Alnsasra et al reported risk factors associated with stroke in patients undergoing cardiac transplant. These can help to identify a patient who may require greater care during and after surgery. The authors are from the Mayo Clinic.

Patient selection: cardiac transplantation


Outcome: stroke, either hemorrhagic or ischemic


Frequency in study: 10.7%


Risk factors for stroke include:

(2) diabetes (HR 2.6)

(3) poor kidney function (HR 1.8 per 0.5 mg/dL increase)

(4) combined organ transplantation (HR 2.0)

(5) cytomegalovirus (CMV) infection (HR 2.1)


Additional risk factors:

(1) age at surgery (adjusted HR 1.3)


The presence of a stroke of any type increased the risk of death almost 2-fold.

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