Academic Journal

Assessing the risk of cardiovascular events in patients receiving immune checkpoint inhibitors

التفاصيل البيبلوغرافية
العنوان: Assessing the risk of cardiovascular events in patients receiving immune checkpoint inhibitors
المؤلفون: María Torrente, Mariola Blanco, Fabio Franco, Yago Garitaonaindia, Virginia Calvo, Ana Collazo-Lorduy, Lourdes Gutiérrez, Juan Cristóbal Sánchez, Aranzazu González-del-Alba, Roberto Hernández, Miriam Méndez, Blanca Cantos, Beatriz Núñez, Pedro A. C. Sousa, Mariano Provencio
المصدر: Frontiers in Cardiovascular Medicine, Vol 9 (2022)
بيانات النشر: Frontiers Media S.A., 2022.
سنة النشر: 2022
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: cardiovascular event, immune checkpoint inhibitors, myocarditis, cardiotoxicity, risk factors, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: BackgroundImmune checkpoint inhibitors (ICIs) have revolutionized cancer treatment. However, despite their excellent therapeutic effect, these medications typically result in a broad spectrum of toxicity reactions. Immune-related cardiotoxicity is uncommon but can be potentially fatal, and its true incidence is underestimated in clinical trials. The aim of this study is to assess the incidence and identify risk factors for developing a cardiac event in patients treated with ICIs.MethodsWe conducted a single-institution retrospective study, including patients treated with ICIs in our center. The main outcomes were cardiac events (CE) and cardiovascular death.ResultsA total of 378 patients were analyzed. The incidence of CE was 16.7%, during a median follow-up of 50.5 months. The multivariable analysis showed that age, a history of arrhythmia or ischemic heart disease, and prior immune-related adverse events were significantly associated with CE.ConclusionCE during ICI treatment are more common than currently appreciated. A complete initial cardiovascular evaluation is recommended, especially in high-risk patients, being necessary a multidisciplinary approach of a specialized cardio-oncology team.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2297-055X
Relation: https://www.frontiersin.org/articles/10.3389/fcvm.2022.1062858/full; https://doaj.org/toc/2297-055X
DOI: 10.3389/fcvm.2022.1062858
URL الوصول: https://doaj.org/article/79d816dc257c4b7d8758d885556f05a2
رقم الانضمام: edsdoj.79d816dc257c4b7d8758d885556f05a2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2297055X
DOI:10.3389/fcvm.2022.1062858