| OKT3-induced hypotension in heart allograft recipients treated for steroid-resistant rejection. | |
| | |
MedLine Citation:
|
PMID: 2651620 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OKT3 (a murine antihuman mature T cell antibody) has become an important therapeutic agent for the treatment of acute allograft rejection unresponsive to corticosteroid therapy. Seven heart allograft recipients received eight 10-day courses (one retreatment) of OKT3 for steroid-resistant rejection. All patients underwent hourly monitoring of vital signs, and one of the patients underwent hemodynamic monitoring during therapy. Age- and sex-matched kidney allograft recipients (including one retreated patient) undergoing the identical OKT3 antirejection protocol served as control patients. All patients had a measured decrease in arterial pressure during OKT3 therapy. The time from first dose to peak hypotensive response was identical in both heart and kidney allograft recipients (31 +/- 11 versus 32 +/- 11 hours, respectively, p = not significant [NS]) and did not coincide with the peak febrile response (22 +/- 12 versus 27 +/- 13 hours, respectively, p = NS). The decrease in mean arterial pressure was significantly greater in the heart allograft patients compared with the kidney allograft recipients (39 +/- 17 versus 22 +/- 10 mm Hg, respectively, p less than 0.03), despite a slightly greater positive fluid balance in the heart allograft recipients (1333 +/- 1991 versus 715 +/- 1224 ml, p = NS). The change in heart rate associated with the hypotension was only slightly and not significantly greater in the kidney allograft recipients. In the one heart allograft recipient undergoing hemodynamic monitoring, the decrease in mean arterial pressure was initially paralleled by a decline in systemic vascular resistance.(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
J D Hosenpud; D J Norman; G A Pantely; A M Cobanoglu; A Starr |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Journal of heart transplantation Volume: 8 ISSN: 0887-2570 ISO Abbreviation: J Heart Transplant Publication Date: 1989 Mar-Apr |
Date Detail:
|
Created Date: 1989-05-26 Completed Date: 1989-05-26 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8604172 Medline TA: J Heart Transplant Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 159-65; discussion 165-6 Citation Subset: IM |
Affiliation:
|
Cardiac Transplant Program, Oregon Health Sciences University, Portland 97210. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adrenal Cortex Hormones
/
therapeutic use Adult Antibodies, Monoclonal / adverse effects* Antigens, Surface / immunology* Female Graft Rejection* Heart / physiopathology Heart Transplantation* Hemodynamics Humans Hypotension / etiology*, physiopathology Immunosuppression Male Middle Aged |
| Chemical | |
Reg. No./Substance:
|
0/Adrenal Cortex Hormones; 0/Antibodies, Monoclonal; 0/Antigens, Surface |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Coronary artery spasm in heart transplant recipients.
Next Document: Neopterin as a new marker to detect acute rejection after heart transplantation.