Evidence map›Paper›PMID 41947270›Full record

ArticleCardio-oncology (London, England)2026

Temporal trends, cardiovascular complications, and outcomes in patients receiving CAR T-cell therapy: a 6-year nationwide analysis.

Karnav Modi, Himil Mahadevia, Raj Shah, Deepthi Vodnala, Talal Asif, Taiyeb Khumri, Furha Cossor

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Article in Cardio-oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Karnav ModiUniversity of Missouri - Kansas City, 2301 Holmes St, Kansas City, MO, 64108, United States. karnavjmodi@gmail.com.
Himil MahadeviaUniversity of Missouri - Kansas City, 2301 Holmes St, Kansas City, MO, 64108, United States.
Raj ShahUniversity of Kansas School of Medicine, 1010 N. Kansas St, KS, 67214, Wichita, United States.
Deepthi VodnalaSaint Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, United States.
Talal AsifSaint Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, United States.
Taiyeb KhumriSaint Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, United States.
Furha CossorSaint Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChimeric antigen receptor (CAR) T-cell therapy has transformed the treatment of relapsed or refractory hematologic malignancies. However, real-world data describing cardiovascular complications with CAR T-cell therapy remain limited.

methodsUsing the National Inpatient Sample, we identified hospitalizations involving CAR T-cell therapy from 2017 to 2022. Temporal trends, in-hospital mortality, cardiovascular complications, and other clinical outcomes were evaluated using survey-weighted regression models.

resultsAmong 13,370 weighted hospitalizations, CAR T-cell use increased from 70 cases in 2017 to 4,335 in 2022. The overall in-hospital mortality rate was 3.4%. Cardiovascular complications were observed in a subset of patients, including arrhythmias in 20.2%, acute myocardial infarction in 0.5%, stroke in 1.0%, cardiogenic shock in 0.2%, and major adverse cardiovascular and cerebrovascular events in 4.5%. Atrial fibrillation was the most common arrhythmia (11.1%), followed by conduction abnormalities (3.9%). The prevalence of arrhythmias increased with advancing age, reaching 48.3% in patients older than 80 years. Acute kidney injury occurred in 14.4%, with 1.7% requiring renal replacement therapy. Cytokine release syndrome occurred in 61.0% in 2021 and 62.1% in 2022, while immune effector cell–associated neurotoxicity syndrome was observed in 24.2% in 2022. Mean length of stay was 18.3 days, and inflation-adjusted hospitalization costs increased from $83,939 in 2017 to $378,507 in 2022.

conclusionsCAR T-cell therapy utilization increased substantially in the United States over the study period, with relatively low in-hospital mortality but notable cardiovascular complications, particularly arrhythmias. These findings highlight the importance of cardiovascular risk assessment and monitoring in patients undergoing CAR T-cell therapy.

Indexed as

Cardiovascular complicationsCAR T-cell therapyOutcomesTemporal trends

Identifiers

PMID41947270
PMCPMC13173972

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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.