
Hasnaa Belghiti: New Risk Score for ICI-Associated Myocarditis – A Step Toward Personalized Cardio-Oncology
Hasnaa Belghiti, Fellow of ESC Member of board of ESC, shared a post on LinkedIn:
“New Risk Score for ICI-Associated Myocarditis: A Step Toward Personalized Cardio-Oncology
A major step forward in cardio-oncology: a new study published in the European Heart Journal introduces the first validated risk score to predict severe myocarditis related to immune checkpoint inhibitors (ICI).
Developed from data across 748 patients, the score is based on 5 key factors:
• Active thymoma
• Cardio-muscular symptoms
• Low QRS voltage
• Reduced LVEF
• Elevated troponin (graded)Risk stratification was striking:
• Score 0 → only 3.9% had a major event at 30 days
• Score ≥4 → 81.3% experienced a severe outcomeThis score has been externally validated and may guide early risk-adapted management, helping distinguish low-risk patients (possibly avoiding steroids) from those needing intensive care.
A practical and timely tool for oncologists and cardiologists to optimize safety without compromising cancer therapy.”
Title: Immune checkpoint inhibitor-associated myocarditis: a novel risk score
Authors: John R Power, Charles Dolladille, Benay Ozbay, Adrien Procureur, Stephane Ederhy, Nicolas L Palaskas, Lorenz H Lehmann, Jennifer Cautela, Pierre-Yves Courand, Salim S Hayek, Han Zhu, Vlad G Zaha, Richard K Cheng, Joachim Alexandre, François Roubille, Lauren A Baldassarre, Yen-Chou Chen, Alan H Baik, Michal Laufer-Perl, Yuichi Tamura, Aarti Asnani, Sanjeev Francis, Elizabeth M Gaughan, Peter P Rainer, Guillaume Bailly, Danette Flint, Dimitri Arangalage, Eve Cariou, Roberta Florido, Anna Narezkina, Yan Liu, Shahneen Sandhu, Darryl Leong, Nahema Issa, Nicolas Piriou, Lucie Heinzerling, Giovanni Peretto, Shanthini M Crusz, Nausheen Akhter, Joshua E Levenson, Isik Turker, Assié Eslami, Charlotte Fenioux, Pedro Moliner, Michel Obeid, Wei Ting Chan, Stephen M Ewer, Seyed Ebrahim Kassaian, Douglas B Johnson, Anju Nohria, Osnat Itzhaki Ben Zadok, Javid J Moslehi, Joe-Elie Salem
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