Evidence map›Paper›PMID 33786301›Full record

ArticleRespiratory medicine case reports2021

Immunotherapy-associated complete heart block in a patient with NSCLC: A case report and literature review.

Alexander Vartanov, Aditi Kalotra, Jasmine Varughese, Shovendra Gautam, Sean Kandel, Wylie Hosmer

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respiratory medicine case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Alexander VartanovDepartment of Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue L2104, Farmington, CT, 06030, USA.
Aditi KalotraDepartment of Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue L2104, Farmington, CT, 06030, USA.
Jasmine VarugheseDepartment of Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue L2104, Farmington, CT, 06030, USA.
Shovendra GautamDepartment of Medicine, Hospital of Central Connecticut, 100 Grand Street, New Britain, CT, 06052, USA.
Sean KandelDepartment of Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue L2104, Farmington, CT, 06030, USA.
Wylie HosmerDepartment of Medical Oncology, Hartford Healthcare, 201 North Mountain Road Suite 202, Plainville, CT, 06062, USA.
University of Connecticut · USHartford Hospital · USThe Hospital of Central Connecticut · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role for PD-1/PD-L1 and CTLA-4 targeted immunotherapy is well outlined in the treatment of metastatic NSCLC. Increased survival benefit supports the use of these medications and the development of next-generation agents with improved efficacy and favorable side-effect profiles. The prevalence of immunotherapy-associated cardiotoxicity (IAC) has grown significantly over the past two years as awareness of this toxicity class has emerged. High-grade conduction disorders comprise a subset of cardiotoxicities with a high case fatality rate. We presented a case of suspected combination ipilimumab-nivolumab associated 3rd degree heart block. The onset of this event was 16 days after immunotherapy initiation. A literature review has suggested that over 75% of cases of cardiotoxicity are observed within the first 6 weeks. We present findings from an interrogation of the FDA Adverse Event Reporting System (FAERS) and provide clinical guidance for the early identification of high-risk patients.

Indexed as

CardiotoxicityConduction disorderImmunotherapyLung cancerMyocarditis

Identifiers

PMID33786301
PMCPMC7994778
OpenAlexW3138421696

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.