Evidence map›Paper›PMID 40005418›Full record

ReviewMedicina (Kaunas, Lithuania)2025

Late-Onset Myocarditis Following Immune Checkpoint Inhibitors Therapy: A Case Series with Literature Review.

Harun Muğlu, Erdem Sünger, Bahadır Köylü, Didem Tunalı, Cengiz Erol, Fatih Selcukbiricik, Ahmet Bilici, Omer Fatih Olmez

Abstract readCase ReportsReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. 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

8 authors.

Harun MuğluDepartment of Medical Oncology, Faculty of Medicine, Medipol University, Istanbul 34214, Turkey.ORCID 0000-0001-9584-0827
Erdem SüngerDepartment of Medical Oncology, Faculty of Medicine, Medipol University, Istanbul 34214, Turkey.ORCID 0000-0001-5194-1634
Bahadır KöylüDepartment of Medical Oncology, Istanbul Koc University, Istanbul 34450, Turkey.ORCID 0000-0002-4462-6393
Didem TunalıDepartment of Medical Oncology, Istanbul Koc University, Istanbul 34450, Turkey.
Cengiz ErolDepartment of Radiology, Faculty of Medicine, Medipol University, Istanbul 34214, Turkey.
Fatih SelcukbiricikDepartment of Medical Oncology, Istanbul Koc University, Istanbul 34450, Turkey.
Ahmet BiliciDepartment of Medical Oncology, Faculty of Medicine, Medipol University, Istanbul 34214, Turkey.ORCID 0000-0002-0443-6966
Omer Fatih OlmezDepartment of Medical Oncology, Faculty of Medicine, Medipol University, Istanbul 34214, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) therapy has revolutionized cancer treatment. However, it is important to acknowledge that ICI therapy can lead to immune-related adverse events (irAEs), including myocarditis. While early-onset myocarditis is well-documented, late-onset cases are increasingly recognized. This case series presents four cases of late-onset ICI-associated myocarditis, emphasizing the need for long-term surveillance of this potentially fatal complication. Patients exhibited a range of cardiac symptoms, including chest pain, shortness of breath, and arrhythmias. The diagnosis was confirmed through cardiac magnetic resonance imaging (MRI) and elevated cardiac biomarkers. Treatment involved the immediate discontinuation of ICI therapy and the initiation of high-dose corticosteroids. In cases with an inadequate response, additional immunosuppressive agents were considered. This case series underscores the importance of prolonged monitoring for late-onset ICI-associated myocarditis. Further research is needed to establish optimal treatment strategies and long-term management approaches for this complex condition.

Indexed as

Immune Checkpoint InhibitorsMyocarditisAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedImmune Checkpoint Inhibitorscardiotoxicityimmune checkpoint inhibitorsimmune-related adverse events (irAEs)late-onset myocarditis

Identifiers

PMID40005418
PMCPMC11857675

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.