From:  Cardiotoxicity of pembrolizumab therapy: narrative review

 Risk factors for ICI-associated cardiotoxicity.

CategoryRisk factorReferences
Patient-levelDiabetes mellitus[42]
Hypertension[43]
Sleep apnea[42]
Smoking[43]
Age > 85 years[19, 46]
Pre-existing cardiac disease[19, 33]
Treatment-levelCombination ICI therapy[4648]
Prior cardiotoxic chemotherapy [9]
Prior chest radiation[9, 49]
Tumor-levelThymic epithelial tumors[19, 46]
Melanoma[46]
Lung cancer[20]
GeneticHLA genotype (under investigation)[50]

ICI: immune checkpoint inhibitor; HLA: human leukocyte antigen.