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Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Transplant-Associated Coronary Artery Vasculopathy (Hardcover)
Loot Price: R3,441
Discovery Miles 34 410
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Transplant-Associated Coronary Artery Vasculopathy (Hardcover)
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Cardiac transplantation has had a major impact on the quality of
life and longevity of an ever-increasing number of patients. This
benefit is significantly eroded by the development of an
accelerated form of coronary arterial disease which shows some, but
not all, of the characteristics of native coronary artery disease,
and itself is one of the major indications for transplantation. If
cardiac transplantation is to realize its potential, it is
essential to prevent transplant-related coronary disease. This can
only be done by thorough understanding of the basic mechanisms
involved. This could help in the fight against native
atherosclerosis, which has a major impact on the community and in
preventing vascular damage after other solid organ transplantation.
To date, there is no agreement or good guidelines about the
management of chronic rejection. Transplant-associated coronary
disease is a multifactorial disease contributed by genetic factors
in the donor and recipients. It is also linked to events occurring
during brain death, harvesting and implantation, and most
importantly, events after transplantation. The latter events can be
conveniently divided into antigen-dependent and antigen-independent
with immunological causes playing a part in both. Recent work has
resulted in major and significant accumulation of knowledge in this
field, particularly in the molecular mechanisms and to some extent,
management, of the disease. This knowledge is extensively and
methodically reviewed in this volume by a group of experts in the
field.
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