146-2806(22)00375-9 |
https://doi.org/10.1016/j.cpcardiol.2022.101478 | |
Official URL | https://www.sciencedirect.com/science/article/pii/S0146280622003759 |
Publication dates | |
Online | 03 Nov 2022 |
Publication process dates | |
Accepted | 26 Oct 2022 |
Deposited | 24 Nov 2022 |
Publisher's version | License |
Output status | Published |
Permalink -
https://repository.canterbury.ac.uk/item/9330z/electrocardiographic-features-of-immune-checkpoint-inhibitor-associated-myocarditis
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