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Ischemic Time as a Predictor of Physical Recovery in the First Months after Heart Transplantation
Joint Authors
Almenar-Bonet, Luis
Sanchez-Lazaro, Ignacio J.
Buendía-Fuentes, Francisco
Domingo-Valero, Diana
Rodríguez-Serrano, María
Martínez-Dolz, Luis
Sancho-Tello de Carranza, María José
Salvador-Sanz, Antonio
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Functional results after heart transplantation range from modest to spectacular improvement.
Little is known about factors to predict functional result.
This study aimed to identify these factors.
We present a prospective study including all consecutive transplant recipients (n=55) in a two-year period whose survival was greater than two months.
Perioperative, donor, and recipient issues were systematically analyzed.
Exercise capacity was assessed by symptom-limited treadmill exercise testing two months after transplantation.
Exercise capacity was classified as satisfactory or poor depending on achieving or not 4.5 METs (metabolic equivalents), respectively.
Thirty-three patients (60%) showed a good exercise capacity (>4.5 METs), whereas the remaining twenty-two patients (40%) were unable to exceed this threshold.
The variables which correlated with exercise capacity in univariate analysis were recipient age, inotropic treatment, ischemic time, ventricular assist device, etiology, urgent transplant, and INTERMACS score.
Among them only recipient age and ischemic time were proved to be correlated with exercise capacity in the multiple regression analysis.
Thus, younger patients and those who had received an organ with shorter ischemic time showed greater exercise capacity after transplant.
These findings strengthen the trend toward reducing ischemic time as much as possible to improve both survival and clinical recovery.
American Psychological Association (APA)
Buendía-Fuentes, Francisco& Almenar-Bonet, Luis& Martínez-Dolz, Luis& Sanchez-Lazaro, Ignacio J.& Rodríguez-Serrano, María& Domingo-Valero, Diana…[et al.]. 2012. Ischemic Time as a Predictor of Physical Recovery in the First Months after Heart Transplantation. ISRN Cardiology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-507090
Modern Language Association (MLA)
Buendía-Fuentes, Francisco…[et al.]. Ischemic Time as a Predictor of Physical Recovery in the First Months after Heart Transplantation. ISRN Cardiology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-507090
American Medical Association (AMA)
Buendía-Fuentes, Francisco& Almenar-Bonet, Luis& Martínez-Dolz, Luis& Sanchez-Lazaro, Ignacio J.& Rodríguez-Serrano, María& Domingo-Valero, Diana…[et al.]. Ischemic Time as a Predictor of Physical Recovery in the First Months after Heart Transplantation. ISRN Cardiology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-507090
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507090