Reversible loss of pre-excitation as a sign of acute cardiac rejection.
J Heart Lung Transplant
; 28(6): 647-50, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-19481028
ABSTRACT
A 50-year-old woman presented with signs of mild heart failure 16 months after orthotopic heart transplantation. Cardiac biopsy revealed ISHLT Grade 2R rejection, which was treated with corticosteroids. Electrocardiograms (ECGs) after transplantation showed a pre-excitation pattern; the presenting ECG showed complete loss of pre-excitation, which returned fully within 7 days of steroid therapy. Intermittent pre-excitation had been present for 4 weeks prior to any other clinical sign of rejection. Accessory pathways can display reversible loss of function during acute cellular rejection, and this may precede other clinical signs. This rare but significant finding may have clinical relevance to other transplanted patients with pre-excitation.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trasplante de Corazón
/
Electrocardiografía
/
Rechazo de Injerto
/
Insuficiencia Cardíaca
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Heart Lung Transplant
Asunto de la revista:
CARDIOLOGIA
/
TRANSPLANTE
Año:
2009
Tipo del documento:
Article
País de afiliación:
Reino Unido