Jan Van Keer
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View article: Implantable loop recorder migration as cause of unexplained chronic chest pain
Implantable loop recorder migration as cause of unexplained chronic chest pain Open
View article: Comprehensive Non-invasive Versus Invasive Approach to Evaluate Cardiac Allograft Vasculopathy in Heart Transplantation: The CCTA-HTx Study
Comprehensive Non-invasive Versus Invasive Approach to Evaluate Cardiac Allograft Vasculopathy in Heart Transplantation: The CCTA-HTx Study Open
BACKGROUND: Coronary computed tomography angiography (CCTA) is emerging as a valuable tool for noninvasive surveillance of cardiac allograft vasculopathy (CAV) in patients with heart transplant (HTx). We assessed the diagnostic performance…
View article: Double bad luck: pulmonary embolism and vaginal bleeding - a case report
Double bad luck: pulmonary embolism and vaginal bleeding - a case report Open
Background Pulmonary embolism is a common and potentially fatal condition. Exogenous estrogens in contraceptives are associated with an increased risk of venous thrombo-embolism. However, discontinuation of a combined oral contraceptive ca…
View article: Double bad luck: pulmonary embolism and vaginal bleeding - a case report
Double bad luck: pulmonary embolism and vaginal bleeding - a case report Open
Background: Pulmonary embolism is a common and potentially fatal condition. Exogenous estrogens in contraceptives are associated with an increased risk of venous thrombo-embolism. However, discontinuation of a combined oral contraceptive c…
View article: The novel proteomic signature for the detection of cardiac allograft vasculopathy
The novel proteomic signature for the detection of cardiac allograft vasculopathy Open
Background Cardiac allograft vasculopathy (CAV) is the major long-term complications after heart transplantation, leading to mortality and re-transplantation. As available noninvasive biomarkers are scarce for CAV screening, we aimed to id…
View article: Is degree of chronic illness management in heart transplant centers associated with better patient survival? Findings from the intercontinental BRIGHT study
Is degree of chronic illness management in heart transplant centers associated with better patient survival? Findings from the intercontinental BRIGHT study Open
Purpose To explore the association between the degree of Chronic illness management and survival rates at 1-, 3-, 5-years post heart transplantation. Methods Exploratory secondary analysis of a cross-sectional, international study (Buildin…
View article: Can shear wave imaging distinguish between diffuse interstitial and replacement myocardial fibrosis?
Can shear wave imaging distinguish between diffuse interstitial and replacement myocardial fibrosis? Open
Funding Acknowledgements Type of funding sources: None. Background Diffuse interstitial or myocardial replacement fibrosis are common features of a large variety of cardiomyopathies. These alterations contribute to functional changes, part…
View article: Trajectories of Cardiac Allograft Vasculopathy After Heart Transplantation and association with mortality: a population-based study
Trajectories of Cardiac Allograft Vasculopathy After Heart Transplantation and association with mortality: a population-based study Open
Background Cardiac allograft vasculopathy (CAV) is a major contributor of heart transplant recipient's mortality. However, the associations between CAV trajectories and mortality remains poorly described. Purpose We aimed to identify the d…
View article: Shear wave elastography by high frame rate echocardiography can detect diffuse myocardial fibrosis after heart transplantation
Shear wave elastography by high frame rate echocardiography can detect diffuse myocardial fibrosis after heart transplantation Open
Background Myocardial fibrosis is fundamental in the development of cardiac failure, regardless of ethiology. In both animal models and humans it has been shown that diffuse myocardial fibrosis (DMF) contributes to functional impairment, e…
View article: The effect of universal infant vaccination on the prevalence of hepatitis B immunity in adult solid organ transplant candidates
The effect of universal infant vaccination on the prevalence of hepatitis B immunity in adult solid organ transplant candidates Open
Background Hepatitis B virus (HBV) immunity is recommended to optimize outcomes after solid organ transplantation (SOT). This study assessed the prevalence and predictors of HBV immunity at the time patients were placed on transplant waiti…
View article: Shear Wave Elastography Using High-Frame-Rate Imaging in the Follow-Up of Heart Transplantation Recipients
Shear Wave Elastography Using High-Frame-Rate Imaging in the Follow-Up of Heart Transplantation Recipients Open
View article: Identification and Characterization of Trajectories of Cardiac Allograft Vasculopathy After Heart Transplantation
Identification and Characterization of Trajectories of Cardiac Allograft Vasculopathy After Heart Transplantation Open
Background: Cardiac allograft vasculopathy (CAV) is a major contributor of heart transplant recipient mortality. Little is known about the prototypes of CAV trajectories at the population level. We aimed to identify the different evolution…
View article: 556 Shear wave imaging using ultra-high frame rate echocardiography for the assessment of structural changes in cardiac transplant recipients
556 Shear wave imaging using ultra-high frame rate echocardiography for the assessment of structural changes in cardiac transplant recipients Open
Background Cardiac allografts undergo characteristic alterations of the extracellular matrix, including myocardial fibrosis, that contribute to functional changes, particularly diastolic dysfunction due to increased myocardial stiffness(MS…
View article: Cannabis-Induced Third-Degree AV Block
Cannabis-Induced Third-Degree AV Block Open
Background. Cannabis (marijuana) is the most widely consumed illicit drug in Europe. However, many are unaware of its potential cardiovascular side effects. Case Report. A 19-year-old man presented to the emergency department with palpitat…
View article: Idarucizumab for the reversal of dabigatran in patients undergoing heart transplantation
Idarucizumab for the reversal of dabigatran in patients undergoing heart transplantation Open
Atrial fibrillation is common among patients with advanced heart failure who are listed for transplantation.1 The choice of anticoagulation in these patients can be challenging. Compared with vitamin K antagonists (VKAs), non-vitamin K ora…
View article: Retinal oxygen saturation as a non‐invasive estimate for mixed venous oxygen saturation and cardiac output
Retinal oxygen saturation as a non‐invasive estimate for mixed venous oxygen saturation and cardiac output Open
Purpose To investigate the correlation between retinal vessel oxygen saturation and mixed venous oxygen saturation (SvO 2‐mixed ) and cardiac output ( CO ). Methods Retinal arterial (SaO 2‐retinal ) and venous (SvO 2‐retinal ) oxygen satur…
View article: Urinary proteomic signatures associated with β-blockade and heart rate in heart transplant recipients
Urinary proteomic signatures associated with β-blockade and heart rate in heart transplant recipients Open
BB use, but not HR, is associated with a urinary proteomic signature that is usually associated with worse outcome, because unhealthier conditions probably lead to initiation of BB. Starting BB early after HTx surgery might be beneficial.
View article: Diastolic left ventricular function in relation to circulating metabolic biomarkers in a population study
Diastolic left ventricular function in relation to circulating metabolic biomarkers in a population study Open
Aims We studied the association of circulating metabolic biomarkers with asymptomatic left ventricular diastolic dysfunction, a risk-carrying condition that affects 25% of the population. Methods and results In 570 randomly recruited peopl…
View article: P879Myocardial proteomic signatures in end-stage dilated and ischemic cardiomyopathy compared with normal human hearts
P879Myocardial proteomic signatures in end-stage dilated and ischemic cardiomyopathy compared with normal human hearts Open
Results: Measures of LA phasic function were more prominently impaired in subjects with HFrEF, than among subjects with HFpEF.In unadjusted Cox proportional hazards models, all measures of phasic LA function and volumes (maximum, minimum a…
View article: Urinary peptidomic biomarkers of renal function in heart transplant recipients
Urinary peptidomic biomarkers of renal function in heart transplant recipients Open
Background Chronic kidney disease (CKD) is common in patients after heart transplantation (HTx). We assessed whether in HTx recipients the proteomic urinary classifier CKD273 or sequenced urinary peptides revealing the parental proteins co…
View article: Biomarkers to Assess Right Heart Pressures in Recipients of a Heart Transplant: A Proof-of-Concept Study
Biomarkers to Assess Right Heart Pressures in Recipients of a Heart Transplant: A Proof-of-Concept Study Open
Background This proof-of-concept study investigated the feasibility of using biomarkers to monitor right heart pressures (RHP) in heart transplanted (HTx) patients. Methods In 298 patients, we measured 7.6 years post-HTx mean pressures in …
View article: Conventional and Ambulatory Blood Pressure as Predictors of Diastolic Left Ventricular Function in a Flemish Population
Conventional and Ambulatory Blood Pressure as Predictors of Diastolic Left Ventricular Function in a Flemish Population Open
Background No longitudinal study compared associations of echocardiographic indexes of diastolic left ventricular function studies with conventional ( CBP ) and daytime ambulatory ( ABP ) blood pressure in the general population. Methods a…
View article: Non-invasive assessment of cerebral oxygenation: A comparison of retinal and transcranial oximetry
Non-invasive assessment of cerebral oxygenation: A comparison of retinal and transcranial oximetry Open
This is the first study to show the correlation between retinal and cerebral oxygen saturation, measured by NIRS and retinal oximetry. The average relative weight of arterial and venous retinal oxygen saturation to obtain the measured tran…
View article: The CECARI Study: Everolimus (Certican®) Initiation and Calcineurin Inhibitor Withdrawal in Maintenance Heart Transplant Recipients with Renal Insufficiency: A Multicenter, Randomized Trial
The CECARI Study: Everolimus (Certican®) Initiation and Calcineurin Inhibitor Withdrawal in Maintenance Heart Transplant Recipients with Renal Insufficiency: A Multicenter, Randomized Trial Open
In this 3-year, open-label, multicenter study, 57 maintenance heart transplant recipients (>1 year after transplant) with renal insufficiency (eGFR 30–60 mL/min/1.73 m 2 ) were randomized to start everolimus with CNI withdrawal () or conti…
View article: Proteasome inhibitor associated thrombotic microangiopathy
Proteasome inhibitor associated thrombotic microangiopathy Open
A variety of medications have been implicated in the causation of thrombotic microangiopathy (TMA). Recently, a few case reports have emerged of TMA attributed to the proteasome inhibitors (PI) bortezomib and carfilzomib in patients with m…
View article: Two Cases of Heavy Chain MGUS
Two Cases of Heavy Chain MGUS Open
Heavy chain diseases are rare variants of B-cell lymphomas that produce one of three classes of immunoglobulin heavy chains, without corresponding light chains. We describe two patients with asymptomatic heavy chain monoclonal gammopathy. …
View article: Renal Thrombotic Microangiopathy Associated with the Use of Bortezomib in a Patient with Multiple Myeloma
Renal Thrombotic Microangiopathy Associated with the Use of Bortezomib in a Patient with Multiple Myeloma Open
Bortezomib is a first-generation proteasome inhibitor used in the treatment of multiple myeloma (MM). A few reports have linked bortezomib exposure with the development of thrombotic microangiopathy (TMA). We describe a case of biopsy-prov…
View article: Purple Urine Bag Syndrome in Two Elderly Men with Urinary Tract Infection
Purple Urine Bag Syndrome in Two Elderly Men with Urinary Tract Infection Open
Purple urine bag syndrome is a rare condition in which purple discoloration of urine inside its collection bag occurs. We describe two illustrative cases. The first patient is an 81-year-old man who was hospitalized for a newly diagnosed l…