Transforming growth factor β and diastolic left ventricular dysfunction after heart transplantation: Echocardiographic and histologic evidence

Tarek M. Aziz, Malcolm I. Burgess, Philip S. Haselton, Nizar A. Yonan, Ian V. Hutchinson

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)663-673
    Number of pages10
    JournalJournal of Heart and Lung Transplantation
    Volume22
    Issue number6
    DOIs
    Publication statusPublished - 1 Jun 2003

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