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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx

5

XII.s Heart block (bundle branch- or AV-)

1
Last update : 05/10/2017
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Atezolizumab
2
Avelumab
1
CTLA4 blocking immunotherapy
3
Camrelizumab
1
Ipilimumab
4
Lambrolizumab
4
Nivolumab
5
PD-1/PD-L1-inhibitors or blocking agents/drugs
5
Pedelizumab
1
Pembrolizumab
5
Tislelizumab
1
Tremelimumab
1
Vaccination - Immunization
2
Vaccines
3
Zimberelimab
1

Publications

Coexistence of Anti-PD1-Induced Immune Myocarditis and Complete Atrioventricular Block: A Case Report.
The American journal of cardiology 2023 Nov 15;207;35-38 2023 Nov 15
Nivolumab-induced Third Degree Atrioventricular Block in a Patient with Stage IV Squamous Cell Lung Carcinoma.
Cureus 2019 Jun 10;11;e4869 2019 Jun 10
Cardiac Complications Associated With Checkpoint Inhibition: A Systematic Review of the Literature in an Important Emerging Area.
The Canadian journal of cardiology 2018 Aug;34;1059-1068 2018 Aug
Myocarditis in Patients Treated With Immune Checkpoint Inhibitors.
Journal of the American College of Cardiology 2018 Apr 24;71;1755-1764 2018 Apr 24
Progressive and Reversible Conduction Disease With Checkpoint Inhibitors.
The Canadian journal of cardiology 2017 Oct;33;1335.e13-1335.e15 2017 Oct

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