Cardiovascular Effects of Immune Checkpoint Inhibitors : More Than Just Myocarditis

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

PURPOSE OF REVIEW: Immune checkpoint inhibitors have reshaped the treatment of cancer, but they are characterized by peculiar toxicity consisting of immune-related adverse events that may potentially affect any organ or system. In this review, we summarize data on clinical presentation, diagnosis, pathogenesis, and management of the main immune-related cardiovascular toxicities of immune checkpoint inhibitors.

RECENT FINDINGS: The most relevant immune-related cardiovascular toxicity is myocarditis, but other non-negligible reported events include non-inflammatory heart failure, conduction abnormalities, pericardial disease, and vasculitis. More recently, growing evidence suggests a role for immune checkpoint inhibitors in accelerating atherosclerosis and promoting plaque inflammation, thus leading to myocardial infarction. Immune checkpoint inhibitors are associated with several forms of cardiovascular toxicity; thus, an accurate cardiovascular baseline evaluation and periodical monitoring are required. Furthermore, the optimization of cardiovascular risk factors before, during, and after treatment may contribute to mitigating both short-term and long-term cardiovascular toxicity of these drugs.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Current oncology reports - 25(2023), 7 vom: 05. Juli, Seite 743-751

Sprache:

Englisch

Beteiligte Personen:

Inno, Alessandro [VerfasserIn]
Tarantini, Luigi [VerfasserIn]
Parrini, Iris [VerfasserIn]
Spallarossa, Paolo [VerfasserIn]
Maurea, Nicola [VerfasserIn]
Bisceglia, Irma [VerfasserIn]
Silvestris, Nicola [VerfasserIn]
Russo, Antonio [VerfasserIn]
Gori, Stefania [VerfasserIn]

Links:

Volltext

Themen:

Atherosclerosis
Conduction disease
Immune Checkpoint Inhibitors
Immunotherapy
Journal Article
Myocardial infarction
Myocarditis
Pericardial disease
Review

Anmerkungen:

Date Completed 12.06.2023

Date Revised 24.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11912-023-01411-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355225433