EVALUATING THE EFFECTIVENESS OF TRANSPLANTATION CARE TO THE PATIENTS WITH END-STAGE HEART FAILURE IN SVERDLOVSK REGION

Aim of our clinical study was to analyze the waiting list and evaluate the results of heart transplantation in the center of transplantology in Sverdlovsk Regional Hospital No 1in Ekaterinburg. Materials and methods. The article presents the results of selection of patients in the waiting list and the 7-year results of prospective study, which included 27 heart transplantions for end-stage heart failure, performed in Sverdlovsk Regional Hospital No 1 in Ekateringburg. Results Survival rate was 78% (21 patients). Causes of death in the early postoperative period were: graft dysfunction, heart graft rejection, acute heart failure and cardiac arrhythmias. In the late postoperative period the most frequent complications were: graft rejection, septic complications and sick sinus syndrome. In a year afer heart transplanation chronic heart failure (CHF), I functional class (NYHA), was diagnosed in 15 patients, 3 patients had CHF II functional class (NYHA) and 3 patients had no heart failure. Conclusion. Heart transplanation is and effective tratment for end-stage heart failure.