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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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467

OPTN/SRTR 2021 Annual Data Report: Heart

Monica M Colvin1, Jodi M Smith2, Yoon Son Ahn3

  • 1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN; Department of Cardiology, University of Michigan, Ann Arbor, MI.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|May 3, 2023
PubMed

Insights

Recent heart transplantation policies and the COVID-19 pandemic impacted patient care. Despite challenges, adult heart transplant rates increased, and pretransplant mortality declined for all ages.

Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Public Health

Background:

  • The last five years presented significant challenges to heart transplantation.
  • The 2018 policy revision and the COVID-19 pandemic influenced practices and outcomes.

Purpose of the Study:

  • To analyze trends and impacts on heart transplantation over the past five years.
  • To evaluate the effects of policy changes and the pandemic on heart transplant candidates and recipients.

Main Methods:

  • Analysis of heart transplantation data from the past five years.
  • Comparison of transplant rates, waiting list dynamics, and mechanical circulatory support use.

Main Results:

  • Heart transplants increased overall in the US, but new candidates decreased during the pandemic.
  • Transplant rates declined in pediatric candidates, especially infants, but increased in adults.
  • Pretransplant mortality decreased for both pediatric and adult candidates.
  • Use of ventricular assist devices increased in pediatric recipients; short-term mechanical support increased in adults.

Conclusions:

  • Despite challenges, the field of heart transplantation shows resilience and advancement.
  • Policy adjustments and evolving support strategies are shaping current and future heart transplant outcomes.

Keywords:
Allocationdonorheart failureheart transplantleft ventricular assist devicemechanical circulatory supportoutcomes

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