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Table 2 Baseline characteristics and follow-up of each patient (continued)

From: Pacing therapy for immune checkpoint inhibitors-associated atrioventricular block: a single-center cohort study

 

Case 7

Case 8

Case 9

Case 10

Case 11

Sex

male

female

female

male

male

Age (years)

60

54

56

61

72

Hypertension

yes

no

no

yes

yes

Diabetes

no

no

yes

yes

yes

Hyperlipidemia

no

no

yes

yes

no

CAD

yes

no

yes

yes

no

Prior MI

no

no

no

no

no

Smoking

yes

no

no

yes

no

Previous medication

     

Beta-blocker

yes

no

no

no

yes

ACEI or ARB

no

no

no

yes

no

CCB

yes

no

no

yes

yes

Statin

no

no

yes

no

no

Cancer type

lung

lung

colorectum

liver

colorectum

ICI type

P

P

S

P & A

S

1st ICI to pacing

20 days

213 days

35 days

53 days

24 days

Dyspnea

yes

yes

no

no

no

Chest pain or tightness

yes

yes

yes

no

no

Myasthenia

yes

no

no

yes

yes

Myalgia

yes

no

no

yes

yes

Blepharoptosis

no

no

no

yes

yes

Diplopia

yes

no

no

no

no

Syncope

yes

no

yes

no

no

VT

yes

yes

no

no

no

HF

yes

yes

no

no

no

Cardiac Shock

no

yes

no

no

no

AVB

Adv.

Comp.

Comp.

Comp.

Comp.

LVEF (%)

63

23

62

50

68

cTnI (µg/L)

39.8

12.2

4.6

0.9

7.1

CK (U/L)

18325.0

173.0

73.0

18189.0

712

CKMB (µg/L)

163.6

21.6

16.5

323.7

85.6

NT-proBNP (pg/ml)

2293.0

6768.0

1922.0

917.0

867.0

SCr, µmol/L

86.0

38.0

56.0

87.0

62.0

hsCRP, mg/L

66.0

37.8

0.5

15.5

0.8

Myositis

yes

no

no

yes

yes

Hepatitis

no

no

no

no

no

Treatments

     

Intravenous isoproterenol

yes

no

yes

no

yes

MP

yes

yes

yes

yes

yes

MP pulse

yes

yes

yes

no

no

IVIG

yes

yes

yes

yes

yes

Tocilizumab

yes

yes

no

no

yes

ACEI or ARB

no

no

no

yes

no

CCB

no

no

no

yes

yes

Invasive ventilation

no

no

no

no

no

Vasoactive drugs

no

yes

no

no

no

TPM lead

passive

active

active

active

active

Vein access

femoral

subclavian

internal jugular

internal jugular

internal jugular

RV pacing site

apex

septum

septum

septum

septum

RV T(V@0.4ms)

2.5

0.8

0.3

0.8

1.8

RV S(mV)

NA

13.6

4.0

27.4

4.6

RV I(Ω)

NA

606

970

714

1098

Follow-up(days)

561

1

211

187

121

AVC recover

yes

no

yes

yes

no

PPM

no

no

no

no

yes

Primary Endpoint

survival

dead

survival

survival

survival

  1. A, Atezolizumab; ACEI, angiotensin-converting enzyme inhibitor; Adv, advanced; ARB, angiotensin receptor blocker; AVB, atrioventricular block; AVC, atrioventricular conduction; CAD, coronary artery disease; cTnI, Troponin I; CCB, calcium-channel blocker; CK, creatine kinase; CK-MB, creatine kinase isoenzyme; Comp, complete; HF, heart failure; hsCRP, hyper-sensitive C reactive protein; ICI, immune checkpoint inhibitor; IVIG, intravenous immunoglobulin; LVEF, left ventricular ejection fraction; MI, myocardial infarction; MP, Methylprednisolone; NA, not available; NT-proBNP, N-terminal pro–B-type natriuretic peptide; P, Pembrolizumab; PPM, permanent pacemaker; RV I, right ventricular impedance; RV S, right ventricular sensing; RV T, right ventricular threshold; S, Sintilimab; SCr, serum creatine; T, Tislelizumab; TPM, temporary pacemaker; VT, ventricular tachycardia