Norberg D, de Marchena E, Mitrani A, Bolooki H
Division of Cardiology, University of Miami School of Medicine/Jackson Memorial Medical Center.
J Fla Med Assoc. 1994 Jun;81(6):414-7.
Cardiac transplantation at the University of Miami/Jackson Memorial Medical Center began in November 1986. Up to April 1993, 220 potential recipients were evaluated and 84 accepted. Sixty-three patients received transplants while 14 died awaiting a donor heart. Within six years, the average recipient age has increased from 40 to 59 years. The overall one, two, and five-year survival rates (including operative deaths) are 89.5%, 82%, and 76%, respectively. Postoperative complications and mortality were related to infection or rejection frequently encountered within the first 28 months; thereafter the actuarial survival curve showed minimal decay and the complication rate declined. One or more hospital readmissions were needed in 38 of 57 (67%) survivors. Among the 50 long-term survivors, 42% are working and 84% are in New York Heart Association functional Class I.
迈阿密大学/杰克逊纪念医疗中心的心脏移植始于1986年11月。截至1993年4月，对220名潜在受者进行了评估，其中84人被接受。63名患者接受了移植，14人在等待供体心脏时死亡。在六年内，受者的平均年龄从40岁增加到了59岁。总体的一年、两年和五年生存率（包括手术死亡）分别为89.5%、82%和76%。术后并发症和死亡率与术后28个月内经常出现的感染或排斥反应有关；此后，精算生存曲线显示下降极小，并发症发生率也有所下降。57名幸存者中有38人（67%）需要再次入院治疗。在50名长期幸存者中，42%仍在工作，84%属于纽约心脏协会心功能I级。
