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Wu GW et al. - Despite comparable 5-year survival with controls after heart transplantation, AsAMR rejection is associated with a greater risk of CAV. Trials to treat AsAMR to alter outcome are warranted.


Exclusive Author Commentary
Jon A. Kobashigawa , 05/12/09

This is the first paper to assess the significance of antibody mediated rejection without symptoms having poor outcome in heart transplant patients.  This paper implicates antibody mediated rejection in the pathogenesis of cardiac allograft vasculopathy, a major cause of long-term mortality in this patient population. The evidence presented suggests that either preventive therapy for antibody mediated rejection or preemptive therapy once asymptomatic antibody mediate rejection has been found on heart biopsy, could possibly alter outcomes. This manuscript warrants future studies to assess therapies and outcomes of heart transplant patients with asymptomatic antibody mediated rejection.

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