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Peer-Reviewed Publication
Crit Rev Oncol Hematol2026;105578.September 3, 2026Journal Article

Late-Onset Immune Checkpoint Inhibitor-Associated Myocarditis: A Systematic Review and Patient-Level Synthesis.

Priyanth Alaguraja1, Eyad Mohammed Eldesouki2, Saeed Kadri3, Atiqullah Sadaqat4, Ibrahim Antoun5
1Department of Cardiology, Kettering General Hospital NHS Foundation Trust, Rothwell Road, Kettering NN16 8UZ, United Kingdom. Electronic address: priyanth1349@gmail.com.
2Faculty of Medicine and Surgery, Mansoura University, Mansoura,. Electronic address: eldesoukieyad@gmail.com.
3Department of Allied Health, University of Chester, Chester, United Kingdom. Electronic address: saeedkadri1997@gmail.com.
4Department of Curative Medicine, Faculty of Medicine, Kateb University, Kabul, Afghanistan. Electronic address: atiqullahsadaqat61@gmail.com.
5Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, United Kingdom. Electronic address: ia277@leicester.ac.uk.

Abstract

BACKGROUND: Immune checkpoint inhibitor (ICI)-associated myocarditis is usually considered an early toxicity, but late presentations remain poorly characterised. We aimed to describe the timing, clinical features, management and outcomes of late-onset ICI-associated myocarditis. METHODS: We conducted a PRISMA 2020 systematic review and patient-level synthesis of PubMed and Embase from inception t…

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