Heart transplantation in diabetic recipients: a decade review of 161 patients at columbia presbyterian

Abstract

These results demonstrate similar short-term and long-term survivals, as well as similar risks for infection and transplant coronary artery disease, in diabetic and nondiabetic patients undergoing cardiac transplantation. The trend toward worse survival in the diabetic cohort, however, raises the possibility that if a greater number of diabetic patients were evaluated, a significant difference in survival might be observed, suggesting the need for a multicenter analysis to validate these outcomes.

Heart failure in sub-Saharan Africa: A literature review with emphasis on individuals with diabetes

“…For example, the presence of diabetes complications in the past has limited this approach in people with diabetes. Few data are available to suggest that long-term survival in people with diabetes and diabetes related complications compare to that among their counterparts without complications (Morgan et al 2004; Felker et al 2005; Ikeda et al 2007). However, post transplant follow-up face with important diabetogenic effects of classical immunosuppressive drugs.…”

Improved Survival After Heart Transplantation in Patients With Bridge to Transplant in the Recent Era: A 17-year Single-center Experience

“…Previous studies have attempted to describe post-transplant morbidity and mortality in DM patients. [17][18][19][20] Russo and colleagues 19 recently reviewed a large series of 20,412 first-time heart transplant recipients between 1995 and 2005 from UNOS data and reported worse post-transplant survival in diabetic recipients, as compared with non-diabetics. However, they also suggested, when stratified by disease severity, recipients with less severe diabetes had significantly better post-transplant survival than those with more severe diabetes, and had survival rates comparable to those of non-diabetic recipients.…”

Effect of Diabetes on Short- and Long-term Outcomes After Left Ventricular Assist Device Implantation

“…Our recently reported experience of 161 diabetic patients, transplanted from January 1992 through June 2002, demonstrated similar outcomes between DM and NDM patients with regard to rejection, infection and the development of TRCAD. 9 Long-term survival was also comparable between DM and NDM patients, although there was a trend toward decreased survival in DM patients, with a log-rank p ϭ 0.168. We believe the lack of concordance in the literature regarding long-term outcomes of DM patients warrants a multi-institutional analysis to validate outcomes and to determine predictors of success in the DM transplant population.…”