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Biomedical subjects

E Nellessen

Publications and source records attributed to E Nellessen.

7 recordsLinked to original sources

[Anemia and heart failure].

The prevalence of heart failure is increasing. Anemia is often present, particularly in severe cases. The Fick equation illustrates the relationship between anemia and heart failure. The concepts of cardiorenal syndrome and erythropoietin resistance are parts of the physiopathology. Anemia is associated with a bad prognosis in heart failure. Nevertheless, it is too early to know precisely whether anemia represents a simple marker of severity or if specific treatment, especially with erythropoietin, is useful in terms of morbidity and mortality. Current guidelines recommend the correction of secondary causes when anemia is present in a heart failure patient.

Anemia↗

[Heart transplantation: secondary prevention].

Cardiac transplantation is the treatment of choice for refractory heart failure. An immunosuppressive therapy must be given in the perioperative course to avoid graft rejection. In this article, we review the main classes of immunosuppressive agents (calcineurin inhibitors, anti-metabolities, corticoïds) and their side effects. The general preventive measures and the different kinds of rejection (hyperacute, acute vascular, acute cellular and chronical) are discussed. The current bacterial, protozoarian, mycotic and viral infections are described. We finish with the risk of cancer, mainly skin tumours and non-Hodgkinian lymphomas.

Graft Rejection↗

[Vasovagal syncope].

Explore the source record for details and available documents.

Adrenergic beta-Antagonists↗

[Myocardial reinnervation after heart transplantation].

Despite many studies, cardiac reinnervation after heart transplantation is not yet fully understood. This article reviews the physiology of the transplanted heart and briefly describes the imaging techniques and functional tests which allow demonstration of cardiac reinnervation. The data reported on this subject in the literature are summarized and the remainin uncertainties are underlined.

Heart↗