Cited 3 times in
Association of Newly Developed Right Bundle Branch Block with Graft Rejection Following Heart Transplantation
DC Field | Value | Language |
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dc.contributor.author | 강석민 | - |
dc.contributor.author | 김민지 | - |
dc.contributor.author | 김진호 | - |
dc.contributor.author | 박희남 | - |
dc.contributor.author | 엄재선 | - |
dc.contributor.author | 오재원 | - |
dc.date.accessioned | 2019-07-11T03:08:42Z | - |
dc.date.available | 2019-07-11T03:08:42Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/169858 | - |
dc.description.abstract | PURPOSE: We aimed to examine associations between right bundle branch block (RBBB) following heart transplantation (HT) and graft rejection. MATERIALS AND METHODS: We investigated 51 patients who underwent endomyocardial biopsies, electrocardiogram, right-side cardiac catheterization, and echocardiography at 1 month and 1 year after HT. We classified patients into four groups according to the development of RBBB, based on electrocardiogram at 1 month and 1 year: 1) sustained RBBB, 2) disappeared RBBB, 3) newly developed RBBB, and 4) sustained non-RBBB. The RBBB was defined as an RSR' pattern in V1 with a QRS duration ≥100 ms on electrocardiogram. RESULTS: The newly developed RBBB group (n=13, 25.5%) had a higher rate of new onset graft rejection (from grade 0 to grade ≥1R, 30.8% vs. 10.0% vs. 21.4%, p=0.042) at 1 year, compared with sustained RBBB (n=10, 19.6%) and sustained non-RBBB group (n=28, 54.9%). In contrast, the incidence of resolved graft rejection (from grade ≥1R to grade 0) was higher in the sustained RBBB group than the newly developed RBBB and sustained non-RBBB groups (70.0% vs. 7.7% vs. 25.0%, p=0.042). Left atrial volume index was significantly higher in the newly developed RBBB group than the sustained RBBB and sustained non-RBBB groups (60.6±25.9 mL/m² vs. 36.0±11.0 mL/m² vs. 38.4±18.1 mL/m², p=0.003). CONCLUSION: Close monitoring for new development of RBBB at 1 year after HT, which was associated with a higher incidence of new onset graft rejection, may be helpful to identify high risk patients for graft rejection. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Bundle-Branch Block/complications* | - |
dc.subject.MESH | Bundle-Branch Block/diagnostic imaging | - |
dc.subject.MESH | Bundle-Branch Block/physiopathology | - |
dc.subject.MESH | Cardiac Catheterization/adverse effects | - |
dc.subject.MESH | Echocardiography | - |
dc.subject.MESH | Electrocardiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Graft Rejection/diagnostic imaging | - |
dc.subject.MESH | Graft Rejection/etiology* | - |
dc.subject.MESH | Graft Rejection/immunology* | - |
dc.subject.MESH | Graft Rejection/physiopathology | - |
dc.subject.MESH | Heart Transplantation/adverse effects* | - |
dc.subject.MESH | Hemodynamics | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.title | Association of Newly Developed Right Bundle Branch Block with Graft Rejection Following Heart Transplantation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Jin-Ho Kim | - |
dc.contributor.googleauthor | Jaewon Oh | - |
dc.contributor.googleauthor | Min Ji Kim | - |
dc.contributor.googleauthor | In-Cheol Kim | - |
dc.contributor.googleauthor | Jae-Sun Uhm | - |
dc.contributor.googleauthor | Hui-Nam Pak | - |
dc.contributor.googleauthor | Seok-Min Kang | - |
dc.identifier.doi | 10.3349/ymj.2019.60.5.423 | - |
dc.contributor.localId | A00037 | - |
dc.contributor.localId | A05712 | - |
dc.contributor.localId | A01033 | - |
dc.contributor.localId | A01776 | - |
dc.contributor.localId | A02337 | - |
dc.contributor.localId | A02395 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 31016903 | - |
dc.subject.keyword | Right bundle branch block | - |
dc.subject.keyword | heart transplantation | - |
dc.subject.keyword | rejection | - |
dc.contributor.alternativeName | Kang, Seok Min | - |
dc.contributor.affiliatedAuthor | 강석민 | - |
dc.contributor.affiliatedAuthor | 김민지 | - |
dc.contributor.affiliatedAuthor | 김진호 | - |
dc.contributor.affiliatedAuthor | 박희남 | - |
dc.contributor.affiliatedAuthor | 엄재선 | - |
dc.contributor.affiliatedAuthor | 오재원 | - |
dc.citation.volume | 60 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 423 | - |
dc.citation.endPage | 428 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.60(5) : 423-428, 2019 | - |
dc.identifier.rimsid | 62143 | - |
dc.type.rims | ART | - |
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