Dilatatív cardiomyopathia immunadszorpciós kezelése Az elso magyarországi eset kapcsán

Translated title of the contribution: Immunoadsorption in a patient with dilated cardiomyopathy: The first case in Hungary

Soltész Pál, Vass Melinda, Diószegi Ágnes, Mányiné Siket Ivetta, Garai Ildikó, Kun Csaba, Bene Orsolya, Kertész Attila, I. Édes, Debreceni Egyetem, Általános Orvostudományi Kar

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1 Citation (Scopus)

Abstract

Dilated cardiomyopathy is the main cause of heart transplantation. The etiology is unknown in almost half of the cases. Many cardiac specific antibodies have been identified till now which can cause decreased cardiac function, ventricular tachycardia or sudden heart death. The prognosis of DCM is poor despite the development of medical treatment. Immunoadsorption is hopeful since, with the removal of antibodies, cardiac function and NYHA class can improve and LVAD/heart transplantation-free survival can be prolonged. At the University of Debrecen, Faculty of Medicine, Department of Internal Medicine, Division of Angiology, Intensive Care and Therapeutic Apheresis Unit we performed the first immunoadsorption. Our patient was a 43-year-old man with idiopathic dilated cardiomyopathy, NYHA class IV, a heart transplantation candidate, whose cardiac specific antibody, type IgG was indentified by Western blot. Before the treatment he had ejection fraction of 18%. Discussing with his cardiologists we decided for immunoadsorption therapy. We performed 5 cycles on consecutive days in Intensive Care Unit. After 1 month we detected improvement in exercise capacity. We detected improvement in isovolemic contraction (from 465 mmHg/s to 575 mmHg/s), increased stroke volume (from 49 ml to 66 ml). After 3 months we repeated SPECT investigation which showed improvement in ejection fraction, from 18% to 32%.

Translated title of the contributionImmunoadsorption in a patient with dilated cardiomyopathy: The first case in Hungary
Original languageHungarian
Pages (from-to)526-530
Number of pages5
JournalOrvosi Hetilap
Volume159
Issue number13
DOIs
Publication statusPublished - Apr 1 2018

ASJC Scopus subject areas

  • Medicine(all)

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    Pál, S., Melinda, V., Ágnes, D., Ivetta, M. S., Ildikó, G., Csaba, K., Orsolya, B., Attila, K., Édes, I., Egyetem, D., & Kar, Á. O. (2018). Dilatatív cardiomyopathia immunadszorpciós kezelése Az elso magyarországi eset kapcsán. Orvosi Hetilap, 159(13), 526-530. https://doi.org/10.1556/650.2018.31023