Impacto da variabilidade de peso na estabilidade metabólica dos pacientes transplantados cardíacos no Ceará

Carlos, Daniele Maria de Oliveira; França, Francisco Clineu Queiroz; Neto, João David de Sousa; Silva, Carlos Antônio Bruno da

doi:10.1590/s0066-782x2008000400010

Cited by 7 publications

(21 citation statements)

References 12 publications

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“…The life expectancy of heart transplant patients has improved considerably, due to the very favorable results of cardiac Tx in recent years, with current survival rate of 80%, 70% and 60% at one, five and ten years, respectively [18]. This study corroborates this estimate, once found the value of 70.8% survival after approximately four years of cardiac Tx.…”

Section: Discussionsupporting

confidence: 80%

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

Mont’Alverne¹,

Galdino²,

Pinheiro³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objective: To evaluate patient with cardiomyopathy's progress after cardiac transplant, by analyzing his survival, complications and cardiovascular responses after nearly four years of surgery.Methods: The survey was conducted from February to May 2011, with patients undergoing cardiac transplantation at Dr. Carlos Alberto Studart Gomes Hospital -Messejana Hospital (HDM). The sample consisted of all transplanted patients in 2007 in this hospital. Initially an evaluation form developed by the researchers, which was based on collected data from patients' medical records, was applied, about trans and postoperative period. After collecting these informations, patients underwent the six-minute walk test (6WT). The marks found in walking distance were compared with reference marks expected for this population by using Enright and Sherrill's equation.Results: From all the 24 patients who underwent cardiac transplantation in HDM in 2007, 14 were evaluated and 10 were excluded. Regarding the complications, in the transoperatory period, the most evident was the right ventricular dysfunction (64.3%) and tachycardia (64.3%) was more evident on the postoperative period. Analyzing the 6WT it was observed a decrease of 11.6% in walking distance when compared with the estimated distance (486 ± 55 m, 550 ± 59 m, respectively).Conclusion: Survival of heart transplant patients was equivalent to about 70%. The results of this study before the 6WT showed that patients' cardiovascular responses are below the estimated, nevertheless within the normal range established.Descriptors: Cardiomyopathies. Cardiomyopathy, dilated. Heart transplantation. Walking. 563Rev Bras Cir Cardiovasc 2012;27(4) :562-9 Mont'Alverne DGB, et al. -Clinical and functional capacity of patients with dilated cardiomyopathy after four years

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Section: Discussionsupporting

confidence: 80%

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

Mont’Alverne¹,

Galdino²,

Pinheiro³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…In addition, transplant patients face late complications, such as hypertension, dyslipidemia, diabetes mellitus, among others 12 . Rejections, infections and the obstruction of coronary arteries, which causes heart attack 13 , are the main causes of death among these patients.…”

Section: Discussionmentioning

confidence: 99%

Qualidade de vida de pacientes submetidos ao transplante cardíaco: aplicação da escala Whoqol-Bref

Aguiar¹,

Farias²,

Pinheiro³

et al. 2011

Arq. Bras. Cardiol.

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“…For example, among 82 Brazilian HTRs, 38% of pretransplanted patients were already overweight/ obese (body mass index [BMI] ≥25 kg/m 2 ), and this proportion increased to 53% by 12 months posttransplant. 7 Among 3,540 US HTRs, 54% were overweight/obese at the time of transplantation, further increasing to 74% at 12 months posttransplantation. 8 The first 12 months following transplantation is critical as excessive weight gain during this period influences transplant outcomes such as graft rejection.…”

mentioning

confidence: 99%

“…11 Similarly, among 89 Swiss HTRs, BMI increased from mean 25.3 kg/m 2 at transplantation to 26.2 kg/m 2 24 months posttransplant, 12 whereas Brazilian HTRs' mean BMI increase was much greater in the same period: from 23.8 kg/m 2 pretransplantation to 26.7 kg/m 2 following 24 months transplantation. 7 Such findings suggest that the extent of weight gain in HTRs may be greater in countries with a high prevalence of overweight and obesity in the general population. 13,14 The tendency to increase weight appears to continue after 12 months up to 5 years posttransplantation, with cardiometabolic markers such as blood glucose and total cholesterol increasing in parallel.…”

mentioning

confidence: 99%

“…13,14 The tendency to increase weight appears to continue after 12 months up to 5 years posttransplantation, with cardiometabolic markers such as blood glucose and total cholesterol increasing in parallel. 7 While some gain in weight in HTRs posttransplant has been documented, no one has sought to review the relevant literature to quantify the extent of the weight gain. Further, no previous studies have explored the differences in weight gain between countries.…”

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confidence: 99%

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Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

Miura

Sivapalan

et al. 2021

ASAIO Journal

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Gain in weight is common after heart transplantation but the magnitude of usual weight gain and whether this varies by country is unknown. We systematically reviewed all relevant studies to quantify weight change among heart transplant recipients (HTRs) in the years after transplantation and assess variation with geographic location. We searched PubMed, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medica Database databases to September 2020. Eligible studies reported adult HTRs’ mean/median weight and/or body mass index (BMI) up to time of transplantation (baseline) and posttransplantation in any language. Weighted mean differences (WMDs) (95% confidence intervals [CIs]) of weight/BMI from baseline to posttransplantation were estimated using a random-effects model. Ten studies met the inclusion criteria. Pooled analysis showed weight gain of 7.1 kg (95% CI, 4.4–9.8 kg) in HTRs 12 months posttransplant, with corresponding BMI increase of 1.69 kg/m2 (95% CI, 0.83–2.55 kg/m2). Greatest weight gain at 12 months posttransplant occurred in US HTRs (WMD weight 10.42 kg, BMI 3.25 kg/m2) and least, in European HTRs (WMD weight 3.10 kg, BMI 0.78 kg/m2). In conclusion, HTRs gain substantial weight in the years after transplantation, but varying widely by geographic location.

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Impacto da variabilidade de peso na estabilidade metabólica dos pacientes transplantados cardíacos no Ceará

Abstract: SummaryBackground: Weight changes frequently occur after cardiac transplantation (CT) and increase the risk of secondary diseases.

Cited by 7 publications

References 12 publications

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

Clinical and functional capacity of patients with dilated cardiomyopathy after four years of transplantation

Qualidade de vida de pacientes submetidos ao transplante cardíaco: aplicação da escala Whoqol-Bref

Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

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