Sunday, March 31, 2019

Heart transplant in PPCM

Q: Patients who develop Peri-Partum Cardiomyopathy (PPCM) and receive heart transplant, have? (select one)

A) Better outcome
B) Worse outcome


Answer: B

Unfortunately, patients with PPCM do not fare well in comparison to other groups of cardiomyopathy. Data showed them to have worse long-term survival. They have a higher rate of rejection, poorer graft survival, and a higher need for retransplantation. Interestingly younger patients do worse. Some of the postulated reasons are higher allosensitization and higher pretransplant acuity.


#transplantation

#cardiology
#OB-Gyn



Reference:



Rasmusson K, Brunisholz K, Budge D, et al. Peripartum cardiomyopathy: post-transplant outcomes from the United Network for Organ Sharing Database. J Heart Lung Transplant 2012; 31:180.

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