Progressed Atrioventricular Block in Immune Checkpoint Inhibitor Induced Myocarditis: A Case Report

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Main Authors: Dongmei Xie, Ting Yan, Xin Zhang, Xingbin Liu
Format: Artículo Open Access
Published: Wiley 2025
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author Dongmei Xie
Ting Yan
Xin Zhang
Xingbin Liu
author_facet Dongmei Xie
Ting Yan
Xin Zhang
Xingbin Liu
Dongmei Xie
Ting Yan
Xin Zhang
Xingbin Liu
collection Wiley Open Access
contents Progressed Atrioventricular Block in Immune Checkpoint Inhibitor Induced Myocarditis: A Case Report Dongmei Xie Ting Yan Xin Zhang Xingbin Liu Pacing and Clinical Electrophysiology ABSTRACTImmune checkpoint inhibitor (ICI) has demonstrated promising results in treating various cancers, but its associated cardiotoxicity, especially ICI‐associated myocarditis, presents a serious concern. We reported a case of a 63‐year‐old male who complained of progressive dyspnea after tislelizumab, a novel humanized anti‐PD‐1 monoclonal antibody, for hepatocellular carcinoma. Upon diagnosing ICI‐related myocarditis, corticosteroid therapy was initiated immediately. The elevated biomarkers quickly decreased, but the atrioventricular block progressed from first‐degree to third‐degree, necessitating pacemaker implantation. This is the first report of complete AVB consecutive to tislelizumab‐induced myocarditis, highlighting the importance of early corticosteroid therapy and continuous electrocardiography monitoring. 10.1111/pace.15155 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/pace.15155
format Artículo Open Access
id wiley_oa_10_1111_pace_15155
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2025
publisher Wiley
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spellingShingle Progressed Atrioventricular Block in Immune Checkpoint Inhibitor Induced Myocarditis: A Case Report
Dongmei Xie
Ting Yan
Xin Zhang
Xingbin Liu
Pacing and Clinical Electrophysiology
Progressed Atrioventricular Block in Immune Checkpoint Inhibitor Induced Myocarditis: A Case Report Dongmei Xie Ting Yan Xin Zhang Xingbin Liu Pacing and Clinical Electrophysiology ABSTRACTImmune checkpoint inhibitor (ICI) has demonstrated promising results in treating various cancers, but its associated cardiotoxicity, especially ICI‐associated myocarditis, presents a serious concern. We reported a case of a 63‐year‐old male who complained of progressive dyspnea after tislelizumab, a novel humanized anti‐PD‐1 monoclonal antibody, for hepatocellular carcinoma. Upon diagnosing ICI‐related myocarditis, corticosteroid therapy was initiated immediately. The elevated biomarkers quickly decreased, but the atrioventricular block progressed from first‐degree to third‐degree, necessitating pacemaker implantation. This is the first report of complete AVB consecutive to tislelizumab‐induced myocarditis, highlighting the importance of early corticosteroid therapy and continuous electrocardiography monitoring. 10.1111/pace.15155 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Progressed Atrioventricular Block in Immune Checkpoint Inhibitor Induced Myocarditis: A Case Report
topic Pacing and Clinical Electrophysiology
url https://onlinelibrary.wiley.com/doi/10.1111/pace.15155