EVALUATING THE EFFECTIVENESS OF TRANSPLANTATION CARE TO THE PATIENTS WITH END-STAGE HEART FAILURE IN SVERDLOVSK REGION

Aim of our clinical study was to analyze the waiting list and evaluate the results of heart transplantation in the center of transplantology in Sverdlovsk Regional Hospital № 1 in Ekaterinburg.Materials and methods. The article presents the results of selection of patients in the waiting list and th...

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Main Authors: N.F. Klimusheva, E.M. Idov, A.I. Iofin, A.L. Levit, I.Y. Serebryakov, Y.A. Zavershinsky, A.N. Bykov, A.A. Piontek
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2014-05-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/203
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Summary:Aim of our clinical study was to analyze the waiting list and evaluate the results of heart transplantation in the center of transplantology in Sverdlovsk Regional Hospital № 1 in Ekaterinburg.Materials and methods. The article presents the results of selection of patients in the waiting list and the 7-year results of prospective study, which included 27 heart transplantations for end-stage heart failure, performed in Sverdlovsk Regional Hospital № 1 in Ekaterinburg.Results. Survival rate was 78% (21 patients). Causes of death in the early postoperative period were: graft dysfunction, heart graft rejection, acute heart failure and cardiac arrhythmias. In the late postoperative period the most frequent complications were: graft rejection, septic complications and sick sinus syndrome. In a year after heart transplantation chronic heart failure (CHF), I functional class (NYHA), was diagnosed in 15 patients, 3 patients had CHF II functional class (NYHA) and 3 patients had no heart failure.Conclusion. Heart transplantation is an effective treatment for end-stage heart failure.
ISSN:1995-1191