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May 17, 2001New England Journal of Medicine22 citations

Viral Triggers of Cardiac-Allograft Dysfunction

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RARobin K. Avery

Key Result

Viral infections, including cytomegalovirus and human herpesvirus 6, are discussed as potential triggers for cardiac-allograft dysfunction.

Structured PICO

Do viral infections such as cytomegalovirus and human herpesvirus 6 contribute to cardiac-allograft dysfunction in transplant recipients?

P
Population
Cardiac-transplant recipients
E
Exposure
Viral infection (cytomegalovirus, human herpesvirus 6)
O
Outcome
Cardiac-allograft dysfunction and vasculopathy

This editorial discusses the emerging evidence and ongoing debate regarding the role of viral infections, including CMV and HHV-6, in triggering cardiac-allograft dysfunction and vasculopathy.

Abstract

The question of a viral contribution to allograft dysfunction after solid-organ transplantation has long been debated. This debate has focused primarily on cytomegalovirus, which has been identified as a risk factor for bronchiolitis obliterans in lung-transplant recipients1 and may be associated with a variety of forms of chronic allograft dysfunction in other solid-organ transplants. There is considerable evidence, but still some controversy, concerning the role of cytomegalovirus in cardiac-allograft vasculopathy, one of the primary conditions limiting survival in cardiac-transplant recipients.2 Recent reports have raised the possibility that human herpesvirus 6 (HHV-6) infection may also be associated with allograft dysfunction.3 In . . .

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Cite This Study

Robin K. Avery (2001) conducted an editorial in Cardiac-allograft dysfunction. Viral infection (cytomegalovirus, HHV-6) was evaluated. Viral infections, including cytomegalovirus and human herpesvirus 6, are discussed as potential triggers for cardiac-allograft dysfunction.

synapsesocial.com/papers/6a91843bd452d234b9b3ac7fhttps://doi.org/10.1056/nejm200105173442010
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