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. 2021 Jul 8;40(3):949–982. doi: 10.1007/s10555-021-09976-0

Table 13.

All-grade adverse events of cardiovascular origin in cancer patients treated with ICI [71,74, 75, 7780]

System Organ Symptoms Abnormalities in diagnostic test results Suspected pathology
Cardiovascular system Heart

Palpitations

Dyspnea

Chest pain

Arrhythmias

Pericardial/pleural effusion

Acute circulatory collapse

Blood test (elevated troponin, BNP)

ECG

Echocardiography

MRI

Cardiac biopsy (features of inflammation)

Myocarditis

Fever

Chest pain on inhalation

Shortness of breath

Pericardial friction

Elevated biomarkers (BNP, NT-pro BNT, CK-MG, troponin)

ECG (diffuse ST elevation)

Echocardiography

MRI

Pericarditis

Fatigue

Weakness

Chest pain

Palpitations

Pulmonary /peripheral edema

progressive/ acute dyspnea

Pleural effusion

Shortness of breath

Irregular heartbeat

Dyspnea, lack of breath

Coronarography

ECG (rapid onset of heart failure, new heart block)

Echocardiography

CT/MRI/angiography

Fasting lipid profile

Elevated biomarkers (BNP, NT-pro BNT, CK-MG, troponin)

Holter ECG (can show arrhythmias)

Arrhythmias

Impaired ventricular function with heart failure

Blood vessels

Symptoms of pulmonary embolism

Dyspnea

Pleuritic pain

Cough

Wheezing

Hemoptysis

Symptoms of deep vein thrombosis

Pain

Swelling

Increased skin vein visibility

Erythema

Cyanosis accompanied by unexplained fever

Blood test (raised level of d-dimers, assessment of the coagulation system

Doppler USG (positive pressure test, blood clots present in vessels)

Angio-CT (visible blood clots in the lumen of the vessels)

Venous thromboembolism