Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation
Objectives. To determine the importance of acute cardiac events as a cause of mortality compared to non-cardiac events in the four month period following liver transplantation (LT) using current preoperative cardiac screening strategies. Patients and Methods. We retrospectively reviewed timing, typ...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2010/910165 |
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| author | Mackram F. Eleid R. Todd Hurst Hugo E. Vargas Jorge Rakela David C. Mulligan Christopher P. Appleton |
| author_facet | Mackram F. Eleid R. Todd Hurst Hugo E. Vargas Jorge Rakela David C. Mulligan Christopher P. Appleton |
| author_sort | Mackram F. Eleid |
| collection | DOAJ |
| description | Objectives. To determine the importance of acute cardiac events as a cause of mortality compared to non-cardiac events in the four month period following liver transplantation (LT) using current preoperative cardiac screening strategies.
Patients and Methods. We retrospectively reviewed timing, type, and outcome of adverse cardiac events, and all cause mortality in the 4 month postoperative period in 393 consecutive LT patients from October 1999 to February 2008.
Results. Of 30 total deaths (7.6% overall mortality rate), 27 (90%) were due to surgical or medical complications and 3 (10%) were primary cardiac deaths (0.8% cardiac mortality rate). Acute cardiac events occurred in 26 patients (6.6%), including 13 arrhythmias (50%), 7 new onset heart failures (27%), and 6 myocardial infarctions (23%). Twelve of 13 intraoperative events were arrhythmias (92%) including two of three cardiac deaths.
Conclusions. Using current preoperative screening recommendations, deaths from primary cardiac events within four months of LT are very uncommon (0.8%), especially compared with deaths related to medical and surgical complications (6.9%). |
| format | Article |
| id | doaj-art-a99d010399334861ade9530ae0274a1e |
| institution | Kabale University |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-a99d010399334861ade9530ae0274a1e2025-02-03T01:23:58ZengWileyJournal of Transplantation2090-00072090-00152010-01-01201010.1155/2010/910165910165Short-Term Cardiac and Noncardiac Mortality Following Liver TransplantationMackram F. Eleid0R. Todd Hurst1Hugo E. Vargas2Jorge Rakela3David C. Mulligan4Christopher P. Appleton5Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USADivision of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USADivision of Hepatology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USADivision of Hepatology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USADivision of Transplant Surgery, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USADivision of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85259, USAObjectives. To determine the importance of acute cardiac events as a cause of mortality compared to non-cardiac events in the four month period following liver transplantation (LT) using current preoperative cardiac screening strategies. Patients and Methods. We retrospectively reviewed timing, type, and outcome of adverse cardiac events, and all cause mortality in the 4 month postoperative period in 393 consecutive LT patients from October 1999 to February 2008. Results. Of 30 total deaths (7.6% overall mortality rate), 27 (90%) were due to surgical or medical complications and 3 (10%) were primary cardiac deaths (0.8% cardiac mortality rate). Acute cardiac events occurred in 26 patients (6.6%), including 13 arrhythmias (50%), 7 new onset heart failures (27%), and 6 myocardial infarctions (23%). Twelve of 13 intraoperative events were arrhythmias (92%) including two of three cardiac deaths. Conclusions. Using current preoperative screening recommendations, deaths from primary cardiac events within four months of LT are very uncommon (0.8%), especially compared with deaths related to medical and surgical complications (6.9%).http://dx.doi.org/10.1155/2010/910165 |
| spellingShingle | Mackram F. Eleid R. Todd Hurst Hugo E. Vargas Jorge Rakela David C. Mulligan Christopher P. Appleton Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation Journal of Transplantation |
| title | Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation |
| title_full | Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation |
| title_fullStr | Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation |
| title_full_unstemmed | Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation |
| title_short | Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation |
| title_sort | short term cardiac and noncardiac mortality following liver transplantation |
| url | http://dx.doi.org/10.1155/2010/910165 |
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