Powerful medicines that enlist the
immune system to fight cancer can, in rare cases, cause damage to the heart,
according to some doctors. So far, less than 1% of patients taking these
medicines – called checkpoint inhibitors 0- have developed heart trouble. But in
those who do, the damage can be severe, and the drugs have led to several
deaths by provoking the immune system to attack the heart. The risk appears highest
when patients take two different checkpoint inhibitors at once. This is new complication
of potentially lifesaving drugs. Four checkpoint inhibitors are in the market:
ipilimumab (brand name Yervou), nivolumab (Opdivo), pembrolizumab (Keytruda)
and zolizumab (Tecentriq). The side effects have prompted hospitals to add
extra cardiac testing for patients taking more than one drug.

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