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Affiliation(s)
- C.M.H.B. Lucas
- Department of Cardiology, Alrijne Hospital, Leiderdorp, The Netherlands
| | - P.E.J. van Pol
- Department of Cardiology, Alrijne Hospital, Leiderdorp, The Netherlands
| | | | - M. Niesing
- Department of Cardiology, Alrijne Hospital, Leiderdorp, The Netherlands
| | - H.F. Verwey
- Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands
| | - S.L.M.A. Beeres
- Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands
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Affiliation(s)
- H A Huysmans
- Department of Thoracic Surgery, Academisch Ziekenhuis Leiden, The Netherlands
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de Jonge N, Kirkels J, Klöpping C, Lahpor J, Caliskan K, Maat A, Brügemann J, Erasmus M, Klautz R, Verwey H, Oomen A, Peels C, Golüke A, Nicastia D, Koole M, Balk A. Guidelines for heart transplantation. Neth Heart J 2008; 16:79-87. [PMID: 18345330 PMCID: PMC2266869 DOI: 10.1007/bf03086123] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Based on the changes in the field of heart transplantation and the treatment and prognosis of patients with heart failure, these updated guidelines were composed by a committee under the supervision of both the Netherlands Society of Cardiology and the Netherlands Association for Cardiothoracic surgery (NVVC and NVT).THE INDICATION FOR HEART TRANSPLANTATION IS DEFINED AS: 'End-stage heart disease not remediable by more conservative measures'.CONTRAINDICATIONS ARE: irreversible pulmonary hypertension/elevated pulmonary vascular resistance; active systemic infection; active malignancy or history of malignancy with probability of recurrence; inability to comply with complex medical regimen; severe peripheral or cerebrovascular disease and irreversible dysfunction of another organ, including diseases that may limit prognosis after heart transplantation.Considering the difficulties in defining end-stage heart failure, estimating prognosis in the individual patient and the continuing evolution of available therapies, the present criteria are broadly defined. The final acceptance is done by the transplant team which has extensive knowledge of the treatment of patients with advanced heart failure on the one hand and thorough experience with heart transplantation and mechanical circulatory support on the other hand. (Neth Heart J 2008;16:79-87.).
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Affiliation(s)
- N. de Jonge
- University Medical Center Utrecht, Utrecht, the Netherlands
| | - J.H. Kirkels
- University Medical Center Utrecht, Utrecht, the Netherlands
| | - C. Klöpping
- University Medical Center Utrecht, Utrecht, the Netherlands
| | - J.R. Lahpor
- University Medical Center Utrecht, Utrecht, the Netherlands
| | | | | | - J. Brügemann
- University Medical Center Groningen, Groningen, the Netherlands
| | - M.E. Erasmus
- University Medical Center Groningen, Groningen, the Netherlands
| | - R.J.M. Klautz
- Leiden University Medical Center, Leiden, the Netherlands
| | - H.F. Verwey
- Leiden University Medical Center, Leiden, the Netherlands
| | - A. Oomen
- Antonius Hospital, Sneek, the Netherlands
| | - C.H. Peels
- Catharina Hospital, Eindhoven, the Netherlands
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Verwey H, Molhoek S, Sweeney R, Schubert B, Troiani J, Pikaar-Raaff J, Froidcourt K, Schalij M. 272 Clinical parameter variation in stable heart failure patients with a resynchronization device. Europace 2005. [DOI: 10.1016/eupace/7.supplement_1.65-b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
| | | | - R.J. Sweeney
- Guidant Corporation, Research, St. Paul, United States of America
| | - B. Schubert
- Guidant Europe nv/sa, Research dept, Diegem, Belgium
| | - J. Troiani
- Guidant Corporation, Research, St. Paul, United States of America
| | | | - K. Froidcourt
- GUIDANT, Guidant Clinical Research EMEAC, Diegem, Belgium
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Knol IE, Ausems MG, Lindhout D, van Diggelen OP, Verwey H, Davies J, Ploos van Amstel JK, Poll-The BT. Different phenotypic expression in relatives with fabry disease caused by a W226X mutation. Am J Med Genet 1999; 82:436-9. [PMID: 10069717 DOI: 10.1002/(sici)1096-8628(19990219)82:5<436::aid-ajmg14>3.0.co;2-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Two male relatives with Fabry disease presented striking differences in clinical symptoms and age of onset. The propositus had retarded statural growth and skeletal dysplasia while his nephew suffered mainly from aggravating acroparesthesia and celiac disease. Fabry disease is an X-linked inborn error of glycosphingolipid metabolism resulting from deficient activity of the lysosomal hydrolase alpha-galactosidase A (alpha-Gal A) enzyme. The alpha-Gal A gene is located at Xq22.1. Efforts to establish genotype-phenotype correlations have been limited because most patients have private mutations. In previous clinical studies performed in families with Fabry disease, marked differences in phenotype are described between affected relatives. This family also demonstrates the difficulty in predicting the clinical phenotype in patients and relatives with the same alpha-Gal A mutation. Furthermore, in the absence of a family history, the diagnosis may be easily missed.
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Affiliation(s)
- I E Knol
- Clinical Genetics Center Utrecht, The Netherlands.
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Abstract
To evaluate the efficacy of myocardial T2 values in the assessment of allograft rejection, we performed magnetic resonance (MR) imaging at 0.5 T serially in seven cardiac transplant recipients and singly in seven normal volunteers. Cardiac-gated multi-echo spin echo images were obtained; T2 values were estimated by a two-point method from regions of interest in the myocardium. Patients underwent MR and cardiac biopsy at various times after transplantation. Forty-two patient exams were performed. All biopsies showed either no rejection or early stages of rejection: grade 0 in 8 examinations, grade 1 in 28, and grade 2 in 6. Myocardial T2 values in patients in early stages of cardiac rejection were slightly higher (but not statistically significant) than those in non-rejecting patients and normal volunteers. Although this study did not allow prospective detection of cardiac rejection in our patient group, it demonstrated a trend toward higher T2 values at higher biopsy grades that may indicate an ability to assess more severe stages of transplant rejection.
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Affiliation(s)
- J Doornbos
- Department of Diagnostic Radiology, Leiden University Hospital, The Netherlands
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Abstract
An epidemiological analysis was performed of the adult, out-patient epilepsy clinic population of a university hospital during the period from 1 January 1981 through 30 June 1985. The number of patients that could be traced amounted to 590. An at random sample of 207 were retrospectively analysed. Gender distribution was male:female = 1.46. The mean age was 37.4 years. The diagnoses were classified according to the classification of the International League Against Epilepsy (ILAE). A preponderance of partial seizures was present, reflecting the selection in a university out-patient clinic of more difficult to treat forms of epilepsy. Antiepileptic drugs used in the treatment varied; monotherapy was obtained in 46% of the cases and carbamazepine was the most frequently prescribed drug (49%). Changes in seizure severity and factors associated with epilepsy are described. A discrepancy was found between the suspected drug levels, based upon the physician's judgement, and the plasma level measured in those patients in whom drug levels were monitored; factors interfering with clinical judgement are discussed.
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Affiliation(s)
- H T Rwiza
- Institute of Neurology, Sint Radboud Hospital, Nijmegen, the Netherlands
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Breedijk M, Smout AJ, van der Zouw C, Verwey H, Akkermans LM. Microcomputer-based system for 24-hour recording of oesophageal motility and pH profile with automated analysis. Med Biol Eng Comput 1989; 27:41-6. [PMID: 2779296 DOI: 10.1007/bf02442168] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A system developed for long-term simultaneous recording of oesophageal motility and pH in the ambulant patient is described. The system consists of a microprocessor based data-acquisition and preprocessing device, a personal computer for postprocessing, report generation and data storage, a miniature two-sensor pressure catheter and a pH electrode. Identification and classification of oesophageal contractions are performed in separate steps, using online preprocessing software for identification and offline postprocessing software for categorisation, classification and report generation. Contractions are categorised as peristaltic, simultaneous or nontransmitte and classified according to their amplitude, duration and propagation velocity. The method described reduces the amount of data from 870 kbyte to approximately 40 kbyte per 24 hours in a multiparameter recording device, and offers the opportunity for offline postprocessing with different sets of criteria. The system has been found to be accurate and reliable in 24-hour studies in both healthy volunteers and patients with non-cardiac chest pain.
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Verwey H, Driessen OM, Michel MF. [Doxycycline and minocycline HC1; a comparative study]. Ned Tijdschr Geneeskd 1977; 121:54-8. [PMID: 321980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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