1
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Kyriakopoulos C, Horne B, Sideris K, Taleb I, Griffin R, Sheffield E, Alharethi R, Hanff T, Stehlik J, Selzman C, Drakos S. Left Ventricular Functional Improvement is Associated with Lower Rates of Device Thrombosis in Patients on Durable Mechanical Circulatory Support. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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2
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Anderson M, Chavez M, Dickey J, Selzman C, Fang J, Drakos S, Stehlik J, Hanff T. Pre-Transplant Waitlist Mortality Not Associated with Severity of Shock Hemodynamics. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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3
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Grady K, Burns J, Teuteberg J, Allen L, Beiser D, Lindenfeld J, Yancy C, Cella D, Kirklin J, Denfeld Q, Ruo B, McIlvennan C, Walsh M, Adler E, Klein L, Murks C, Pham D, Rich J, Stehlik J, Kiernan M, Hahn E. New Ventricular Assist Device-Specific Self-Report Measures are Important for Understanding Health-Related Quality of Life: Findings from the MCS A-QOL Study. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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4
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Kyriakopoulos C, Taleb I, Wever-Pinzon O, Selzman C, Bonios M, Dranow E, Wever-Pinzon J, Yin M, Tseliou E, Stehlik J, Alharethi R, Kfoury A, Hanff T, Fang J, Koliopoulou A, Sideris K, Krauspe E, Nelson M, Elmer A, Singh R, Psotka M, Birks E, Slaughter M, Koenig S, Kyvernitakis A, Hoffman K, Guglin M, Kotter J, Campbell K, Silvestry S, Vidic A, Raval N, Mehra M, Cowger J, Kanwar M, Shah P, Drakos S. Multicenter Development and Validation of a Machine Learning Model to Predict Myocardial Recovery During LVAD Support: The UCAR Score. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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5
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Kapelios C, Tseliou E, Alharethi R, Shah K, Hanff T, Kyriakopoulos C, Sideris K, Taleb I, Stehlik J, Carter S, Kfoury A, Caine W, Selzman C, Fang J, Wever-Pinzon O, Drakos S. Impaired Liver Function is Associated with Hypotension and Elevated Right Atrial Pressure but Not Depressed Cardiac Index in Chronic Heart Failure. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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6
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Patel S, Knierim J, Goldstein D, Lamba H, Sun B, Schmitto J, Lowes B, Shah P, Kanwar M, Wald J, Ravichandran A, MacGowan G, Ton V, Silvestry S, Sera F, Farooq M, Jorde U, Stehlik J, Selzman C, Potapov E, Drakos S. Long-Term Clinical Trajectory after Durable Lvad Weaning: An International Registry Report. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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7
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May L, Cabrera A, Wilkes J, Ou Z, Stehlik J, Keenan H. Regional Incidence of Pediatric Heart Failure, Cohort Characteristics, and Outcomes. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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8
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Foroutan F, Guyatt G, Stehlik J, Gustafsson F, Greig D, McDonald M, Bertolotti A, Kugathasan L, Rayner D, Cook A, Zlatanoski D, Ram S, Demas-Clarke P, Kozuszko S, Alba A. Use of Induction Therapy Post Heart Transplantation - Clinical Practice Recommendations Based on Systematic Review and Network Meta-Analysis of Evidence. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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9
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Stehlik J, Schroder J, Pinney S, Patel C, D'Alessandro D, Goldstein D, Jorde U, Patel S, Mani D, Esmailian F, Kobashigawa J, Takeda K, Uriel N, Pham S, Patel P, Kai M, Sun B, Shah A, Ono M, Couper G, DeNofrio D, Vest A, Joyce D, DeVore A, Mallidi H, Itoh A, Mehra M, Givertz M, Milano C, Farr M. First Report of the Transmedics Organ Care System Heart Perfusion Registry. A Multi-Institutional Outcomes Analysis. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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10
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Chavez M, Anderson M, Dickey J, Selzman C, Drakos S, Stehlik J, Hanff T. Impact of Blood Group on Status 2 vs Status 3 Heart Transplant Listing in the U.S. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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11
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Kyriakopoulos C, Giannouchos T, Mylavarapu R, Krauspe E, Sheffield E, Sideris K, Elmer A, Vance N, Carter S, Hanff T, Wever-Pinzon O, Stehlik J, Selzman C, Drakos S, Goodwin M. Hospital Readmissions in Patients Supported with Durable Centrifugal-Flow Left Ventricular Assist Devices. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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12
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Dickey J, Anderson M, Chavez M, Selzman C, Tseliou E, Kapelios C, Fang J, Drakos S, Stehlik J, Hanff T. Impact of Intra-Aortic Balloon Pumps on Cardiogenic Shock Survival Pre-Transplant: A Propensity Score Stratified Analysis. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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13
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Roest S, Gürgöze M, Cherikh W, Stehlik J, Boersma E, Zijlstra F, Manintveld O. Influence of Chronic Kidney Disease and Other Risk Factors Pre-Heart Transplantation on Malignancy Incidence Post-Heart Transplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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14
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Milano C, Schroder J, Farr M, DeVore A, D'Alessandro D, Goldstein D, Jorde U, Patel S, Daneshmand M, Pinney S, Esmailian F, Kobashigawa J, Takeda K, Uriel N, Pham S, Patel P, Kai M, Sun B, Shah A, Ono M, Couper G, DeNofrio D, Vest A, Joyce D, Mallidi H, Itoh A, Mehra M, Givertz M, Patel C, Stehlik J. Demographics and Outcomes of Clinical Trial vs Initial Post-Approval Use of Transmedics Organ Care System Heart. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Bhagra CJ, Cherikh WS, De Filippis EM, Ross H, Stehlik J, Macera F. Impact of co-morbidities on survival after heart transplant in females of childbearing age: analysis of the International Society for Heart and Lung Transplantation (ISHLT) Registry. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Data on life expectancy specific to female heart transplant (HT) recipients of reproductive age are lacking, but are needed to inform shared decision making at the time of pre-conception counseling. We analyzed the ISHLT registry for post-transplant survival and studied the impact of co-morbidities in women of childbearing age.
Methods
Female HT recipients reported to the ISHLT registry who were aged 15–45 yrs at time of HT were included in this retrospective analysis. Primary outcome was post-transplant survival. Secondary outcomes included the impact of co-morbidities on conditional survival at 5, 10 and 15 years.
Results
Of 121,501 HT recipients (Jan 1992–June 2018), 30,179 (24.8%) were women. 9,229 (7.6%) were 15–45 yrs at time of HT. Overall median post-transplant survival was 15.2 yrs. Diabetes mellitus (DM) and/or severe chronic kidney disease (CKD) at HT adversely impacted long-term survival (Figure 1). Co-morbidities including cardiac allograft vasculopathy (CAV), DM and CKD negatively impacted 5yr and 10yr conditional survival, individually as well as a combination (Figure 2). 15yr conditional survival confirmed the negative impact of DM and CKD, while CAV did not reach statistical significance.
Conclusion
Female HT recipients of childbearing age have favorable survival post-HT. Conditional survival at 5 and 10 yrs is negatively impacted by CAV, DM and CKD. The quantification of survival outcomes after heart transplant in women of childbearing age may improve counseling as part of pre-conception informed decision making.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- C J Bhagra
- Cambridge University Hospitals NHS Foundation Trust , Cambridge , United Kingdom
| | - W S Cherikh
- United Network for Organ Sharing, UNOS , Richmond , United States of America
| | - E M De Filippis
- Columbia University Medical Center , New York , United States of America
| | - H Ross
- Peter Munk Cardiac Centre, Ted Rogers Centre for Heart Research , Toronto , Canada
| | - J Stehlik
- University of Utah, Division of Cardiovascular Medicine , Salt Lake City , United States of America
| | - F Macera
- Erasme Hospital (ULB) , Brussels , Belgium
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Macera F, Cherikh WS, De Filippis EM, Ross H, Stehlik J, Bhagra CJ. Impact of primary diagnosis on survival after heart transplant in female recipients of childbearing age: an analysis of the International Society for Heart and Lung Transplantation (ISHLT) Registry. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Women undergoing heart transplantation (HT) for peripartum cardiomyopathy (PPCM) have been reported to have inferior post-transplant survival. Specific data on the impact of pre-transplant diagnosis on survival in female HT recipients of childbearing age are lacking, but important for pre-conception counseling of women considering a pregnancy.
Methods
Retrospective data analysis was conducted using the ISHLT Registry. The primary aim was to study the impact of pre-transplant diagnosis and alloimmunisation on post-transplant survival in women aged 15–45 yrs at time of HT. Secondary outcomes included the impact of primary diagnosis on conditional survival at 5, 10 and 15-yrs post HT.
Results
Of 121,501 HT recipients (Jan 1992–June 2018), 30,179 (24.8%) were women. 9,229 (7.6%) were 15–45 yrs at time of HT. Peripartum cardiomyopathy (PPCM) and congenital heart diseases (CHD) was the primary diagnosis in 8.9% and 9.3%, respectively. Overall median post-transplant survival was 15.2 yrs. Female with PPCM were associated with higher alloimmunisation (Figure 1). PPCM was associated with lower survival (median survival in PPCM vs CHD vs other: 9.1 years vs 15.2 years vs 15.5 years respectively, p<0.05). This was not entirely explained by higher alloimmunisation in this group (Figure 2A). Five-year conditional survival of recipients of childbearing age was significantly affected by primary diagnosis of PPCM, and by pediatric status at HT, defined as age <18-yrs (PPCM vs other diagnosis p<0.05; pediatric vs non-pediatric p 0.003), whilst 10- and 15-year conditional survival was not. The difference in 5-year conditional outcome between PPCM and other diagnosis, was not significant however when female recipients were grouped according to their level of alloimmunisation (Figure 2B).
Conclusion
PPCM as the primary indication for HT is associated with a worse post HT survival. Our data suggest that this is not entirely explained by alloimmunisation. The impact of previous PPCM appears to be greatest in the first 5 yrs post HT. Further research is needed to fully elucidate the mechanisms associated with worse survival in this group and help inform pre-conception counseling in those HT recipients considering a subsequent pregnancy.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- F Macera
- ASST Great Metropolitan Hospital Niguarda , Milan , Italy
| | - W S Cherikh
- United Network for Organ Sharing, UNOS , Richmond , United States of America
| | - E M De Filippis
- Columbia University Medical Center , New York , United States of America
| | - H Ross
- Peter Munk Cardiac Centre, Ted Rogers Centre for Heart Research , Toronto , Canada
| | - J Stehlik
- University of Utah, Division of Cardiovascular Medicine , Salt Lake City , United States of America
| | - C J Bhagra
- Cambridge University Hospitals NHS Foundation Trust , Cambridge , United Kingdom
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Kilic A, Kwon J, Grady K, Singletary B, Kilic A, Everitt M, Cleveland J, Cantor R, Blackmon S, Breathett K, McKellar S, Keebler M, Kirklin J, Stehlik J. Impact of Adverse Events on Health-Related Quality of Life After Left Ventricular Assist Device Implantation - An STS INTERMACS Analysis. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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18
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Kyriakopoulos C, Taleb I, Wever-Pinzon O, Selzman C, Kfoury A, Tseliou E, Stehlik J, Alharethi R, Fang J, Catino A, Koliopoulou A, Goodwin M, Kagawa H, Dranow E, Singh R, Psotka M, Birks E, Slaughter M, Koenig S, Kyvernitakis A, Hoffman K, Guglin M, Kotter J, Vidic A, Silvestry S, Raval N, Kanwar M, Shah P, Drakos S. Multicenter-Derived Clinical Score Predicts Structural and Functional Cardiac Improvement in Chronic Heart Failure Patients Undergoing Mechanical Circulatory Support. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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19
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Kugathasan L, Wang S, Rodenas-Alesina E, Orchanian-Cheff A, Kozuszko S, Demas-Clarke P, Bertolotti A, Greig D, Gustafsson F, Stehlik J, Badiwala M, McDonald M, Foroutan F, Alba A. Induction Therapy in Heart Transplantation: A Systematic Review and Network Meta-Analysis. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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20
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Kim P, Olymbios M, Siu A, Pinzon O, Adler E, Liang N, Swenerton R, Sternberg J, Kaur N, Ahmed E, Butskova A, Barnes D, Fehringer G, Demko Z, Billings P, Stehlik J. Absolute Quantification of Donor Derived Cell Free DNA in Heart Transplant Patients. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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21
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Pinney S, Farr M, Milano C, Shah A, Stehlik J. Organ Care System Heart Perfusion Registry (OHP Registry) - Overview of a National Data Repository of Ex-Vivo Perfusion in DBD and DCD Heart Transplantation. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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22
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May L, Cabrera A, Wilkes J, Ou Z, Tristani-Firouzi M, Stehlik J, Keenan H. Challenges in Using ICD-10 Codes for Case Ascertainment in Pediatric Heart Failure. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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23
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Wert L, Stewart G, Mehra M, Milwidsky A, Jorde U, Goldstein D, Selzman C, Stehlik J, Alshamdin F, Khaliel F, Gustafsson F, Boschi S, Loforte A, Ajello S, Scandroglio A, Tučanová Z, Netuka I, Schlöglhofer T, Zimpfer D, Dogan G, Schmitto J, Maier S, Schibilsky D, Jawad K, Saeed D, Faerber G, Morshuis M, Hanuna M, Müller C, Mulzer J, Kempfert J, Falk V, Potapov E. A Multi-Center Evaluation of Outflow Graft Obstruction with a Fully Magnetically Levitated Left Ventricular Assist Device. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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24
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Foroutan F, Guyatt G, Stehlik J, Gustafsson F, Greig D, McDonald M, Badiwala M, Bertolotti A, Kugathasan L, Cook A, Zlatanoski D, Ram S, Demas-Clarke P, Kozuszko S, Alba A. Use of Induction Therapy Post Heart Transplantation: A Heart Transplant Rapid Recommendations. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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25
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Sadeh B, Ugolini S, Wever-Pinzon O, Potapov E, Selzman C, Bader F, Zuckermann A, Gomez-Mesa JE, Shah K, Alharethi R, Barragán PM, Hanff T, Goldreich LA, Farrero M, Macdonald P, Drakos S, Mehra M, Stehlik J. Large Variation in Heart Transplant Selection Practices During the COVID-19 Pandemic. J Heart Lung Transplant 2022. [PMCID: PMC8988480 DOI: 10.1016/j.healun.2022.01.1780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Purpose A growing proportion of transplant donors and recipients have a history of COVID infection. Transplant societies issued guidelines to support decisions regarding donor selection and recipient activation after COVID infection, but outcome data are still limited. This study sought to characterize heterogeneity in current clinical practice and opinions regarding cardiac donation after recipient or donor COVID infection. Methods An online survey was distributed to heart transplant clinicians through a professional society message board and social media. Responses were collected between September 29 and October 18, 2021. Results 204 healthcare professionals from diverse geographic regions (North and South America, Europe, Middle East, Asia and Australia) completed the survey, including 143 (70%) transplant cardiologists, 42 (21%) cardiac surgeons and 19 (9%) other heart transplant clinicians. 80% of clinicians felt COVID vaccine should be mandatory before transplant. There was significant variation in clinical practice for donor acceptance and recipient management, including several scenarios directly addressed by society guidelines - see Figure 1 for a sample of responses. Conclusion There is significant variation in the clinical approach to common scenarios following donor or recipient COVID infection. This reflects continued uncertainty with post-transplant outcomes impacted by pre-transplant COVID infection. Granular outcome data are needed to better inform clinical decisions.
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Butler J, Stebbins A, Melenovsky V, Sweitzer N, Cowie M, Stehlik J, Ezekowitz J, Hernandez A, Lam C, Nkulikiyinka R, O'Connor C, Pieske B, Ponikowski P, Voors A, Armstrong P. Vericiguat and health status outcomes in heart failure with reduced ejection fraction: insights from the VICTORIA trial. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
In the VICTORIA trial, vericiguat compared with placebo reduced the risk of the primary endpoint of cardiovascular death (CVD) or hospitalization for heart failure (HFH) among 5050 patients with worsening HF with reduced ejection fraction (HFrEF).
Purpose
We evaluated whether the efficacy of vericiguat on clinical outcomes varied according to participants' baseline health status, as assessed by the Kansas City Cardiomyopathy Questionnaire (KCCQ)-23, and how vericiguat affected health status post-randomization.
Methods
KCCQ-23 was completed at randomization and at 4, 16, and 32 weeks. Patients were grouped based on tertiles of baseline KCCQ total symptom score (TSS; <55.2, 55.2–79.2, and >79.2), clinical summary score (CSS; <52.1, 52.1–76.0, and >76.2) and overall summary score (OSS; <48.5, 48.5–70.8, and >70.8) across tertiles 1–3, respectively. Cox proportional hazard models were performed for the tertiles to evaluate the effects of vericiguat on the primary outcomes.
Results
Overall 4741, 4664, and 4470 participants had KCCQ-TSS (median 68.8 [interquartile range 47.9, 85.4]), KCCQ-CSS (65.6 [45.8, 81.8]) and KCCQ-OSS (59.9 [42.0, 77.1]) available at baseline. Vericiguat reduced CVD or HFH risk across baseline KCCQ-TSS (P=0.21), KCCQ-CSS (P=0.13) and KCCQ-OSS (P=0.65) tertiles (Table). The effect of vericiguat on HFH alone was also not modified by baseline KCCQ-TSS, CSS and OSS (all P>0.05) scores. At 4 weeks after randomization, improvement in both vericiguat and placebo arms was seen in KCCQ-TSS (vericiguat 6.3 vs. placebo 6.3; P=0.85), KCCQ-CSS (vericiguat: 5.7 vs. placebo 5.7, P=0.54), and KCCQ-OSS (vericiguat 6.3 vs. placebo 5.7, P=0.36). Similar results were seen at weeks 16 and 32.
Conclusion
Vericiguat reduced the risk of the composite outcome of CVD or HFH as well as HFH alone across the range of baseline health status. Addition of vericiguat to best standard of care did not significantly improve health status compared with standard of care alone in HF patients with a recent worsening event. The early improvement in KCCQ seen in both randomized groups underscore the need to assess trajectory of health status changes in the spectrum of patients with HFrEF.
Funding Acknowledgement
Type of funding sources: Other. Main funding source(s): Merck & Co., Inc. and Bayer
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Affiliation(s)
- J Butler
- The University of Mississippi Medical Center, Jackson, United States of America
| | - A Stebbins
- Duke Clinical Research Institute, Durham, United States of America
| | - V Melenovsky
- Institute for Clinical and Experimental Medicine-IKEM, Prague, Czechia
| | - N Sweitzer
- University of Arizona, Sarver Heart Center, Tucson, United States of America
| | - M.R Cowie
- Imperial College London, London, United Kingdom
| | - J Stehlik
- University of Utah, Salt Lake City, United States of America
| | | | - A.F Hernandez
- Duke Clinical Research Institute, Durham, United States of America
| | - C.S.P Lam
- National Heart Centre Singapore, Duke-National University of Singapore, Singapore, Singapore
| | | | - C.M O'Connor
- Inova Heart and Vascular Institute, Falls Church, United States of America
| | - B Pieske
- Charite - Campus Virchow-Klinikum (CVK), Berlin, Germany
| | | | - A.A Voors
- University Medical Center Groningen, Groningen, Netherlands (The)
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Stehlik J, Zajac DM, Underwood DL, Phung T, Blair J, Carnevale S, Klaus D, Keefe GA, Carniol A, Kumph M, Steffen M, Dial OE. Tunable Coupling Architecture for Fixed-Frequency Transmon Superconducting Qubits. Phys Rev Lett 2021; 127:080505. [PMID: 34477428 DOI: 10.1103/physrevlett.127.080505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 07/19/2021] [Indexed: 06/13/2023]
Abstract
Implementation of high-fidelity 2-qubit operations is a key ingredient for scalable quantum error correction. In superconducting qubit architectures, tunable buses have been explored as a means to higher-fidelity gates. However, these buses introduce new pathways for leakage. Here we present a modified tunable bus architecture appropriate for fixed-frequency qubits in which the adiabaticity restrictions on gate speed are reduced. We characterize this coupler on a range of 2-qubit devices, achieving a maximum gate fidelity of 99.85%. We further show the calibration is stable over one day.
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Affiliation(s)
- J Stehlik
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - D M Zajac
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - D L Underwood
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - T Phung
- IBM Quantum, IBM Almaden Research Center, San Jose, California 95120, USA
| | - J Blair
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - S Carnevale
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - D Klaus
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - G A Keefe
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - A Carniol
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - M Kumph
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - Matthias Steffen
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
| | - O E Dial
- IBM Quantum, IBM T. J. Watson Research Center, Yorktown Heights, New York 10598, USA
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Birks E, Yin M, Rame J, Patel S, Lowes B, Selzman C, Starling R, Trivedi J, Slaughter M, Atluri P, Goldstein D, Maybaum S, Um J, Margulies K, Stehlik J, Cunnigham C, Farrar D, Drakos S. Predictors of Myocardial Recovery Following LVAD-Mediated Reverse Remodeling and Device Removal: Insights from RESTAGE-HF. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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29
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Peled Y, Ram E, Klempfner R, Shah K, Lavee J, Cherikh W, Stehlik J. Clinical Predictors, Regional Variation and Temporal Trends of Weight Gain after Heart Transplant: An Analysis of the ISHLT Transplant Registry. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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30
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Peled Y, Klempfner R, Lavee J, Ugolini S, Raanani E, Cherikh W, Stehlik J. Hepatitis B Virus Infection and Heart Transplantation Outcomes: An Analysis of the ISHLT Registry Data. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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31
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Hahn E, Wortman K, Cummings P, Cella D, Allen L, Stehlik J, Teuteberg J, Denfeld Q, Kiernan M, Lindenfeld J, Adler E, Beiser D, Klein L, McIlvennan C, Pham D, Rich J, Ruo B, Walsh M, Buono S, Grady K. A Patient-Reported Metric of Social and Physical Function after Left Ventricular Assist Devices: A PROMIS of a Better Assessment. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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32
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Okoh A, Mehra M, Tayal R, Drakos S, Machado S, Yin M, Lee L, Shah K, Russo M, Vaduganathan M, Stehlik J. Race, Temporary Mechanical Circulatory Support, and Clinical Outcomes after the 2018 US Adult Heart Allocation System Policy Change. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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33
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Birks E, Rame J, Yin M, Patel S, Lowes B, Selzman C, Trivedi J, Laughter M, Atluri P, Goldstein D, Maybaum S, Um J, Margulies K, Stehlik J, Cunnigham C, Starling R, Farrar D, Drakos S. Long Term Post Explant Outcomes from RESTAGE-HF: A Prospective Multi-Center Study of Myocardial Recovery Using LVADs. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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34
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Moayedi Y, Amadio J, Fan S, Runeckles K, Black K, Kozuzsko S, Carey L, Stehlik J, Billia F, Duero Posada J, Ross H. Outcomes of Heart Transplant from Donors with a History of Heavy Alcohol Use: Don't Throw the Baby Out with the Bathtub Gin. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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35
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Halloran P, Madill-Thomsen K, Mackova M, Aliabadi-Zuckermann A, Cadeiras M, Crespo-Leiro M, Depasquale E, Deng M, Goekler J, Kim D, Kobashigawa J, Parkes M, Macdonald P, Potena L, Shah K, Stehlik J, Zuckermann A. New Molecular Classification of Rejection in Heart Transplant Biopsies Reveals Relatively Little Three Year Graft Loss in Antibody-Mediated Rejection. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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36
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Yin M, Ishihara S, Anderson T, Stehlik J, McKellar S, Dranow E, Gilbert E, Selzman C, Fang J, Drakos S, Wever-Pinzon O. Improving Prediction of Acute Right Ventricular Failure in Patients Undergoing Left Ventricular Assist Devices Using Novel Comprehensive Eighteen-Segment Echocardiographic Strain Analysis. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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37
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Aleksova N, Fan C, Foroutan F, Moayedi Y, Duero Posada J, McGuinty C, Luk A, Stehlik J, Ross H, Alba A. Predicted Heart Mass in Obese Heart Transplant Donors and Recipients: An Analysis of the ISHLT Registry. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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38
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Taleb I, Wever-Pinzon O, Alharethi R, Overton S, Nativi-Nicolau J, Dranow E, Kemeyou L, Choudhary A, Kfoury A, Caine W, McKellar S, Stehlik J, Fang J, Selzman C, Drakos S, Koliopoulou A. Predicting Right Ventricular Failure in Chronic Heart Failure Patients Receiving Left Ventricular Assist Device. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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39
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Halloran P, Reeve J, Aliabadi A, Cadeiras M, Crespo-Leiro M, Depasquale E, Deng M, Goekler J, Kim D, Kobashigawa J, Parkes M, Macdonald P, Potena L, Stehlik J, Zuckermann A. Mapping the Injury Phenotypes of Heart Transplant. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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40
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Villela MA, Taleb I, Selzman C, Stehlik J, Dranow E, Wever-Pinzon O, Nativi-Nicolau J, McKellar S, Kemeyou L, Gilbert E, Koliopoulou A, Drakos S. Efficacy of Left Ventricular Assist Device Therapy in Cold and Dry Chronic Heart Failure Patients. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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41
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Tibrewala A, Khush K, Cherikh W, Foutz J, Ghafourian K, Okwuosa I, Vorovich E, Wilcox J, Yancy C, Ahmad F, Pham D, Stehlik J, Rich J. Risk of Renal Dysfunction Following Heart Transplantation in Patients Bridged with Left Ventricular Assist Devices. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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42
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Peled Y, Ram E, Klempfner R, Lavee J, Cherikh W, Stehlik J. Weight Gain Following Heart Transplantation is Associated with Increased Risk of Rejection and Allograft Vasculopathy: An Analysis of the ISHLT Registry. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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43
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Peled Y, Ram E, Klempfner R, Lavee J, Cherikh W, Stehlik J. Donor Thyroid Hormone Therapy and Heart Transplantation Outcomes: An Analysis of the ISHLT Registry Data. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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44
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Villela M, Bravo C, Shah M, Patel S, Jorde U, Stehlik J, Castellanos A. Prediction of Outcomes after Heart Transplantation Using Machine Learning Techniques. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.658] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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45
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Yin M, Wever-Pinzon O, Taleb I, Alharethi R, Dranow L, Kfoury A, Stehlik J, Reid B, McKellar S, Koliopoulou A, Nativi-Nicolau J, Kemeyou L, Fang J, Selzman C, Drakos S. Reverse Myocardial Remodeling with Centrifugal versus Axial-Flow Left Ventricular Assist Device in Chronic Heart Failure Patients. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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46
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Taleb I, Wever-Pinzon O, Yin M, Kfoury A, Caine W, Stehlik J, Catino A, Wever-Pinzon J, Bonios M, McKellar S, Alharethi R, Koliopoulou A, Fang J, Selzman C, Dranow E, Shah P, Singh R, Psotka M, Zhu W, Slaughter M, Birks E, Koenig S, Kanwar M, Kyvernitakis A, Hoffman K, Guglin M, Kotter J, Campbell K, Drakos S. Predicting Cardiac Structural and Functional Improvement Induced by Mechanical Unloading in Chronic Heart Failure: A Derivation-Validation Multicenter Study. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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47
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Badolia R, Ramadurai D, Taleb I, Shankar T, Thodou A, Yin M, Navankasattusas S, Kfoury A, Alharethi R, Caine W, Wever-Pinzon O, Fang J, Selzman C, Stehlik J, McKellar S, Drakos S. The Role of Non-Glycolytic Glucose Metabolism in Myocardial Recovery Following Mechanical Unloading and Circulatory Support in Chronic Heart Failure. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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48
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Harhay M, Cherikh W, Toll A, Christie J, Stehlik J, Hayes D, Cantu E. Epidemiology, Risk Factors, and Outcomes of Lung Retransplantation: An Analysis of the International Society for Heart and Lung Transplantation (ISHLT) Registry. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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49
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McCandless S, Yin M, Taleb I, Dranow E, Kfoury A, Wever-Pinzon O, Stehlik J, McKellar S, Reid B, Kemeyou L, Selzman C, Alharethi R, Drakos S. Magnitude and Time Course of Left Atrial Remodeling Changes in Patients Undergoing Chronic Left Ventricular Assist Device Support. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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50
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Vieira J, Cherikh W, Lindblad K, Stehlik J, Mehra M. Cocaine Use in Organ Donors and Long-Term Outcome after Heart Transplantation: An ISHLT Registry Analysis. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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