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Antibody Mediated Rejection in Heart Transplantation

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Asymptomatic/Subcl<strong>in</strong>ical AMR: Increased risk of<br />

Cardiac Allograft Vasculopathy (CAV)<br />

43 with AMR<br />

21<br />

asymptomatic<br />

and untreated<br />

(AsAMR)<br />

1997 - 2001<br />

246 transplants<br />

86 controls<br />

matched for age,<br />

sex, time from tx<br />

22<br />

symptomatic<br />

(EF ≤ 40%)<br />

(TxAMR)<br />

9<br />

hemodynamic<br />

compromise<br />

Endothelial cell <strong>in</strong>jury!<br />

Wu et al, J <strong>Heart</strong> and Lung Transplant 2009; 28:417-22

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