ArticleJHLT open2026
Aspirin therapy after heart transplantation is associated with higher myocardial perfusion reserve assessed by cardiovascular magnetic resonance imaging.
Article in JHLT open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cardiac allograft vasculopathy (CAV) is one of the major long-term complications in patients after heart transplantation (HTx) limiting allograft function and longevity. CAV can be studied non-invasively by evaluating myocardial perfusion (MP). Aspirin is re--ed after Htx, but it is unclear whether it affects the development of CAV. The aim of this study was to investigate the association between aspirin therapy and MP, as a marker of CAV, using cardiovascular magnetic resonance (CMR). Methods: We consecutively included HTx patients from 2 centers in Sweden who were examined with CMR and coronary angiography. Patients were categorized by the presence or absence of aspirin therapy. As a part of routine surveillance, quantitative short-axis perfusion maps were acquired at rest and during stress hyperemia. A global average MP was calculated at rest and stress and myocardial perfusion reserve (MPR) was defined as the ratio between stress and rest MP. Cine images and T1 maps were also acquired. Results: A total of 137 patients ( Conclusion: In this retrospective study, aspirin therapy in heart transplant patients was independently associated with higher myocardial perfusion reserve.
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