Evidence map›Paper›PMID 37021424›Full record

ArticleESC heart failure2023

Value of troponin T versus I in the diagnosis of immune checkpoint inhibitor-related myocarditis and myositis: rechallenge?

Valentina A Rossi, Joanna Gawinecka, Florentia Dimitriou, Arnold von Eckardstein, Reinhard Dummer, Frank Ruschitzka, Christian M Matter

Abstract readCase Reports
In one paragraph

Article in ESC heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Role of Troponins in CardioOncology.Current treatment options in oncology · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Immune checkpoint inhibitor-associated myocarditis: a historical and comprehensive review.American journal of physiology. Heart and circulatory physiology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. 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

7 authors.

Valentina A RossiDepartment of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0001-9235-6597
Joanna GawineckaInstitute of Clinical Chemistry, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Florentia DimitriouDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Arnold von EckardsteinInstitute of Clinical Chemistry, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Reinhard DummerDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Frank RuschitzkaDepartment of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
Christian M MatterDepartment of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 54-year old patient with metastatic melanoma presented with asymptomatic myositis and myocarditis after combined immune checkpoint inhibitors (ICI) therapy (anti-programmed cell death receptor-1, anti-lymphocyte activating gene-3, and anti-indoleamine 2,3-dioxygenase-1). The diagnosis was based on the typical time window after ICI, recurrence upon re-challenge, elevations of CK, high-sensitive troponin T (hs-TnT) and I (hs-TnI), mild NT-proBNP increase, and positive magnetic resonance imaging criteria. Notably, hsTnI was found to more rapidly increase and fall and to be more heart-specific than TnT in the context of ICI-related myocarditis. This led to ICI therapy withdrawal and switch to a less effective systemic therapy. This case report highlights the differential value of hs-TnT and hs-TnI for diagnosis and monitoring of ICI-related myositis and myocarditis.

Indexed as

MyocarditisMyositisHeartHumansImmune Checkpoint InhibitorsMiddle AgedTroponin TImmune Checkpoint InhibitorsTroponin TImmune checkpoint inhibitorMyocarditisMyositisTroponin

Identifiers

PMID37021424
PMCPMC10375180

What OpenQuestion holds

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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.