Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Short term prognosis of patients with refractory heart failure and atrial fibrillation qualified for heart transplantation – POLKARD HF

M Sobieszczańska-Małek, T Zieliński, M Piotrowska, G Religa, A Browarek, J Różański, J Korewicki

Ann Transplant 2009; 14(1): 33-33 :: ID: 880316

Abstract

Background: Atrial fibrillation (AF) is the most common arrhythmia in patients (pts) with heart failure, which significantly influences survival. Aim of the study: to assess prognosis of pts with refractory heart failure (rHF) qualified for heart transplantation (HTX).
Material/Method: 872 pts (107 W and 765 M) were qualified for HTX between Jan 2003 and Nov 2007. The end points of the study were: death or HTX (UNOS 1), the end of observation: death or HTX. 680 pts were on sinus rhythm (SR) and 192 (22.0%) had atrial fibrillation (AF). During follow up (1-1601days, mean 461 days) 155 pts (17.7%) died, 17.6% with SR and 18.2% with AF (ns). EF - mean 21.6 (SR) and 21.8 (FA), NYHA 3.1 (SR), NTproBNP - mean 3635.4 (SR) and 4349.4 (FA), Arronson - mean 7.8 (SR) and 7.7 (FA). There were no significant differences between groups. We analyzed influence of heart rate (Kaplan-Maier method) on survival. The pts were divided according to HR: gr. I - <70/min, gr. II 71-89/min, gr. III >90/min. The shortest survival rate was noticed in group III. There was no difference in survival between group I and II.
Conclusions: Aatrial fibrillation was not a significant death risk factor among patients waiting for HTX. Heart rate >90/min connects with worse prognosis in patients waiting for HTX.

Keywords: Heart Transplantation

Comments

In Press

06 May 2022 : Original article  

Phosphatidylethanol (PEth) for Monitoring Sobriety in Liver Transplant Candidates: Preliminary Results of D...

Ann Transplant In Press; DOI: 10.12659/AOT.936293  

27 Apr 2022 : Review article  

A Systematic Review of the Literature on Chronic Kidney Disease Following Liver Transplantation

Ann Transplant In Press; DOI: 10.12659/AOT.935170  

Most Viewed Current Articles

31 Dec 1969 : Original article  

Efficacy and Safety of Tacrolimus-Based Maintenance Regimens in De Novo Kidney Transplant Recipients: A Sys...

DOI :10.12659/AOT.933588

Ann Transplant 2021; 26:e933588

31 Dec 1969 : Review article  

Recurrence of Hepatocellular Carcinoma After Liver Transplantation: Risk Factors and Predictive Models

DOI :10.12659/AOT.934924

Ann Transplant 2022; 27:e934924

31 Dec 1969 : Review article  

Kidney Transplantation in the Times of COVID-19 – A Literature Review

DOI :10.12659/AOT.925755

Ann Transplant 2020; 25:e925755

31 Dec 1969 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358