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Older, Sicker Patients Benefit From ECMO Bridge to Lung Transplant

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— CHEST session also examined other hot topics in lung transplant

NASHVILLE, Tenn. — Expanding the selection criteria for extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplant to include older and sicker patients was not associated with worse survival, a retrospective cohort study showed.

Other studies presented here during the “Lung Transplantation: New Issues in 2022” session at CHEST 2022, the annual meeting of the American College of Chest Physicians, included one on sociodemographic trends in lung transplant in the U.S. from 2001 through 2021, and two presentations on COVID-19 in lung transplant recipients.
Read more in MedPage Today.

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How I Adjusted to Dietary Changes After Lung Transplant

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Many resources are available to help you learn post-transplant dietary restrictions

by Samuel Kirton

Those who follow my column know that one of my passions is cooking. It always has been. My wife, Susan, and I usually eat meals I prepare using little to no prepackaged ingredients. Dinner usually included wine for me.

But what I can eat and drink changed on July 10, 2021, the day I received my bilateral lung transplant.

It was not a surprise

When I was diagnosed with idiopathic pulmonary fibrosis in January 2017, we entered a world that was new to us. We wanted to better understand this disease, so we sought to learn as much as possible. My care team at Inova Fairfax Hospital in Fairfax County, Virginia, was an essential part of our pursuit of knowledge. Read more in Pulmonary Fibrosis News.

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From heart transplant to the NFL

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OK, so Sam Prince doesn’t play in the NFL, but he’s come closer to it than many of America’s greatest prospects ever will.

Born with a severe heart defect, Prince’s chances of living for five hours, let alone five years, were grim, but through a combination of great medical care, good luck, and the abiding love of his family, he survived, and at eight years old had a successful heart transplant. Read the full story in Rowan Today.

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Some Donor Livers Keep Working for 100 Years: Study

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By Dennis Thompson, HealthDay Reporter

TUESDAY, Oct. 18, 2022 (HealthDay News) — Some human livers are tougher than others, lasting more than 100 cumulative years between the organ’s original host and a transplant recipient, a new study discovers.

Understanding what makes these livers so resilient could help improve the donor pool by paving the way for expanded use of livers from older donors, the researchers said.
Read the full story in U.S. News & World Report.

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Higher BMI tied to early AF risk in young men

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Increasing BMI in young adult men is strongly associated with early atrial fibrillation as well as later worse clinical outcomes, including incident HF, stroke and all-cause mortality, among those diagnosed with AF, researchers reported.

Data suggest lower rates of all-cause mortality among adults with obesity and AF, a phenomenon known as the obesity paradox, Demir Djekic, MD, PhD, of the department of cardiology at Sahlgrenska University Hospital in Gothenburg, Sweden, and colleagues wrote in the Journal of the American Heart Association. Read more in Healio.

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Sleeping 5 Hours or Less Raises Risk of Multiple Chronic Diseases

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— Risk emerged in midlife and persisted at older ages

People who reported sleeping 5 hours or less a night had a higher risk of multiple chronic diseases in the future, a longitudinal study in England showed.

Healthy 50-year-olds who slept 5 or fewer hours a night had a 30% greater risk of future multimorbidity over 25 years compared with those who slept 7 hours (HR 1.30, 95% CI 1.12-1.50, P<0.001), according to Séverine Sabia, PhD, of Université de Paris and University College London, and co-authors. Read more in MedPage Today.

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Black Americans Less Likely to Get Lifesaving Heart Treatments

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By Cara Murez HealthDay Reporter

WEDNESDAY, Oct. 19, 2022 (HealthDay News) — A person with advanced heart failure may often need a heart transplant or a mechanical heart pump to survive.

But white patients are twice as likely as Black patients to get this critically important care, a new study finds, and racial bias may be the reason why. Read the full story in U.S. News & World Report.

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Heart Failure Common in Cystic Fibrosis Patients

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— Other frequent cardiac comorbidities included Afib and acute MI, real-world analysis shows

NASHVILLE, Tenn. — Roughly one in 10 adults with cystic fibrosis also had a diagnosis of heart failure, according to a real-world study of patient medical records reported here.

Among the roughly 15,000 cystic fibrosis patients, acute myocardial infarction (MI) and atrial fibrillation (Afib) were the other most commonly identified cardiac disorders, each present in about one in 20 patients in the analysis presented by Andres Cordova Sanchez, MD, of SUNY Upstate Medical University in Syracuse, New York. Read more in MedPage Today.

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Domino Donation: A Kidney to Save Two Lives Instead of One

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Oct. 18, 2022 – On a warm summer day in June, Amy Nadel sat in a waiting room at Johns Hopkins as one of her children was coming out of the operating room and another was preparing go in. And in a similar room in another part of the hospital, another family was sitting through the same thing. They were linked not by coincidence, but by one life-saving thing they were about to trade: kidneys. Read the full story in WedMD.

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Type 2 diabetes remission likely for adults with ‘healthy’ BMI and 10% weight loss

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Adults with type 2 diabetes and a BMI of 21 kg/m2 to 27 kg/m2 have high likelihood of diabetes remission if they lose 10% of their starting weight, researchers reported.

“Type 2 diabetes is often considered to be ‘caused’ by a higher body mass index, and certainly there is a strong link between increasing weight, increasing BMI and the incidence of type 2 diabetes,” Alison C. Barnes, RD, lead research associate and dietitian at the Human Nutrition Research Centre at Newcastle University, Newcastle upon Tyne, U.K., said during a presentation at the European Association for the Study of Diabetes annual meeting. Read more in Healio.

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