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About:
A case series of Novel-Coronavirus infection in heart transplantation from two centers in the pandemic area in the North of Italy
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An Entity of Type :
schema:ScholarlyArticle
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covidontheweb.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
A case series of Novel-Coronavirus infection in heart transplantation from two centers in the pandemic area in the North of Italy
Creator
De Ferrari,
Gaetano, Maria
Barbero, Cristina
Boffini, Massimo
Fontana, Alessandra
Iacovoni, Attilio
Pidello, Stefano
Rinaldi, Mauro
Sebastiani, Roberta
Simonato, Erika
Terzi, Amedeo
Vittori, Claudia
De Ferrari, Maria
Source
Elsevier; Medline; PMC
abstract
BACKGROUND Little is known about the coronavirus SARS-CoV-2 disease (COVID-19) in solid organ transplanted patients. We here report a series of heart transplanted patients with COVID-19 from two centers of Italy. METHODS All heart transplanted patients of Transplant Centers of Bergamo and Torino with a microbiologically confirmed SARS-CoV-2 infection were enrolled. Data collection included clinical presentation, laboratory and radiological findings, treatment and outcome. Follow-up was performed by visit or phone. RESULTS From February to March 2020 twenty-six heart transplanted patients (age 62±12 years; 77% males; time from transplant 10±10 years; 69% with comorbidities) had a microbiologically confirmed COVID-19. The most frequent symptom was fever, followed by cough. Seventeen patients had a pneumonia, 8 of them severe pneumonia. Seven patients died (27%) and 17 (65%) were hospitalized. Discontinuation of immunosuppression was associated with death (71 vs 21%, p=0.02). Conversely, all patients receiving steroids survived (p<0.001). Patients who received heart transplantation during COVID-19 outbreak survived and no acute graft rejection occurred. Patients who died were older than survivors, had a longer time from transplant and a worse clinical presentation at diagnosis. The current regimen enabled the prolonged survival and function of orthotopic cardiac xenografts in altogether 6 of 8 baboons, of which 4 were now added. These results exceed the threshold set by the Advisory Board of the International Society for Heart and Lung Transplantation. CONCLUSIONS COVID-19 has a significant impact on long term heart transplanted patients. Conversely, SARS-CoV-2 infection seems to have a limited influence on more recent transplants. Our experience may suggest that heart transplantation programs can be maintained even during the pandemic phase if specific and tailored paths to prevent and to limit virus transmission are provided.
has issue date
2020-06-26
(
xsd:dateTime
)
bibo:doi
10.1016/j.healun.2020.06.016
bibo:pmid
32709482
has license
no-cc
sha1sum (hex)
ec200f8d772909871e77c67337cc96d8de6a1e3a
schema:url
https://doi.org/10.1016/j.healun.2020.06.016
resource representing a document's title
A case series of Novel-Coronavirus infection in heart transplantation from two centers in the pandemic area in the North of Italy
has PubMed Central identifier
PMC7318961
has PubMed identifier
32709482
schema:publication
J Heart Lung Transplant
resource representing a document's body
covid:ec200f8d772909871e77c67337cc96d8de6a1e3a#body_text
is
schema:about
of
named entity 'Word count'
named entity 'Journal'
named entity 'Italy'
named entity 'Journal of Heart and Lung Transplantation'
named entity 'Immunosuppressive treatment'
named entity 'heart transplantation'
named entity 'COVID'
named entity 'ICU'
named entity 'trough levels'
named entity 'ICU'
named entity 'SARS-CoV-2'
named entity 'mycophenolate'
named entity 'follow-up'
named entity 'immunosuppression'
named entity 'pharmacological treatment'
named entity 'SARS-CoV-2'
named entity 'clinical characteristics'
named entity 'COVID'
named entity 'SARS-CoV-2'
named entity 'mortality rate'
named entity 'severe pneumonia'
named entity 'procalcitonin'
named entity 'Immunosuppressed'
named entity 'cubic millimetre'
named entity 'catheterization'
named entity 'infection'
named entity 'heart transplanted'
named entity 'immunosuppressive therapy'
named entity 'infection'
named entity 'prognosis'
named entity 'respiratory rate'
named entity 'outpatient clinic'
named entity 'fever'
named entity 'SARS-CoV-2'
named entity 'chronic kidney disease'
named entity 'Heart Transplant'
named entity 'infection'
named entity 'COVID'
named entity '21 days'
named entity 'infection'
named entity 'Cyclosporin'
named entity 'immunosuppressive agent'
named entity 'comorbidity'
named entity 'dyspnea'
named entity 'COVID-19'
named entity 'procalcitonin'
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named entity 'infection'
named entity 'comorbidities'
named entity 'COVID-19 outbreak'
named entity 'infectious disease'
named entity 'China'
named entity 'adverse outcome'
named entity 'CT 17'
named entity 'North of Italy'
named entity 'heart transplant'
named entity 'side-effects'
named entity 'Italian'
named entity 'chronic kidney disease'
named entity 'COVID'
named entity 'epidemic'
named entity 'severe pneumonia'
named entity 'gastro-intestinal'
named entity 'oxygen saturation'
named entity 'infection'
named entity 'SARS-CoV-2'
named entity 'COVID'
named entity 'adverse events'
named entity 'clinical data'
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