Short-Term Cardiac and Noncardiac Mortality Following Liver Transplantation. (18th July 2010)

• Record Type: Journal Article
• Authors: Eleid, Mackram F.; Hurst, R. Todd; Vargas, Hugo E.; Rakela, Jorge; Mulligan, David C.; Appleton, Christopher P.
• Other Names: Kuo Paul C. Academic Editor.
• Is Part Of: Journal of transplantation. Volume 2010(2010)
• Publication Date: 2010-07-18
• Subjects: Transplantation of organs, tissues, etc -- Periodicals; 617.95405
• DOI: 10.1155/2010/910165
• Languages: English
• ISSNs: 2090-0007

Abstract

Abstract : 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%).