Electrocardiographic features of immune checkpoint inhibitor associated myocarditis. (Record no. 6226)

MARC details
000 -LEADER
fixed length control field 04489nam a22006737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210310s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2051-1426
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1136/jitc-2020-002007 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code jitc-2020-002007 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33653803
245 ## - TITLE STATEMENT
Title Electrocardiographic features of immune checkpoint inhibitor associated myocarditis.
251 ## - Source
Source Journal for Immunotherapy of Cancer. 9(3), 2021 03.
252 ## - Abbreviated Source
Abbreviated source J Immunother Cancer. 9(3), 2021 03.
252 ## - Abbreviated Source
Former abbreviated source J Immunother Cancer. 9(3), 2021 Mar.
253 ## - Journal Name
Journal name Journal for immunotherapy of cancer
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-03-10
268 ## - Previous citation
-- Journal for Immunotherapy of Cancer. 9(3), 2021 Mar.
269 ## - Original dates
Original fiscal year FY2021
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Myocarditis is a highly morbid complication of immune checkpoint inhibitor (ICI) use that remains inadequately characterized. The QRS duration and the QTc interval are standardized electrocardiographic measures that are prolonged in other cardiac conditions; however, there are no data on their utility in ICI myocarditis.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: The QRS duration is increased in ICI myocarditis and is associated with increased MACE risk. Use of this widely available ECG parameter may aid in ICI myocarditis diagnosis and risk-stratification. Copyright (c) Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
520 ## - SUMMARY, ETC.
Abstract METHODS: From an international registry, ECG parameters were compared between 140 myocarditis cases and 179 controls across multiple time points (pre-ICI, on ICI prior to myocarditis, and at the time of myocarditis). The association between ECG values and major adverse cardiac events (MACE) was also tested.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Both the QRS duration and QTc interval were similar between cases and controls prior to myocarditis. When compared with controls on an ICI (93+/-19 ms) or to baseline prior to myocarditis (97+/-19 ms), the QRS duration prolonged with myocarditis (110+/-22 ms, p<0.001 and p=0.009, respectively). In contrast, the QTc interval at the time of myocarditis (435+/-39 ms) was not increased compared with pre-myocarditis baseline (422+/-27 ms, p=0.42). A prolonged QRS duration conferred an increased risk of subsequent MACE (HR 3.28, 95% CI 1.98 to 5.62, p<0.001). After adjustment, each 10 ms increase in the QRS duration conferred a 1.3-fold increase in the odds of MACE (95% CI 1.07 to 1.61, p=0.011). Conversely, there was no association between the QTc interval and MACE among men (HR 1.33, 95% CI 0.70 to 2.53, p=0.38) or women (HR 1.48, 95% CI 0.61 to 3.58, p=0.39).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Action Potentials/de [Drug Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Electrocardiography
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Heart Conduction System/de [Drug Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Heart Rate/de [Drug Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Immune Checkpoint Inhibitors/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Myocarditis/di [Diagnosis]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged, 80 and over
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Heart Conduction System/pp [Physiopathology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Myocarditis/ci [Chemically Induced]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Myocarditis/pp [Physiopathology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Predictive Value of Tests
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Registries
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Assessment
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Risk Factors
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Time Factors
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Pulmonary-Critical Care
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Barac, Ana
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Forrestal, Brian John
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mahmood, Syed Nazeer
790 ## - Authors
All authors Alvi RM, Armanious M, Awadalla M, Banerji D, Barac A, Chen CL, Coelho-Filho OR, Cohen JV, Ederhy S, Forrestal BJ, Fradley MG, Ganatra S, Gilman HK, Groarke J, Gupta D, Hartmann S, Hassan MZO, Heinzerling LM, Jones-O'Connor M, Kirchberger MC, Lyon AR, Mahmood SS, Mahmoudi M, Mandawat A, Murphy SP, Neilan TG, Nohria A, Reynolds KL, Rizvi MA, Sahni G, Sullivan R, Thavendiranathan P, Thuny F, Tocchetti CG, Yang EH, Zafar A, Zatarain-Nicolas E, Zhang L, Zlotoff DA, Zubiri L
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1136/jitc-2020-002007">https://dx.doi.org/10.1136/jitc-2020-002007</a>
Public note https://dx.doi.org/10.1136/jitc-2020-002007
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 03/10/2021   33653803 33653803 03/10/2021 03/10/2021 Journal Article

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