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COPD raises risk for type 2 myocardial infarction-related hospitalizations, worse outcomes

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NASHVILLE, Tenn. — People with COPD have a greater risk for type 2 myocardial infarction-related admissions and worse in-hospital outcomes, researchers reported at the CHEST Annual Meeting.

“Type 2 myocardial infarction occurs due to a mismatch in myocardial oxygen supply and demand. COPD is known to cause increased myocardial oxygen supply and demand mismatch. However, the extent of that mismatch is not clearly delineated,” Brian Brereton, MBBS, clinical fellow in internal medicine at Jersey General Hospital, United Kingdom, told Healio. Read the article in Healio.

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Addition of sleep metric in updated Life’s Essential 8 predicts CVD incidence

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The incorporation of sleep as a CV health metric, as recently done with the American Heart Association’s updated Life’s Essential 8 risk calculator, may enhance CVD primordial and primary prevention efforts, data show.

“In our study, even a CV health score that includes only sleep duration, the most widely measured aspect of sleep health and the most feasible measure to obtain in a clinic or public health setting, predicted CVD incidence,” Nour Makarem, PhD, MS, assistant professor of epidemiology at Columbia Mailman School of Public Health, said in a press release. Read more in Healio.

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After 80 Days in the Hospital with Covid-19, Patient Returns to Thank Caregivers

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October 19, 2022 – Sue Ford

When Cory Yager was hospitalized with a severe case of Covid last year, he promised himself he would not give up. His care team had no intentions of giving up, either.

The 43-year-old father from Lewis County, north of Syracuse in the Adirondacks, spent nearly 80 days at Albany Medical Center, kept alive by extracorporeal membrane oxygenation (ECMO), prior to receiving a double lung transplant. Read the story from Albany MED Health System.

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Delirium after kidney transplantation increases risk of dementia, cognitive decline

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Patients who experience delirium after a kidney transplantation are at an increased risk for dementia and cognitive decline, according to data published in the American Journal of Transplantation.

“While there have been studies of the cognitive sequelae of delirium in other surgical populations, kidney transplantation (KT) is a unique surgery in which the restoration of kidney function improves cognition on average,” Mara A. McAdams-DeMarco, PhD, an associate professor of surgery and population health at New York University Grossman School of Medicine, told Healio. Read the full story in Healio.

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Racial Bias May Impact Access to Heart Transplants

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Oct. 20, 2022 – A new study shows that life-saving heart procedures were performed on white adults twice as often as on Black adults, causing researchers to suspect racial bias among clinical decision-makers.

“The lives disabled or lost are simply too many,” Wendy C. Taddei-Peters, PhD, a study author, said in a news release from the National Institutes of Health. Read more in Web MD.

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11 things to know about heart transplants (from a team that has performed 500 of them)

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The Nebraska Medicine heart transplant team is celebrating their 500th heart transplant. And wow, are their hearts full.

“Performing 500 transplants gives a second chance at life for so many people,” says Brian Lowes, MD, PhD. Dr. Lowes specializes in advanced heart failure and transplant cardiology. He credits the exciting milestone to the team’s advanced expertise. “We’re using the next generation of technology here. And our surgeons are going farther and farther to get more organs ready for transplant.” Read the full article from Nebraska Medicine.

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Young patient celebrates new organ amid LLUH transplant milestones

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Loma Linda University Health’s transplant team last month broke its own record with a marathon of eight transplants completed in 72 hours. The marathon, coincidentally, also marked two significant milestones for the team: 1,000 living donor transplants and 4,000 total kidney transplants. Transplant surgeon Charles Bratton, MD, says the dedication and sense of purpose from the transplant team have allowed them to successfully transform thousands of lives, including the Coyt family. Read this story from Loma Linda University Health.

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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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