PMID- 2230704
OWN - NLM
STAT- MEDLINE
DCOM- 19901214
LR  - 20061115
IS  - 0015-4148 (Print)
IS  - 0015-4148 (Linking)
VI  - 77
IP  - 9
DP  - 1990 Sep
TI  - Results of emergent versus elective cardiac transplantation procedures.
PG  - 806-8
AB  - Twenty-six patients underwent emergent (Group I) and 34 patients elective (Group 
      II) cardiac transplantation (C. Tx.) from June 1985 through June 1989. Age, sex, 
      etiology, presence of diabetes, renal failure and pulmonary artery pressures were 
      comparable for both groups (P greater than 0.5). Twenty-two patients were in New 
      York Heart Association (NYHA) Class IV for Group I and 17 for Group II. Group I 
      included 12 patients on inotropic agents, five on intra-aortic balloon pump 
      (IABP) and one on IABP and cardiopulmonary bypass (CPB). Elective patients were 
      stable at home. Location of the donor heart and mean ischemic times were 
      comparable for both groups. Early mortality (within 30 days) included four 
      patients for Group I and two for Group II. There were four late deaths for Group 
      I patients and six for Group II. Four deaths were due to infection, six to 
      rejection, two to malignancy, two neurological and one each to suicide and 
      multisystem failure. Immunosuppression regimen was similar for both groups. The 
      number and severity of early and late rejection episodes were similar despite 
      blood group crossing in 11 patients for Group I (P less than .01). Incidence of 
      infection was comparable. Favorable lifestyles were comparable, including 
      employment of 12 patients for Group I and 16 for Group II. Cumulative survival 
      for the entire series was 70% at two years. The study indicates that the results 
      of emergent and elective cardiac transplantation procedures are equally 
      gratifying, that mortality is mainly related to rejection and sepsis 
      complications and blood group crossing does not significantly increase the number 
      of rejection episodes.
FAU - Vijayanagar, R
AU  - Vijayanagar R
AD  - Cardiac Transplantation Program, Tampa General Hospital.
FAU - Eckstein, P F
AU  - Eckstein PF
FAU - McKeown, P
AU  - McKeown P
FAU - Sears, N
AU  - Sears N
FAU - Anderson, S
AU  - Anderson S
FAU - Salas, R
AU  - Salas R
FAU - DeSantis, M
AU  - DeSantis M
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Fla Med Assoc
JT  - The Journal of the Florida Medical Association
JID - 7505604
SB  - IM
MH  - Bacterial Infections/etiology
MH  - Blood Grouping and Crossmatching
MH  - Emergencies
MH  - Female
MH  - Follow-Up Studies
MH  - Graft Rejection
MH  - Heart Transplantation/*methods/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Survival Rate
EDAT- 1990/09/01 00:00
MHDA- 1990/09/01 00:01
CRDT- 1990/09/01 00:00
PHST- 1990/09/01 00:00 [pubmed]
PHST- 1990/09/01 00:01 [medline]
PHST- 1990/09/01 00:00 [entrez]
PST - ppublish
SO  - J Fla Med Assoc. 1990 Sep;77(9):806-8.