Abstract | OBJECTIVE: Neurologic complications are known as important cause of morbidity and mortality in orthotopic heart transplantation. Our aim was to identify the frequency and outcome of neurologic complications after heart transplantation in a prospective observational study. METHOD: From September 93 to September 99, as part of our routine heart transplantation protocol all patients with end-stage cardiac failure were evaluated by the same neurologist before and at the time of any neurologic event (symptom or complaint) after transplantation. RESULTS: CONCLUSIONS: Although frequent, neurologic complications were seldom related to persistent neurologic disability or death. Most of the complications resulted from immunosuppression, however, CNS infection was rare. The absence of symptomatic stroke in our series may be related to the lower frequency of ischemic cardiomyopathy.
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Authors | Suzana M F Malheiros, Dirceu R Almeida, Ayrton R Massaro, Adauto Castelo, Rosiane V Z Diniz, João N Branco, Antonio C Carvalho, Alberto A Gabbai |
Journal | Arquivos de neuro-psiquiatria
(Arq Neuropsiquiatr)
Vol. 60
Issue 2-A
Pg. 192-7
(Jun 2002)
ISSN: 0004-282X [Print] Germany |
PMID | 12068344
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Cardiomyopathies
(etiology)
- Cerebrovascular Disorders
(etiology)
- Female
- Follow-Up Studies
- Heart Transplantation
(adverse effects)
- Humans
- Male
- Middle Aged
- Nervous System Diseases
(etiology)
- Prospective Studies
- Risk Factors
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