Cytomegalovirus infection in heart transplant recipients: Epidemiology, risk factors, and long-term outcomes from a major transplant center in the United States

Bisono-Garcia, Bismarck S.; Yetmar, Zachary A.; Nair, Vaisak; Brumble, Lisa; Vikram, Holenarasipur R.; Razonable, Raymund R.; Beam, Elena

doi:10.1016/j.jhlto.2023.100047

JHLT Open

2024

DOI: 10.1016/j.jhlto.2023.100047

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Cytomegalovirus infection in heart transplant recipients: Epidemiology, risk factors, and long-term outcomes from a major transplant center in the United States

Bismarck S. Bisono-Garcia,

Zachary A. Yetmar,

Vaisak Nair

et al.

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2024

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Cited by 1 publication

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Preparing the Heart for a New Baby: Management of Pregnancy in Heart Transplant Recipients

Hussien,

Lorente-Ros,

Lam

et al. 2024

Cardiology in Review

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Heart transplant (HT) recipients are more frequently reaching childbearing age given improvement in median survival and outcomes after HT. Although most pregnancies in HT recipients have favorable outcomes, poor fetal outcomes and maternal complications such as hypertensive disorders of pregnancy are more common in HT recipients than in the general population. In this review, we summarize the current evidence to guide the management of pregnancy in HT recipients. Preconception counseling, focused on risk stratification and optimal timing of conception, is the first important step to optimize pregnancy outcomes. During pregnancy and in the postpartum period, frequent monitoring of graft function and immunosuppressive levels is recommended. Calcineurin inhibitors and corticosteroids should be the mainstay of treatment for both prevention and treatment of graft rejection. Delivery planning should follow usual obstetric indications, preferably with vaginal delivery at term using regional anesthesia. A multidisciplinary care team should be involved in management through all stages of pregnancy to ensure success.

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Preparing the Heart for a New Baby: Management of Pregnancy in Heart Transplant Recipients

Hussien,

Lorente-Ros,

Lam

et al. 2024

Cardiology in Review

View full text Add to dashboard Cite

show abstract

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Cytomegalovirus infection in heart transplant recipients: Epidemiology, risk factors, and long-term outcomes from a major transplant center in the United States

Cited by 1 publication

References 38 publications

Preparing the Heart for a New Baby: Management of Pregnancy in Heart Transplant Recipients

Preparing the Heart for a New Baby: Management of Pregnancy in Heart Transplant Recipients

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