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Table 2 Comparison between Myocarditis and Non-Inflammatory Left Ventricular Dysfunction

From: The spectrum of cardiovascular complications related to immune-checkpoint inhibitor treatment

Characteristics

Myocarditis (33)

NI LV dysfunction (15)

P

Age (median, IQR)

66 (11)

72 (38)

0.61

Male (n, %)

20 (61)

11 (73)

0.52

BMI (mean, SD)

28 (5)

25 (5.6)

0.16

Smoker (n, %)

6 (18)

4 (27)

0.71

Dyslipidaemia (n, %)

10 (30)

6 (40)

0.51

HTN (n, %)

14 (42)

1 (7)

0.018

DM (n, %)

3 (9)

1 (7)

1

Previous cardiac disease (n, %)

3 (9)

6 (40)

0.018

Previous treatment with anthracyclines

3 (9)

1 (7)

1

Troponin elevation (n, %)

20 (61)

2 (13)

0.004

Increased BNP (n, %)

27 (81)

11 (73)

0.46

Other Immune toxicity (n, %)

24 (73)

4 (26)

0.004

Echocardiogram

  LVEF (median, IQR)

60 (9)

49 (14.5)

< 0.001

  LVEF < 50

2 (6)

11 (73)

< 0.001

  CMR

n = 33

n = 13

 

  LVEF (median, IQR)

65 (10)

51 (17)

< 0.001

  Positive LGE (n, %)

24 (73)

5 (38)

0.044

  Positive T2STIR (n, %)

9 (27)

0 (0)

0.004

  RVEF (median, IQR)

63 (13)

49 (8)

< 0.001

  Other Immune toxicity (n, %)

24 (73)

4 (26)

0.003

  Immune Checkpoint inhibitor

   

  Pembrolizumab (n, %)

7 (21)

8 (53)

0.09

  Ipilimumab + Nivolumab (n, %)

11 (33)

0 (0)

0.01

  Atezolizumab (n, %)

3 (9)

2 (13)

1

  Avelumab (n, %)

1 (3)

1 (6)

0.23

  Ipilimumab (n, %)

2 (6)

1 (6)

0.16

  Nivolumab (n, %)

2 (6)

2 (13)

0.69

  Durvalumab (n, %)

5 (15)

0 (0)

0.16

  Dostarlizumab (n, %)

1 (3)

0 (0)

1

  Spartalizumab (n, %)

1 (3)

0 (0)

1

  1. HTN Hypertension, DM Diabetes mellitus, BNP Brain natriuretic peptide, LVEF Left ventricular ejection fraction, CMR Cardiac magnetic resonance, LGE Late gadolinium enhancement, RVEF Right ventricle ejection fraction, CVAE Cardiovascular adverse event