Evidence map›Paper›PMID 36411365›Full record

ReviewJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2023

Tyrosine kinase inhibitor-associated ventricular arrhythmias: a case series and review of literature.

Muhammad Fazal, Chen Wei, Katherine Lee Chuy, Kifah Hussain, Sofia E Gomez, Shayena Shah Ba, Grzegorz Pietrasik, Neha Yadav, Zaniar Ghazizadeh, Ridhima Kapoor and 8 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Cardiovascular Safety of Bruton Tyrosine Kinase Inhibitors: From Ibrutinib to Next-Generation Agents.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Developing a simple clinical risk score for ibrutinib-associated atrial fibrillation.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Comparative arrhythmia patterns among patients on tyrosine kinase inhibitors.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
  14. Review
  15. Article
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

18 authors at 6 institutions in 1 country.

Muhammad FazalDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Chen WeiDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Katherine Lee ChuyDivision of Cardiology, Loma Linda University Medical Center, Loma Linda, CA, United States.
Kifah HussainDivision of Cardiology, University of Chicago (Northshore University HealthSystem), Chicago, IL, United States.
Sofia E GomezDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Shayena Shah BaDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Grzegorz PietrasikDivision of Cardiology, Cook County Health, Chicago, IL, United States.
Neha YadavDivision of Cardiology, Cook County Health, Chicago, IL, United States.
Zaniar GhazizadehDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Ridhima KapoorDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Ronald M WittelesDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Amanda BlackmonDepartment of Hematology, City of Hope Comprehensive Medical Center, Duarte, CA, United States.
Paul J WangDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Roy M JohnDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Sanjiv M NarayanDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Paul ChengDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
June-Wha RheeDepartment of Medicine, City of Hope Comprehensive Medical Center, Duarte, CA, United States.
Tina BaykanerDivision of Cardiology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States. tina4@stanford.edu.ORCID http://orcid.org/0000-0002-0476-2972
Stanford University · USCity of Hope · USRush University Medical Center · USLoma Linda University Medical Center · USNorthShore University HealthSystem · USStanford Medicine · US

Funding

The Dynamics of Human Atrial FibrillationR01HL083359 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sanjiv M Narayan · 2008 to 2026
$7.9M
Machine Learning in Atrial FibrillationR01HL149134 · NHLBI · STANFORD UNIVERSITY · PI NARAYAN, SANJIV M · 2020 to 2024
$3.8M
Deep Neural Networks To Treat Atrial FibrillationK23HL145017 · NHLBI · STANFORD UNIVERSITY · PI BAYKANER, TINA · 2019 to 2023
$968k
From Locus to Function: Role of ZEB2 in Human Risk of Coronary Artery DiseaseK08HL153798 · NHLBI · STANFORD UNIVERSITY · PI CHENG, PAUL PO SHENG · 2020 to 2024
$933k
Patient-specific modeling of metabolic dysfunction in statin-induced myopathy using iPSC-derived myocytesK08HL148540 · NHLBI · STANFORD UNIVERSITY · PI RHEE, JUNE-WHA · 2020 to 2024
$760k
NHLBI NIH HHS K08 HL148540NHLBI NIH HHS K08 HL153798NHLBI NIH HHS K23 HL145017NHLBI NIH HHS R01 HL083359NHLBI NIH HHS R01 HL149134NIH HHS HL83359NIH HHS K08 HL148540NIH HHS K08 HL153798NIH HHS K23 HL145017NIH HHS R01 HL149134
6 · The paper itself

Abstract

backgroundTyrosine kinase inhibitors (TKIs) have been increasingly used as first-line therapy in hematologic and solid-organ malignancies. Multiple TKIs have been linked with the development of cardiovascular complications, especially atrial arrhythmias, but data on ventricular arrhythmias (VAs) is scarce.

methodsHerein we describe five detailed cases of VAs related to TKI use in patients with varied baseline cardiovascular risk factors between 2019 and 2022 at three centers. Individual chart review was conducted retrospectively.

resultsPatient ages ranged from 43 to 83 years. Three patients were on Bruton's TKI (2 ibrutinib and 1 zanubrutinib) at the time of VAs; other TKIs involved were afatinib and dasatinib. Three patients had a high burden of non-sustained ventricular tachycardia (NSVT) requiring interventions, whereas two patients had sustained VAs. While all patients in our case series had significant improvement in VA burden after TKI cessation, two patients required new long-term antiarrhythmic drug therapy, and one had an implantable defibrillator cardioverter (ICD) placed due to persistent VAs after cessation of TKI therapy. One patient reinitiated TKI therapy after control of arrhythmia was achieved with antiarrhythmic drug therapy.

conclusionsGiven the expanding long-term use of TKIs among a growing population of cancer patients, it is critical to acknowledge the association of TKIs with cardiovascular complications such as VAs, to characterize those at risk, and deploy preventive and therapeutic measures to avoid such complications and interference with oncologic therapy. Further efforts are warranted to develop monitoring protocols and optimal treatment strategies for TKI-induced VAs.

Indexed as

Defibrillators, ImplantableTachycardia, VentricularAdultAgedAged, 80 and overAnti-Arrhythmia AgentsArrhythmias, CardiacDeath, Sudden, CardiacHumansMiddle AgedRetrospective StudiesTyrosine Kinase InhibitorsAnti-Arrhythmia AgentsTyrosine Kinase InhibitorsArrhythmiaSudden cardiac deathTyrosine kinase inhibitorsVentricular fibrillationVentricular tachycardia

Identifiers

PMID36411365
PMCPMC10199959
OpenAlexW4309666045

What OpenQuestion holds

Textmetadata
LicenceTDM
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.