Abstract
Background: The mechanism for chronic left ventricular diastolic dysfunction in the non-rejecting cardiac allograft has not been fully studied. Objectives: The purposes of this study were to analyze the significance and frequency of left ventricular diastolic dysfunction after heart transplantation and to examine the involvement of fibrotic cytokines (transforming growth factor β [TGF-β]) in development of clinical and echocardiographic changes in cardiac allograft recipients. Methods: We studied 152 heart transplant recipients who had survived for at least 24 months. We compared histopathologic findings (staining of endomyocardial biopsy specimens using hematoxylin and eosin, and polyclonal antibodies expressed as TGF-β score), left ventricular function (Doppler echocardiography), and clinical course (New York Heart Association [NYHA] status). We classified patients into Group 1 (n = 41 recipients) with a restrictive filling pattern, mitral deceleration time (MDT)
| Original language | English |
|---|---|
| Pages (from-to) | 663-673 |
| Number of pages | 10 |
| Journal | Journal of Heart and Lung Transplantation |
| Volume | 22 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 1 Jun 2003 |