Trends in contemporary advanced heart failure management: an in-depth review over 30 years of heart transplant service in Hong Kong

Autor: Yue Yan Katherine Fan, Ka Lam Wong, Ka Lai Cally Ho, Tai Leung Daniel Chan, Oswald Joseph Lee, Chi Yui Yung, Kin Shing Lun, Mo Chee Elaine Chau, Shui Wah Clement Chiu, Lik Cheung Cheng, Wing Kuk Timmy Au
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Korean Journal of Transplantation, Vol 36, Iss 4, Pp 267-277 (2022)
Druh dokumentu: article
ISSN: 2671-8790
DOI: 10.4285/kjt.22.0038
Popis: Background : The year 2022 marks the 30th anniversary of heart transplant service in Hong Kong (HK). In this study, we describe prevailing trends and outcomes of advanced heart failure (AHF), including heart transplantations (HTx), in HK over the past 30 years. Methods : Trends in heart failure prevalence in HK from 1993 to 2021 were analyzed based on data from the Hospital Authority Clinical Data and Reporting System. All AHF patients referred for HTx consideration between 1992 and 2021 were reviewed. The bridge-to-transplant (BTT) utilization of short-term mechanical circulatory support (ST-MCS) devices, including venoarterial extracorporeal membrane oxygenation (VA-ECMO) and durable left ventricular assist devices (LVADs), from 2010 to 2021 was reviewed. Results : Overall, 237 heart transplants were performed in HK, with 10-year posttransplant and median survival of 68.1% and 18.7 years, respectively. An increase in AHF clinic referrals was correlated with increasing heart failure prevalence (R2=0.635, P
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