What is your surveillance approach for outpatient monitoring of ICI myocarditis?  

At Memorial Sloan Kettering, we do not use surveillance approach for standard ICI therapy.  Troponins may be drawn as part of protocols/clinical trials.  We do advocate for baseline troponin, especially if high sensitivity troponin is the assay being used. This helps when patients come in ...

Screening and surveillance strategies for outpatient monitoring of ICI myocarditis are not well-defined. The best surveillance approach would be based on clinical risk assessment, followed by biomarker and imaging data. The risk factors for ICI myocarditis remain to be clarified, but the most valida...