PMID- 18558360 OWN - NLM STAT- MEDLINE DCOM- 20080826 LR - 20110214 IS - 1568-9972 (Print) IS - 1568-9972 (Linking) VI - 7 IP - 6 DP - 2008 Jun TI - Intravenous immunoglobulin - indications and mechanisms in cardiovascular diseases. PG - 445-52 LID - 10.1016/j.autrev.2008.04.001 [doi] AB - Intravenous immunoglobulin (IVIG) is efficient in various immune mediated conditions. Various cardiovascular diseases are mediated by inflammatory processes and autoimmune mechanisms. Therefore, it seems conceivable to employ IVIG as an immunomodulating therapy in such indications. In this paper we review the possible anti-inflammatory effects of IVIG transfusion, and discuss the possible clinical implications in cardiology. Besides the established use of IVIG in Kawasaki disease, IVIG may be beneficial in some cases of heart failure, dilated cardiomyopathy, myocarditis, pericardial diseases, neonatal lupus, in the prevention of cardiac rejection following transplantation, and in modulating atherosclerosis. IVIG has been proven to be ineffective in rheumatic fever. Although uncommon, complications may arise including myocardial infarction, renal failure and hyperviscosity. IVIG should be administered based on accepted modes of transfusion. FAU - Nussinovitch, Udi AU - Nussinovitch U AD - Department of Medicine B, Sackler Faculty of Medicine, Tel-Aviv University, Israel. FAU - Shoenfeld, Yehuda AU - Shoenfeld Y LA - eng PT - Journal Article PT - Review DEP - 20080430 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 RN - 0 (Immunoglobulins, Intravenous) SB - IM EIN - Autoimmun Rev. 2011 Jan;10(3):180. Udi, Nussinovitch [corrected to Nussinovitch, Udi]; Yehuda, Shoenfeld [corrected to Shoenfeld, Yehuda] MH - Atherosclerosis/drug therapy MH - Cardiomyopathies/drug therapy MH - Cardiomyopathy, Dilated/drug therapy MH - Cardiovascular Diseases/*drug therapy MH - Heart Failure/drug therapy MH - Heart Transplantation MH - Humans MH - Immunoglobulins, Intravenous/pharmacology/*therapeutic use MH - Myocarditis/drug therapy MH - Rheumatic Fever/drug therapy RF - 40 EDAT- 2008/06/19 09:00 MHDA- 2008/08/30 09:00 CRDT- 2008/06/19 09:00 PHST- 2008/06/19 09:00 [pubmed] PHST- 2008/08/30 09:00 [medline] PHST- 2008/06/19 09:00 [entrez] AID - S1568-9972(08)00046-3 [pii] AID - 10.1016/j.autrev.2008.04.001 [doi] PST - ppublish SO - Autoimmun Rev. 2008 Jun;7(6):445-52. doi: 10.1016/j.autrev.2008.04.001. Epub 2008 Apr 30.