Evidence map›Paper›PMID 40401328›Full record

Observational studyClinical cardiology2025

Immune Checkpoint Inhibitor-Related Myocarditis: A Single Center Observational Registry.

Grace Alexander, Ibrahim Mortada, Mohammed Mhanna, Stefano Byer, Udhayvir Singh Grewal, Shareef Mansour

Abstract readObservational Study
In one paragraph

Observational study in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Observational
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.

Grace AlexanderDepartment of Medicine, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.ORCID https://orcid.org/0009-0008-4832-5775
Ibrahim MortadaDepartment of Medicine, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Mohammed MhannaDepartment of Medicine, Division of Cardiology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Stefano ByerDepartment of Medicine, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Udhayvir Singh GrewalDepartment of Medicine, Division of Hematology, Oncology, and Blood & Marrow Transplantation, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.
Shareef MansourDepartment of Medicine, Division of Cardiology, University of Iowa Hospitals & Clinics, Iowa City, Iowa, USA.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

introductionImmune checkpoint inhibitors (ICIs) are associated with myocarditis, which is rare but has a high mortality. This study aimed to describe cases of ICI-related myocarditis at the University of Iowa Hospitals & Clinics and, in doing so, provide valuable insights into patient characteristics, treatment, and outcomes.

methodsThis single-center observational registry included cases of ICI-related myocarditis identified from 2009 to 2024. Data were collected retrospectively from electronic medical records and included demographics, cardiovascular risk factors, medications, and cancer characteristics. Between-group comparisons for continuous data were conducted using unpaired Student's t-tests or the Wilcoxon rank-sum test. Categorical data were analyzed with Fisher's exact test.

resultsEighteen patients were included. The mean age was 74 ± 9.4 years with 61% being male. Compared to controls, patients with ICI-related myocarditis had a significantly higher prevalence of coronary artery disease (36.8% vs. 7.5%, p = 0.01) and obstructive sleep apnea (33% vs. 10%, p = 0.03). They were less likely to have a normal sinus rhythm on baseline electrocardiogram (50% vs. 70%, p < 0.01) and more likely to suffer from a major adverse cardiac event (MACE) (38.9% vs. 2.5%, p < 0.01). Twelve (66.7%) of patients with ICI-related myocarditis also had myasthenia gravis-like overlap syndrome and 9 (50%) had myositis/rhabdomyolysis.

conclusionsICI-related myocarditis at a tertiary care center is rare with a calculated incidence of 0.48%. Despite this, the disease has a high incidence of MACE. Patients with pre-existing cardiovascular disease are at higher risk of developing ICI-related myocarditis. Careful cardiovascular monitoring in patients undergoing ICI therapy is warranted.

Indexed as

Immune Checkpoint InhibitorsMyocarditisNeoplasmsRegistriesAgedAged, 80 and overElectrocardiographyFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsImmune Checkpoint Inhibitorscardio‐oncologyimmune checkpoint inhibitormyocarditis

Identifiers

PMID40401328
PMCPMC12096086

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Registered trials

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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.