Janota M, Urbanová D, Lexa J, Fabián J, Kocandrle V
Program výzkumu kardiovaskulárních nemocí, Institutu klinické a experimentální medicíny, Praha.
Cas Lek Cesk. 1990 Jan 19;129(3):76-80.
In 15 patients after orthotopic transplantation of the heart the authors made repeated examinations of electromaps of the R wave and endomyocardial biopsies (TMB) during a long-term, at least one-year, investigation. In the detection of rejection EMB plays a dominating role. In three patients the authors found at the time of rejection a significant reduction of the R waves on maps, which correlated closely with the bioptic findings. It was revealed that maps of R waves are a good indicator of rejection of the transplanted heart. The examination may prove helpful when checking treatment of rejection but does not lead so far to a restriction of the number of endomyocardial biopsies of the heart.
作者对15例心脏原位移植患者进行了长期（至少一年）的随访，期间反复进行R波心电标测及心内膜心肌活检（EMB）。在排斥反应的检测中，EMB起主要作用。作者发现3例患者在发生排斥反应时，标测图上R波显著降低，这与活检结果密切相关。结果表明，R波标测图是移植心脏排斥反应的良好指标。该检查在监测排斥反应治疗时可能有用，但目前尚未导致心脏心内膜活检次数的减少。
