Approaches to Diagnosing and Managing Myocarditis Related to Immunotherapy
Source: OncLive, February 2024
Javid Moslehi, MD, shares expert perspectives on the diagnosis and management of immunotherapy-related myocarditis.
This is a video synopsis/summary of an OncLive Insights involving Afreen Shariff, MD, MBBS; Javid Moslehi, MD; and Nikhil Khushalani, MD.
To evaluate suspected immune checkpoint inhibitor (ICI) myocarditis, Dr Moslehi recommends a thorough history/physical, EKG, cardiac biomarkers like troponin and creatinine kinase, and echocardiogram, though ejection fraction may be normal. Further workup includes cardiac MRI, myocardial biopsy, and angiography to rule out heart attack. He advises admitting under telemetry monitoring and early cardiology involvement.