Author/Editor     Zorman, Darko
Title     Spremljanje bolnika po presaditvi srca
Translated title     Monitoring of patient after heart transplantation
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 65, št. 4-5
Publication year     1996
Volume     str. 235-8
Language     slo
Abstract     Survival of cardiac transplant patient depends on optimal immunosuppressive regimen, which prevents allograft rejection without oversuppression that would lead to infection. Acute allograft rejection occurs as a failure of longterm immunosuppression. Histology, clinical picture and treatment of acute rejection episodes are described. Longterm survical is limited by cardiac allograft vasculopathy for which no adequate therapy has been found. Some complications of chronic immunosuppressive treatment and allograft physiology are also dealt with.
Summary     Preživetje bolnika po presaditvi srca je odvisno od optimalne imunosupresije, ki preprečuje zavračanje brez prekomernega zaviranja, ki bi pogojevalo okužbe. V primeru neuspeha bazične imunosupresije pride do akutne zavrnitve. Opisana je histologija, klinična slika in zdravljenje akutne zavrnitve. Dolgoročno preživetje omejuje vaskulopatija alografta, za katero še nimamo ustreznega zdravljenja. Obravnavane so tudi nekatere komplikacije imunosupresijskega zdravljenja in fiziologija alografta.
Descriptors     HEART TRANSPLANTATION
POSTOPERATIVE CARE
PROGNOSIS
POSTOPERATIVE COMPLICATIONS
IMMUNOSUPPRESSIVE AGENTS
ANTIBIOTIC PROPHYLAXIS
GRAFT REJECTION