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10.5606/tgkdc.dergisi.2012.192
The role of intramyocardial electrocardiogram for diagnosis of acute rejection after heart transplantation
Deniz Çevirme1, Semih Buz2, Cengiz Köksal3
1Ahi Evren Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Trabzon, Türkiye
2Berlin Alman Kalp Enstitüsü, Kalp ve Damar Cerrahisi Kliniği, Berlin, Almanya
3Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2012.192
Acute rejection is one of the critical complications of heart
transplantation. Early diagnosis and treatment of acute
rejection following heart transplantation prevent the graft
rejection and improve the survival rate. Currently, right
ventricular endomyocardial biopsy (EMB) is considered
the gold standard for the diagnosis of acute cardiac
rejection. However, it is far from being comfortable
method for the patients due its complicated implication
technique and invasive nature. About 5-6% of the patients
die within the first year of heart transplantation due to
undiagnosed rejection or late diagnosis using biopsy
technique. Intramyocardial cellular voltage amplitude
measurement can be used as a noninvasive method for the
diagnosis of and treatment of early acute rejection after
heart transplantation.
Keywords : Acute rejection; electrocardiogram; heart transplantation
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