EVALUATING THE EFFECTIVENESS OF TRANSPLANTATION CARE TO THE PATIENTS WITH END-STAGE HEART FAILURE IN SVERDLOVSK REGION
https://doi.org/10.15825/1995-1191-2014-2-60-65
Abstract
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.
About the Authors
N.F. Klimusheva
State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
E.M. Idov
Sverdlovsk Regional Center of M.V. Savichevsky «Heart and vessels», State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
A.I. Iofin
Cardiology department, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
A.L. Levit
Intensive care unit, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital
№ 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
I.Y. Serebryakov
Organ donation department, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
Y.A. Zavershinsky
Surgical treatment of acquired heart defects department, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
A.N. Bykov
Cardiology department, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital № 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
A.A. Piontek
Intensive care unit, State budget health care of Sverdlovsk region «Sverdlovsk Regional Clinical Hospital
№ 1», Ekaterinburg, Russian Federation
Russian Federation
Russian Federation
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Review
For citations:
Klimusheva N., Idov E., Iofin A., Levit A., Serebryakov I., Zavershinsky Y., Bykov A., Piontek A. EVALUATING THE EFFECTIVENESS OF TRANSPLANTATION CARE TO THE PATIENTS WITH END-STAGE HEART FAILURE IN SVERDLOVSK REGION. Russian Journal of Transplantology and Artificial Organs. 2014;16(2):60-65. (In Russ.) https://doi.org/10.15825/1995-1191-2014-2-60-65
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