Evidence map›Paper›PMID 42312783›Full record

ArticleJACC. Advances2026

Cardiovascular Events in Patients With Acute Myeloid Leukemia Treated With Venetoclax: A Multicenter Cohort Study.

Sabin Filimon, Azin Ghamari, Azin Vakilpour, Ruchi Patel, Rohan Achar, Nausheen Akhter, Rory M Shallis, Jeanne M DeCara, Jessica Altman, Amanda Smith and 12 more

Abstract read
In one paragraph

Article in JACC. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

22 authors.

Sabin FilimonDivision of Cardiovascular Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Thalheimer Center for Cardio-Oncology, Division of Cardiology and Abramson Cancer Center, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Azin GhamariCardio-Oncology Program, Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Azin VakilpourDivision of Cardiovascular Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ruchi PatelDivision of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Rohan AcharDivision of Medical Oncology and Hematology, Department of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Nausheen AkhterDivision of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Rory M ShallisDivision of Medical Oncology and Hematology, Department of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Jeanne M DeCaraDivision of Cardiology, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Jessica AltmanDivision of Hematology-Oncology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Amanda SmithThalheimer Center for Cardio-Oncology, Division of Cardiology and Abramson Cancer Center, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrew MatthewsDivision of Hematology-Oncology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Catherine LaiDivision of Hematology-Oncology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrew M BrunnerLeukemia Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kyle A FarinaTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
Hannah K GilmanCardio-Oncology Program, Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tomas G NeilanCardio-Oncology Program, Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Deep UpadhyayFeinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Jesse ChittamsDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Francisca AnazcoDivision of Hematology-Oncology, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Anand A PatelDivision of Hematology-Oncology, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Douglas TremblayTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
Marielle Scherrer-CrosbieDivision of Cardiovascular Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA; Thalheimer Center for Cardio-Oncology, Division of Cardiology and Abramson Cancer Center, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: marielle.scherrer-crosbie@pennmedicine.upenn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with acute myeloid leukemia (AML) treated with hypomethylating agents and venetoclax (HMA-VEN) may be at risk for cardiovascular complications. The incidence, associations, and prognostic implications of these events remain poorly defined.

objectivesThe purpose of this study was to evaluate the incidence, risk factors, and prognostic significance of major adverse cardiovascular events (MACE) in AML patients treated with HMA-VEN and to identify clinical and genetic predictors.

methodsWe conducted a multicenter retrospective cohort study across 6 U.S. health care systems between January 2017 and July 2024. The study included 1,012 adults (mean age 69 ± 12.5 years; 57% male) with newly diagnosed or relapsed/refractory AML treated with HMA-VEN. The primary outcome was MACE, defined as atrial fibrillation, heart failure, left ventricular ejection fraction reduction, stroke/transient ischemic attack, acute coronary syndrome, angina, ventricular tachycardia/fibrillation, myocarditis, or cardiovascular death. The secondary outcome was noncardiac mortality. Variables associated with MACE and mortality were analyzed using Fine-Gray competing risk and Cox proportional hazards models.

resultsMACE occurred in 20% of patients (n = 200), with a median time to first MACE of 120 days and a 12-month cumulative incidence of 17%. Atrial fibrillation (6%), stroke/transient ischemic attack (5%), left ventricular ejection fraction reduction (5%), and heart failure (4%) were most frequent. Diabetes independently predicted MACE (subdistribution HR: 1.4; 95% CI: 1.03-1.89; P = 0.031). In the matched cohort, MACE was associated with increased mortality (73% vs 56%; HR: 1.96; 95% CI: 1.59-2.42; P < 0.001).

conclusionsMACE are frequent and occur early in patients with AML treated with HMA-VEN, particularly in patients with diabetes, and are associated with lower survival.

Indexed as

cardiotoxicityhypomethylating agentsvenetoclax

Identifiers

PMID42312783
PMCPMC13308248

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