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Acetylsalicylic acid use and development of cardiac allograft vasculopathy: A national prospective study using highly automated 3-D optical coherence tomography analysis
L. Mayerova, P. Wohlfahrt, M. Sonka, Z. Chen, J. Kautzner, V. Melenovsky, V. Karmazin, I. Malek, H. Bedanova, A. Tomasek, E. Ozabalova, J. Krejci, T. Kovarnik, M. Pazdernik
Jazyk angličtina Země Dánsko
Typ dokumentu časopisecké články
Grantová podpora
R01 EB004640
NIBIB NIH HHS - United States
R56 EB004640
NIBIB NIH HHS - United States
R01-EB004640
NIH HHS - United States
Odkazy
PubMed
38477134
DOI
10.1111/ctr.15275
Knihovny.cz E-zdroje
- MeSH
- alografty patologie MeSH
- aterosklerotický plát * komplikace MeSH
- dospělí MeSH
- koronární angiografie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci koronárních tepen * etiologie MeSH
- optická koherentní tomografie škodlivé účinky metody MeSH
- prospektivní studie MeSH
- transplantace srdce * škodlivé účinky MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: There is conflicting evidence on the role of acetylsalicylic acid (ASA) use in the development of cardiac allograft vasculopathy (CAV). METHODS: A nationwide prospective two-center study investigated changes in the coronary artery vasculature by highly automated 3-D optical coherence tomography (OCT) analysis at 1 month and 12 months after heart transplant (HTx). The influence of ASA use on coronary artery microvascular changes was analyzed in the overall study cohort and after propensity score matching for selected clinical CAV risk factors. RESULTS: In total, 175 patients (mean age 52 ± 12 years, 79% male) were recruited. During the 1-year follow-up, both intimal and media thickness progressed, with ASA having no effect on its progression. However, detailed OCT analysis revealed that ASA use was associated with a lower increase in lipid plaque (LP) burden (p = .013), while it did not affect the other observed pathologies. Propensity score matching of 120 patients (60 patient pairs) showed similar results, with ASA use associated with lower progression of LPs (p = .002), while having no impact on layered fibrotic plaque (p = .224), calcification (p = .231), macrophage infiltration (p = .197), or the absolute coronary artery risk score (p = .277). According to Kaplan-Meier analysis, ASA use was not associated with a significant difference in survival (p = .699) CONCLUSION: This study showed a benefit of early ASA use after HTx on LP progression. However, ASA use did not have any impact on the progression of other OCT-observed pathologies or long-term survival.
Cardiovascular and Transplantation Surgery Brno Czech Republic
Department of Cardiology IKEM Prague Czech Republic
Department of Preventive Cardiology IKEM Prague Czech Republic
Iowa Institute for Biomedical Imaging The University of Iowa Iowa City Iowa USA
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