Assessment of Arterial Stiffness in Stable Heart Transplant Recipients

B Krucińska1, A Kurowski2, Ł Czyżewski3

  • 1Student Research Circle NEFRON at the Department of Nephrology Nursing, Medical University of Warsaw, Warsaw, Poland; Department of Anesthesiology, Institute of Cardiology, Warsaw, Poland.

Transplantation Proceedings
|September 5, 2018
PubMed

Insights

Arterial stiffness in heart transplant recipients is significantly impacted by age. However, immunosuppressive drugs and transplant rejection episodes do not appear to affect arterial stiffness.

Area of Science:

  • Cardiology
  • Transplant Medicine
  • Vascular Physiology

Background:

  • Arterial stiffness is influenced by genetic and environmental factors.
  • Assessing arterial stiffness is crucial in post-heart transplant patients.

Purpose of the Study:

  • To evaluate arterial stiffness in patients following heart transplantation.
  • To identify factors associated with increased arterial stiffness in this population.

Main Methods:

  • Fifty heart transplant recipients were enrolled.
  • Measurements included pulse wave velocity (PWV), central systolic blood pressure (CSBP), and central diastolic blood pressure (CDBP).
  • Patient medical records were analyzed.

Main Results:

  • The average age of participants was 57.9 years, with 88% being male.
  • Average PWV was 8.94 m/s, with an average time of 9.7 years post-transplant.
  • Age (R=0.77), total cholesterol (R=0.22, P=.017), and creatinine (R=0.34) showed positive correlations with PWV.

Conclusions:

  • Age is a significant determinant of arterial stiffness in heart transplant patients.
  • Immunosuppressive drug type and transplant rejection episodes did not correlate with increased arterial stiffness.
Abstract

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