Clinical outcomes after cardiac transplantation in muscular dystrophy patients
Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation. This was a retrospective review of the Cardiac Transplant Research Database, a...
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| Published in | The Journal of heart and lung transplantation Vol. 29; no. 4; pp. 432 - 438 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.04.2010
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1053-2498 1557-3117 1557-3117 |
| DOI | 10.1016/j.healun.2009.08.030 |
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| Abstract | Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation.
This was a retrospective review of the Cardiac Transplant Research Database, a multi-institutional registry of 29 transplant centers in the United States, from the years 1990 to 2005. The post-cardiac transplant outcomes of 29 patients with muscular dystrophy were compared with 275 non-muscular dystrophy patients with non-ischemic cardiomyopathy, matched for age, body mass index, gender, and race.
Becker's muscular dystrophy was present in 52% of the patients. Survival in the muscular dystrophy patients was similar to the controls at 1 year (89% vs 91%; p = 0.5) and at 5 years (83% vs 78%; p = 0.5). The differences in rates of cumulative infection, rejection, or allograft vasculopathy between the 2 groups were not significant (p > 0.5 for all comparisons).
Recognizing the limitations of the present investigation (ie, selection bias and data lacking in the functional capacity of the muscular dystrophy patients), the current study suggests that the clinical outcomes after cardiac transplantation in selected patients with muscular dystrophy are similar to those seen in age-matched patients with non-ischemic cardiomyopathy. |
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| AbstractList | Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation.BACKGROUNDPatients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation.This was a retrospective review of the Cardiac Transplant Research Database, a multi-institutional registry of 29 transplant centers in the United States, from the years 1990 to 2005. The post-cardiac transplant outcomes of 29 patients with muscular dystrophy were compared with 275 non-muscular dystrophy patients with non-ischemic cardiomyopathy, matched for age, body mass index, gender, and race.METHODSThis was a retrospective review of the Cardiac Transplant Research Database, a multi-institutional registry of 29 transplant centers in the United States, from the years 1990 to 2005. The post-cardiac transplant outcomes of 29 patients with muscular dystrophy were compared with 275 non-muscular dystrophy patients with non-ischemic cardiomyopathy, matched for age, body mass index, gender, and race.Becker's muscular dystrophy was present in 52% of the patients. Survival in the muscular dystrophy patients was similar to the controls at 1 year (89% vs 91%; p = 0.5) and at 5 years (83% vs 78%; p = 0.5). The differences in rates of cumulative infection, rejection, or allograft vasculopathy between the 2 groups were not significant (p > 0.5 for all comparisons).RESULTSBecker's muscular dystrophy was present in 52% of the patients. Survival in the muscular dystrophy patients was similar to the controls at 1 year (89% vs 91%; p = 0.5) and at 5 years (83% vs 78%; p = 0.5). The differences in rates of cumulative infection, rejection, or allograft vasculopathy between the 2 groups were not significant (p > 0.5 for all comparisons).Recognizing the limitations of the present investigation (ie, selection bias and data lacking in the functional capacity of the muscular dystrophy patients), the current study suggests that the clinical outcomes after cardiac transplantation in selected patients with muscular dystrophy are similar to those seen in age-matched patients with non-ischemic cardiomyopathy.CONCLUSIONSRecognizing the limitations of the present investigation (ie, selection bias and data lacking in the functional capacity of the muscular dystrophy patients), the current study suggests that the clinical outcomes after cardiac transplantation in selected patients with muscular dystrophy are similar to those seen in age-matched patients with non-ischemic cardiomyopathy. Background Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation. Methods This was a retrospective review of the Cardiac Transplant Research Database, a multi-institutional registry of 29 transplant centers in the United States, from the years 1990 to 2005. The post-cardiac transplant outcomes of 29 patients with muscular dystrophy were compared with 275 non-muscular dystrophy patients with non-ischemic cardiomyopathy, matched for age, body mass index, gender, and race. Results Becker's muscular dystrophy was present in 52% of the patients. Survival in the muscular dystrophy patients was similar to the controls at 1 year (89% vs 91%; p = 0.5) and at 5 years (83% vs 78%; p = 0.5). The differences in rates of cumulative infection, rejection, or allograft vasculopathy between the 2 groups were not significant ( p > 0.5 for all comparisons). Conclusions Recognizing the limitations of the present investigation (ie, selection bias and data lacking in the functional capacity of the muscular dystrophy patients), the current study suggests that the clinical outcomes after cardiac transplantation in selected patients with muscular dystrophy are similar to those seen in age-matched patients with non-ischemic cardiomyopathy. Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known whether such patients can safely undergo cardiac transplantation. This was a retrospective review of the Cardiac Transplant Research Database, a multi-institutional registry of 29 transplant centers in the United States, from the years 1990 to 2005. The post-cardiac transplant outcomes of 29 patients with muscular dystrophy were compared with 275 non-muscular dystrophy patients with non-ischemic cardiomyopathy, matched for age, body mass index, gender, and race. Becker's muscular dystrophy was present in 52% of the patients. Survival in the muscular dystrophy patients was similar to the controls at 1 year (89% vs 91%; p = 0.5) and at 5 years (83% vs 78%; p = 0.5). The differences in rates of cumulative infection, rejection, or allograft vasculopathy between the 2 groups were not significant (p > 0.5 for all comparisons). Recognizing the limitations of the present investigation (ie, selection bias and data lacking in the functional capacity of the muscular dystrophy patients), the current study suggests that the clinical outcomes after cardiac transplantation in selected patients with muscular dystrophy are similar to those seen in age-matched patients with non-ischemic cardiomyopathy. |
| Author | Kaiser, Patricia Garry, Daniel J. Patel, Parag C. Wu, Roland S. Markham, David W. Gupta, Sachin Yancy, Clyde W. Wald, Joyce W. Drazner, Mark H. Brown, Robert N. Kirklin, Nicole M. Mammen, Pradeep P.A. |
| Author_xml | – sequence: 1 givenname: Roland S. surname: Wu fullname: Wu, Roland S. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 2 givenname: Sachin surname: Gupta fullname: Gupta, Sachin organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 3 givenname: Robert N. surname: Brown fullname: Brown, Robert N. organization: Cardiac Transplant Research Database, University of Alabama at Birmingham – sequence: 4 givenname: Clyde W. surname: Yancy fullname: Yancy, Clyde W. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 5 givenname: Joyce W. surname: Wald fullname: Wald, Joyce W. organization: Department of Internal Medicine, Temple University – sequence: 6 givenname: Patricia surname: Kaiser fullname: Kaiser, Patricia organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 7 givenname: Nicole M. surname: Kirklin fullname: Kirklin, Nicole M. organization: Cardiac Transplant Research Database, University of Alabama at Birmingham – sequence: 8 givenname: Parag C. surname: Patel fullname: Patel, Parag C. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 9 givenname: David W. surname: Markham fullname: Markham, David W. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 10 givenname: Mark H. surname: Drazner fullname: Drazner, Mark H. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 11 givenname: Daniel J. surname: Garry fullname: Garry, Daniel J. organization: Department of Internal Medicine, University of Texas Southwestern Medical Center – sequence: 12 givenname: Pradeep P.A. surname: Mammen fullname: Mammen, Pradeep P.A. email: pradeep.mammen@utsouthwestern.edu organization: Department of Internal Medicine, University of Texas Southwestern Medical Center |
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| Keywords | muscular dystrophy cardiomyopathy retrospective study outcome data transplantation Heart Nervous system diseases Neuromuscular diseases Prognosis Cardiovascular disease Transplantation Homotransplantation Phlebology Muscular dystrophy Genetic disease Treatment Surgery Graft Circulatory system Cardiology |
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| Snippet | Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is not known... Background Patients with muscular dystrophy are at risk of developing a dilated cardiomyopathy and can progress to advanced heart failure. At present, it is... |
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| SubjectTerms | Adult Biological and medical sciences Cardiology. Vascular system cardiomyopathy Cardiomyopathy, Dilated - etiology Cardiomyopathy, Dilated - mortality Cardiomyopathy, Dilated - surgery Case-Control Studies Disease Progression Diseases of striated muscles. Neuromuscular diseases Female Graft Rejection Heart Transplantation Humans Male Medical sciences Middle Aged muscular dystrophy Muscular Dystrophy, Duchenne - complications Neurology outcome data Retrospective Studies retrospective study Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Survival Rate transplantation Treatment Outcome United States |
| Title | Clinical outcomes after cardiac transplantation in muscular dystrophy patients |
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