系统性硬化症患者的心脏移植
Morgan D Smith1, Miroslav Sekulic2, Matthew Regan1
1Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York, USA.
Clinical transplantation
|January 9, 2026
概括
在全身性硬化症 (SSc) 患者的心脏移植 (HT) 显示出良好的中期移植功能. 尽管排斥率增加,HT对于经过精心挑选的SSc患有晚期心力衰竭的患者是可行的.
科学领域:
- 心脏病学 心脏病学
- 移植医学 移植医学
- 类风湿病学 类风湿病学
背景情况:
- 系统性硬化症 (SSc) 是一种多系统性疾病,通常导致心力衰竭 (HF).
- 心脏移植 (HT) 是高级HF的最终治疗方法.
- 在SSc患者中HT的结果没有得到很好的描述.
研究的目的:
- 报告系统性硬化症 (SSc) 患者心脏移植 (HT) 的结果.
主要方法:
- 在两个移植中心从2007年至2024年间对HT接受者进行SSc的回顾性分析.
- 从电子医疗记录中收集了基线特征,入院数据和HT后的结果.
- 由专业病理学家审查的心脏扩张和移植活检的病理学.
主要成果:
- 七名SSc患者接受了HT (六名仅心脏,一名心肺).
- 随访时间中位数为3.2年; 86%的人保留了喷射分数.
- 排斥的发生率包括急性细胞排斥 (ACR) 和抗体介导排斥 (AMR);一名患者出现了移植失败.
结论:
- 心脏移植 (HT) 在SSc患者中显示出良好的中期移植功能.
- 观察到排斥的发生率增加.
- 在精心挑选的SSc候选人中,HT是可行的,他们患有晚期心力衰竭.
相关概念视频
Cardiomyopathy V: Interprofessional Care
331
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
331
Cardiomyopathy III: Hypertrophic Cardiomyopathy
393
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
393
Cardiomyopathy IV: Restrictive Cardiomyopathy
444
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
444


