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[Heart transplant].

J Queiroz e Melo

    Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
    |September 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    [Coronary disease in patients undergoing heart transplantation: are there predisposing factors?].

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    Early surgical intervention in heart transplantation significantly reduces hospital mortality and complications. This study highlights improved outcomes with timely procedures, emphasizing proactive patient selection for better heart transplant success.

    Area of Science:

    • Cardiovascular Surgery
    • Transplantation Medicine
    • Medical History

    Context:

    • The evolution of heart transplantation involves addressing critical challenges in patient management.
    • Historical experience provides insights into improving surgical outcomes and patient care.
    • The study reviews 21 heart transplant cases to analyze outcomes based on pre-operative conditions.

    Purpose:

    • To analyze the clinical outcomes of heart transplantation based on historical patient data.
    • To identify factors influencing hospital mortality and post-operative complications.
    • To emphasize the importance of timely surgical indication in heart transplant recipients.

    Summary:

    • Heart transplantation outcomes were analyzed in 21 patients, divided into two groups based on pre-operative support.

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  • Patients operated on with heart-assisted devices had 50% hospital mortality, compared to 12% in the other group.
  • Complications, primarily infectious, affected 59% of patients, with an average of 2.4 events each. Early surgical indication is crucial.

    • Impact:

    • The findings underscore the critical role of early surgical intervention in improving heart transplant survival rates.
    • Identifying complications and their frequency aids in developing better post-operative care protocols.
    • A 67% 2-year survival rate was observed, indicating the potential for long-term success with optimized treatment strategies.