PMID: 7015814Jun 1, 1981Paper

Patients with congestive cardiomyopathy as cardiac transplant recipients. Indications for and results of cardiac transplantation and comparison with patients with coronary artery disease

The American Journal of Cardiology
L A HassellE B Stinson

Abstract

In recent years end-stage congestive cardiomyopathy has become an increasingly frequent clinical diagnosis in candidates for cardiac transplantation. Forty-six patients who underwent transplantation because of congestive cardiomyopathy and 59 because of coronary artery disease were studied between 1971 and 1978 at Stanford University. The overall 1 year survival rate was similar in the two groups: cardiomyopathy-transplant, 64 percent and coronary artery disease-transplant, 55 percent. The survival rate has improved substantially for both groups within the last decade: The 3 year survival rate for cardiomyopathy-transplant patients undergoing cardiac transplantation since 1974 is nearly 60 percent. In contrast, 36 similarly ill patients with cardiomyopathy not undergoing transplantation had a 1 year survival rate of 23 percent and a 3 year survival rate of 4 percent (p less than 0.001). Survival rates in the cardiomyopathy-transplant group were unaffected by age (greater or less than 40 years). Patients in this group under age 40 had a lower frequency of infection (1 per 313 patient-days versus 1 per 195 patient-days in the older group, p less than 0.05) and a significantly longer interval to second rejection episodes (p less t...Continue Reading

References

Jan 13, 1979·British Medical Journal·S W JamiesonN E Shumway

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Citations

Jan 1, 1988·Journal of the American College of Cardiology·M L GriffinA W Strauss
May 1, 1988·Journal of the American College of Cardiology·J K KirklinR B Karp
Oct 21, 1982·The New England Journal of Medicine·R A Johnson, I Palacios
Jan 1, 1984·Scandinavian Journal of Thoracic and Cardiovascular Surgery·R G SamuelssonJ S Schroeder
Apr 1, 1986·Postgraduate Medicine·J E Orie, A J Liedtke

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