Table 1.
Pre-Implant | |||
---|---|---|---|
Demographics | Male N= 1535 |
Female N= 401 |
p-value |
White, n (%) | 71% | 59% | <0.0001 |
Hispanic, n (%) | 7% | 6% | 0.57 |
Age (yrs), mean (std dev) | 54.1 (12.2) | 50.9 (12.8) | <0.0001 |
Married, n (%) | 67% | 47% | <0.0001 |
BMI* (kg per meter2), mean (std dev) | 28.7 (6.6) | 29.0 (7.4) | 0.46 |
BSA† (m2), mean (std dev) | 2.14 (0.30) | 1.91 (0.28) | <0.0001 |
Clinical | |||
Diabetes, n (%) | 39% | 35% | 0.14 |
Inotropes, n (%) | 83% | 85% | 0.30 |
Pre-COPD, n (%) | 13% | 11% | 0.37 |
INTERMACS Patient Profile Level 1: Critical Cardiogenic Shock, n (%) |
19% | 26% | 0.01 |
INTERMACS Patient Profile Level 2: Progressive Decline, n (%) |
45% | 43% | 0.45 |
Bridge to Transplant: Listed, n (%) | 43% | 48% | 0.09 |
Bridge to Transplant: Likely to be listed, n (%) |
30% | 27% | 0.36 |
Bridge to Transplant: Moderately likely to belisted, n (%) |
10% | 9% | 0.48 |
Bridge to Transplant: Unlikely to be listed, n (%) |
4% | 5% | 0.22 |
Destination Therapy, n (%) | 11% | 7% | 0.01 |
NYHA‡ = 4, n (%) | 80% | 82% | 0.29 |
Diagnosis CAD§, n (%) | 10% | 8% | 0.24 |
CVA§, n (%) | 7% | 8% | 0.68 |
TIA∥, n (%) | 4% | 3% | 0.29 |
Cancer, n (%) | 5% | 12% | <0.0001 |
Current Smoker, n (%) | 13% | 13% | 0.90 |
Current Drug Abuse, n (%) | 3% | 1% | 0.15 |
Alcohol Abuse, n (%) | 19% | 8% | <0.0001 |
Blood Type O, n (%) | 50% | 51% | 0.74 |
Rheumatologic Disease, n (%) | 3% | 5% | 0.16 |
Hepatitis B, n (%) | 2% | 2% | 0.75 |
Hepatitis C, n (%) | 2% | 2% | 0.45 |
Dialysis, n (%) | 3% | 2% | 0.42 |
History of CABG**, n (%) | 22% | 11% | <0.0001 |
History of Valve Surgery, n (%) | 6% | 9% | 0.10 |
ICD††, n (%) | 78% | 76% | 0.37 |
IABP‡‡, n (%) | 34% | 35% | 0.90 |
Ventilator, n (%) | 11% | 12% | 0.33 |
Peripheral vascular disease, n (%) | 7% | 4% | 0.11 |
Carotid artery disease, n (%) | 10% | 9% | 0.36 |
B-Blockers, n (%) | 76% | 70% | 0.03 |
ACE Inhibitors§§, n (%) | 54% | 52% | 0.34 |
Laboratory | |||
Sodium (mmol/L), mean (std dev) | 134.2 (5.2) | 134.8 (5.0) | 0.04 |
Creatinine (mg/dL), mean (std dev) | 1.55 (0.87) | 1.26 (0.67) | <0.0001 |
BUN ∥ ∥ (mg/dL), mean (std dev) | 32.2 (20.6) | 25.7 (15.3) | <0.0001 |
Total bilirubin (mg/dL), mean (std dev) | 1.55 (1.66) | 1.28 (1.31) | 0.005 |
Cholesterol (mg/dL), mean (std dev) | 124 (42.5) | 131.3 (41.6) | 0.05 |
INR ## (international units), mean (std dev) | 1.38 (0.5) | 1.3 (0.4) | 0.01 |
Hemoglobin (mg/dL), mean (std dev) | 11.4 (2.0) | 10.5 (1.7) | <0.0001 |
Platelet (K/uL), mean (std dev) | 202 (97) | 217 (97) | 0.002 |
Protein C (%), mean (std dev) | 89 (34) | 84 (39) | 0.64 |
Protein S (%), mean (std dev) | 84 (35) | 81 (29) | 0.77 |
CRP*** (mg/L), median (IQR†††) | 6.0 (1.4-18.1) | 4.7 (2.0-17.6) | 0.47 |
BNP ‡‡‡ (pg/ml), mean (std dev) | 1244 (1093) | 1311 (1186) | 0.48 |
SGOT/AST (u/L), median (IQR) | 32 (23-53) | 31 (21-46) | 0.13 |
SGPT/ALT (u/L), median (IQR) | 34 (21-63) | 28 (18-45) | <0.0001 |
WBC §§§ (K/uL), mean (std dev) | 9.06 (3.8) | 8.87 (3.93) | 0.39 |
Hemodynamics | |||
Systolic blood pressure (mmHg), mean (std dev) |
101 (16) | 100 (17) | 0.33 |
Diastolic blood pressure (mmHg), mean (std dev) |
62 (12) | 61 (12) | 0.06 |
Mitral Regurg (Moderate/Severe), n (%) | 58% | 63% | 0.17 |
Tricuspid Regurg (Moderate/Severe), n (%) |
44% | 54% | 0.004 |
Aortic Regurg (Moderate/Severe), n (%) | 6% | 3% | 0.05 |
Operative | |||
Concommitant surgery, n (%) | 37% | 34% | 0.38 |
∥ ∥ ∥ LV Continuous Flow device, n (%) | 74% | 81% | 0.01 |
Failure to wean, n (%) | 1% | 2% | 0.30 |
Implant after cardiac surgery, n (%) | 2% | 3% | 0.56 |
BMI=body mass index;
BSA=body surface area;
NYHA=New York Heart Association;
CAD=coronary artery disease;
CVA=cerebral vascular accident;
TIA=transient ischemic attack;
CABG= coronary artery bypass grafts;
ICD=implantable cardioverter defibrillator;
IABP=intra-aortic balloon pump;
ACE inhibitors=angiotensin converting enzyme inhibitors;
BUN=blood urea nitrogen;
INR=international normalized ratio;
CRP=c-reactive protein;
IQR=interquartile range;
BNP= brain natriuretic peptide;
WBC=white blood cell count;
LV=left ventricular