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Correspondence
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Volume 334:400-402 February 8, 1996 Number 6
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Drugs in Cardiac Transplantation

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 by Kobashigawa, J. A.
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 by Shepherd, J.
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To the Editor: Kobashigawa and coworkers (Sept. 7 issue)1 report that therapy with pravastatin beginning shortly after transplantation led to a reduction in the rates of hemodynamically important cardiac rejection and mortality and a lower incidence of coronary vasculopathy. Patients treated with pravastatin had total cholesterol and low-density lipoprotein (LDL) cholesterol levels that were 22 percent and 27 percent, respectively, lower than those in the control patients during the first year after transplantation. Natural-killer-cell cytotoxicity was also lower in the pravastatin group, and the authors speculate about the potential mechanisms whereby pravastatin may cause an increased state of immunosuppression. The . . . [Full Text of this Article]

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