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Antibody Mediated Rejection in Heart Transplantation

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PERCENTAGE OF ADULT HEART TRANSPLANT RECIPIENTS<br />

EXPERIENCING REJECTION BETWEEN TRANSPLANT DISCHARGE AND 1-YEAR FOLLOW-UP<br />

Stratified by Ma<strong>in</strong>tenance Immunosuppression (Follow-ups: July 1, 2004 - June 30, 2008)<br />

% experienc<strong>in</strong>g rejection with<strong>in</strong> 1 year<br />

60 Cyclospor<strong>in</strong>e + MMF, Treatment Cyclospor<strong>in</strong>e + MMF, No Treatment<br />

Tacrolimus + MMF, Treatment Tacrolimus + MMF, No Treatment<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Overall<br />

Overall: p < 0.0001<br />

18-44: p < 0.0001<br />

45-62: p < 0.0001<br />

Female: p = 0.007<br />

Male: p < 0.0001<br />

ISHLT<br />

18-44 45-62 63+ Female Male<br />

Cyclospor<strong>in</strong>e + MMF: N = 2,360<br />

Tacrolimus + MMF: N = 3,065<br />

NOTE: There were 149 patients with cyclospor<strong>in</strong>e+AZA and 41 with<br />

tacrolimus+AZA. These groups were excluded due to small numbers.<br />

2009<br />

Analysis is limited to patients who were alive at the time of the follow-up<br />

Treated rejection = Recipient was reported to (1) have at least<br />

one acute rejection episode that was treated with an antirejection<br />

agent; or (2) have been hospitalized for rejection.<br />

No rejection = Recipient had (i) no acute rejection episodes<br />

and (ii) was reported either as not hospitalized for rejection or<br />

did not receive anti-rejection agents.

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