Organized atrial arrhythmias after cardiac transplantation – The overlooked value of the 12-lead electrocardiogram and cavotricuspid atrial flutter isthmus

Orthotopic heart transplantation (OHT) has revolutionized the care of advanced, drug refractory heart failure (HF). Surgical technique, medical management, and donor and recipient selection have continued to evolve. However, OHT has also been accompanied by both forseeable and unintended cardiovascular and systemic conditions such as cardiac allograft vasculopathy (CAV), cardiometabolic disease, malignancy, infection, and arrhythmias. Cardiac arrhythmias may arise by multiple mechanisms that include acute allograft rejection, chronic rejection, remodeling and fibrosis that allow for reentry, and unknown or unrealized donor arrhythmic substrate.

Source: The Journal of Heart and Lung Transplantation - October 27, 2017 Category: Transplant Surgery Authors: Vincent Y. See Source Type: research