[Precordial mapping of the R wave in the diagnosis of rejection after orthotopic heart transplantation].
In 15 patients after orthotopic transplantation of the heart the authors made repeated examinations of electromaps of the R wave and endomyocardial biopsies (TMB) during a long-term, at least one-year, investigation. In the detection of rejection EMB plays a dominating role. In three patients the authors found at the time of rejection a significant reduction of the R waves on maps, which correlated closely with the bioptic findings. It was revealed that maps of R waves are a good indicator of rejection of the transplanted heart. The examination may prove helpful when checking treatment of rejection but does not lead so far to a restriction of the number of endomyocardial biopsies of the heart.
Janota
M
M
Program výzkumu kardiovaskulárních nemocí, Institutu klinické a experimentální medicíny, Praha.
Urbanová
D
D
Lexa
J
J
Fabián
J
J
Kocandrle
V
V
D001706:Biopsy; D004562:Electrocardiography; D006084:Graft Rejection; D016027:Heart Transplantation / Q000473:pathology; D006801:Humans; D009206:Myocardium / Q000473:pathology
Prekordiální mapování kmitu R v diagnostice rejekce po ortotopické transplantaci srdce.