Cardiac transplantation. University of Miami/Jackson Memorial hospital experience.
Cardiac transplantation at the University of Miami/Jackson Memorial Medical Center began in November 1986. Up to April 1993, 220 potential recipients were evaluated and 84 accepted. Sixty-three patients received transplants while 14 died awaiting a donor heart. Within six years, the average recipient age has increased from 40 to 59 years. The overall one, two, and five-year survival rates (including operative deaths) are 89.5%, 82%, and 76%, respectively. Postoperative complications and mortality were related to infection or rejection frequently encountered within the first 28 months; thereafter the actuarial survival curve showed minimal decay and the complication rate declined. One or more hospital readmissions were needed in 38 of 57 (67%) survivors. Among the 50 long-term survivors, 42% are working and 84% are in New York Heart Association functional Class I.
Norberg
D
D
Division of Cardiology, University of Miami School of Medicine/Jackson Memorial Medical Center.
de Marchena
E
E
Mitrani
A
A
Bolooki
H
H
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D002648:Child; D005431:Florida / Q000453:epidemiology; D006084:Graft Rejection / Q000453:epidemiology; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects / Q000191:economics / Q000401:mortality / Q000706:statistics & numerical data*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008875:Middle Aged; D015996:Survival Rate; D014019:Tissue Donors; D016896:Treatment Outcome
D007166:Immunosuppressive Agents