The prognostic significance of non-invasive cardiac tests in heart transplant recipients.

@article{Barbir1997ThePS,
  title={The prognostic significance of non-invasive cardiac tests in heart transplant recipients.},
  author={Mahmoud S Barbir and Fawzi Lazem and N R Banner and Andrew G. Mitchell and Magdi Yacoub},
  journal={European heart journal},
  year={1997},
  volume={18 4},
  pages={
          692-6
        }
}
The long-term mortality and morbidity of cardiac transplant recipients is related to their subsequent development of accelerated coronary atheroma and its complications. Coronary angiography was compared with non-invasive clinical assessment to see which was better in predicting clinical outcome. Ninety-one consecutive transplant recipients (mean age 53 years), in whom investigations had been performed (exercise electrocardiography, rest and exercise radionuclide ventriculography, 2-D… Expand
Dobutamine stress echocardiography predicts cardiac events or death in asymptomatic patients long-term after heart transplantation: 4-year prospective evaluation.
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  • The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
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TLDR
Cardiac events and death after heart transplantation increased during long-term follow-up of this population, however, dobutamine stress echocardiography is well tolerated and, in the absence of routine angiographic evaluation, may be a strong predictor of these events. Expand
Non-invasive detection of coronary artery disease by dobutamine-stress echocardiography in children after heart transplantation.
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TLDR
Development of cardiac allograft vasculopathy represents the major determinant of long-term survival in patients after heart transplantation and the only definitive treatment is retransplantation. Expand
Early postoperative left ventricular function by echocardiographic strain is a predictor of 1-year mortality in heart transplant recipients.
  • S. Sarvari, O. Gjesdal, +5 authors T. Edvardsen
  • Medicine
  • Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
  • 2012
TLDR
Reduced LV function and increased pulmonary vascular resistance are related to poor prognosis in heart transplant recipients and early assessment of LVGLS might be a noninvasive predictor of 1-year mortality in these patients. Expand
Cardiac allograft vasculopathy: diagnosis, therapy, and
TLDR
Development of cardiac allograft vasculopathy represents the major determinant of long-term survival in patients after heart transplantation and the only definitive treatment is retransplantation. Expand
Patient Characteristics With Univariate Comparison Between Those Who Died and Those Who Survived
Background: Cardiac transplantation (CTX) is now a viable option for patients with end-stage heart failure, but there remains a paucity of available donor hearts relative to the demand for them.Expand
Left ventricular global longitudinal strain predicts major adverse cardiac events and all-cause mortality in heart transplant patients.
TLDR
Measurement of LVGLS strongly predicts MACE and mortality in long-term HTx patients and remained strong after adjustment for CAV, ACR score, hemoglobin, creatinine, and time since transplantation. Expand
Comparison of techniques for the measurement of left ventricular function following cardiac transplantation.
TLDR
The EF measurement by echo, angio, RNV, and CMR are not interchangeable in patients following heart transplantation and the CMR and RNV provided the best agreement in EF and appear preferable for research studies. Expand
Comparison of echocardiography and radionuclide angiography as predictors of mortality in patients with left ventricular dysfunction (studies of left ventricular dysfunction).
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  • The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
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TLDR
The incidence of cardiac events and the use of coronary arteriography in predicting these events, the long-term results of heart transplantation in 427 patients were reviewed, found that recent myocardial infarction was detected in nine who were seen at autopsy. Expand
Acute myocardial infarction in cardiac transplant recipients.
TLDR
All infarcts occurred in patients known to have angiographic evidence of transplant coronary artery disease, based on annual coronary arteriography, and 4 hearts were found to have characteristic diffuse concentric coronary artery narrowing and 4 had an unusual pattern of multiple foci of nontransmural AMI. Expand
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TLDR
Use of these particular noninvasive modalities routinely after heart transplant to detect coronary artery vasculopathy should be reconsidered because of their low sensitivity and predictive value when used as a surveillance screen. Expand
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TLDR
The data indicate that triple-drug immunosuppression, despite having produced a significant reduction in the episodes of acute graft rejection, has not decreased the incidence of posttransplant coronary artery disease. Expand
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Development of accelerated coronary artery disease (CAD) in the cardiac allograft is one of the major causes of late graft failure in heart transplant recipients. At the Stanford University MedicalExpand
Frequency of angiographic detection and quantitative assessment of coronary arterial disease one and three years after cardiac transplantation.
TLDR
The reported high incidence of coronary atherosclerosis in many transplant series led us to critically review the authors' experience in 83 patients who have had selective coronary angiography at greater than or equal to 1 years after transplantation, and quantitative analysis showed a significant decrease in coronary artery luminal diameter over time. Expand
High-dose dipyridamole echocardiography test in coronary artery disease after heart transplantation.
TLDR
In the experience, DET does not seem adequate for the screening of post-transplant CAD, but useful in identifying patients with severe lesions (> 50%). Expand
Thallium-201 myocardial imaging in patients with previous cardiac transplantation.
TLDR
Ischaemic thallium-201 defects in cardiac transplant recipients indicate the presence of coronary artery disease, though the stenosis may be of a degree which would normally be considered haemodynamically non-significant. Expand
Accelerated coronary vascular disease in the heart transplant patient: coronary arteriographic findings.
TLDR
Cor coronary artery disease in transplant patients represents a mixture of typical atheromatous lesions and unique transplant-related progressive distal obliterative disease that occurs without collateral vessel development. Expand
Unreliability of M-mode left ventricular dimensions for calculating stroke volume and cardiac output in patients without heart disease.
TLDR
It is indicated that stroke volume and cardiac output cannot be accurately measured or reliably estimated from M mode left ventricular internal dimensions. Expand
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