Therapeutic effect observing of autologous bone marrow mononuclear cell transplantation on the patients with chronic heart failure
- VernacularTitle:骨髓单个核细胞移植治疗慢性心力衰竭的疗效观察
- Author:
Yan XU
;
Yu XU
;
Chuanyu GAO
;
Honghui YANG
;
Xianpei WANG
;
Xinhui YAN
- Publication Type:Journal Article
- Keywords:
Transplantation;
Heart failure;
Heart ventricles
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(24):14-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of intracoronary,antologous bone marrow mononuclear cell transplantation on the patients with chronic heart failure.Methods Eighty patients with chronic heart failure were assigned into bone marrow cell transplantation group (n=48) and control group (n=32),with intmcomnary delivery of autologous bone marrow mononuclear cell suspension or not respectively,in addifion to conventional treatment.The left venlrieular ejection fractions (LVEF),the level of plasma brain natriuretic peptide (BNP),and the siges of myocardial perfusion defect were measured and compared with useing single photom emission computed tomography (SPECT) and echocardiography before and after the treatment.Results The one year follow-up results showed that LVEF increased from base-line (42.1±5.8)%,(43.9±6.7)% to (54.1±4.8)%,(49.8±7.7)% by echocardiography.The plasma levels of BNP decreased from base-line (699±101)ng/L,(687±95)ng/L to (305±78)ng/L,(399±89)ng/L,and the size of myocardial perfusion defect decreased from bese-line (26.8±8.6)%,(26.3±6.5)% to (15.8±4.3)%,(20.5±7.8)% in bone marrow cell transplantation group and control group respectively,the absolute changes were statistically significant.During and after the procedure of bone marrow cell transplantation group,there was no complication occurring. Conclusion Intmcoronary autologous bone marrow mononuclear cell transplantation for treating patients with chronic heart failure results in improvement in left ventricular systolic function and myocardial perfusion,and this therapy is safe and feasible.
