Rapid decline in glomerular filtration rate during the first weeks following heart transplantation

M Hornum, M Andersen, F Gustafsson, Peter Sandor Oturai, K Sander, S A Mortensen, Bo Friis Feldt-Rasmussen

    4 Citations (Scopus)

    Abstract

    We hypothesized that a decrease in renal function is seen immediately after heart transplantation (HTX) with little recovery over time. Twelve consecutive patients had their glomerular filtration rate (GFR) measured using (51)Cr-ethylenediaminetetraacetic acid (EDTA) measured GFR (mGFR) before transplantation and at 1, 2, 3, and 26 weeks after transplantation. The mGFR decreased by 28% and 24% during the first 3 and 26 weeks, respectively, with mean blood cyclosporine concentration as an independent risk factor for the decrease in mGFR. The identification of cyclosporine A (CsA) as the most important risk factor for the rapid and sustained decrease in renal function supports the need for more studies on renoprotective strategies immediately after HTX.
    Original languageEnglish
    JournalTransplantation Proceedings
    Volume43
    Issue number5
    Pages (from-to)1904-7
    Number of pages4
    ISSN0041-1345
    DOIs
    Publication statusPublished - Jun 2011

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