Evidence map›Paper›PMID 41294120›Full record

ArticleJournal of the American Heart Association2026

Diagnostic and Prognostic Value of High-Sensitivity Troponin T for Cardiovascular Outcomes in Patients Receiving Immune Checkpoint Inhibitor Therapy.

Milagros Pereyra Pietri, Juan M Farina, Kamal Awad, Christopher N Kanaan, Isabel G Scalia, Cecilia Tagle-Cornell, Barbara S Novais, Laura M Koepke, Courtney R Kenyon, Ahmed K Mahmoud and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2026. 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. Unmasking the Hidden Burden: Inflammation and Cardiovascular DiseaseJournal of the American Heart Association · 2026
    Article
  4. 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

19 authors.

Milagros Pereyra PietriDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0003-4695-8436
Juan M FarinaDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Kamal AwadDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Christopher N KanaanDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0002-3814-3501
Isabel G ScaliaDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Cecilia Tagle-CornellDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Barbara S NovaisDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Laura M KoepkeDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Courtney R KenyonDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0007-8511-4347
Ahmed K MahmoudDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0009-9729-9961
Mohammed Tiseer AbbasDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0004-7212-435X
Nima Baba AliDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0004-3979-0609
Carolyn M LarsenDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Hema NarayanasamyDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-8976-5138
Balaji TamarappooDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Kwan S LeeDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-6302-9925
Joerg HerrmannDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.
Reza ArsanjaniDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-7081-4286
Chadi AyoubDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-5877-7478

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-checkpoint inhibitors (ICI) are associated with adverse cardiac events. Although troponin elevation is a diagnostic criterion for ICI-related myocarditis (ICIrM) and myocardial infarction, data on other causes of troponin elevation and their outcomes in ICI-treated patients are limited.

methodsAll patients treated with ICI who had hs-TnT (high-sensitivity troponin T) measured at a multicenter institution from 2011 to 2022 were included. Clinical data, outcomes (cardiac death, heart failure (HF), major adverse cardiovascular events [myocardial infarction, stroke, heart failure]), and cause of hs-TnT elevation were assessed. Risks of cardiac events were compared across hs-TnT elevation causes.

resultsOf 5423 patients treated with ICI, 1669 had post-ICI hs-TnT measurement (mean age 68.7±11.3 years, 58.3% male), with 1-year follow-up. Hs-TnT elevation in patients with ICIrM (n=59) was associated with the highest risk for cardiac death (hazard ratio [HR], 52.7 [95% CI, 11.7-238.0],

conclusionsHs-TnT elevation after ICI therapy is associated with increased risk of cardiac events, particularly in ICIrM, and a graded prognostic association depending on the cause of hs-TnT elevation. Identifying the underlying cause and troponin thresholds may guide risk stratification and management.

Indexed as

Cardiovascular DiseasesImmune Checkpoint InhibitorsTroponin TAgedBiomarkersFemaleHeart FailureHumansMaleMiddle AgedMyocarditisPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentRisk FactorsBiomarkersImmune Checkpoint InhibitorsTroponin Timmune‐checkpoint inhibitorsmyocarditistroponin

Identifiers

PMID41294120
PMCPMC13055820

What OpenQuestion holds

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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.