• Anne Jalowiec, Kathleen L Grady, and Connie White-Williams.
• School of Nursing, Loyola University of Chicago, Chicago, IL, USA. Electronic address: ajalowiec@yahoo.com.
• Heart Lung. 2016 Jul 1; 45 (4): 298-304.

BackgroundFew studies have examined the impact of patient weight on heart transplant (HT) outcomes.ObjectivesNine outcomes were compared in 2 groups of HT recipients (N = 347) based on their mean body mass index (BMI) during the first 3 years post-HT.MethodsGroup 1 consisted of 108 non-overweight patients (BMI <25; mean age 52; 29.6% females; 16.7% minorities). Group 2 consisted of 239 overweight patients (BMI ≥25; mean age 52; 15.9% females; 13.8% minorities). Outcomes were: survival, re-hospitalization, rejections, infections, cardiac allograft vasculopathy (CAV), stroke, renal dysfunction, diabetes, and lymphoma.ResultsNon-overweight patients had shorter survival, were re-hospitalized more days after the HT discharge, and had more lymphoma and severe renal dysfunction. Overweight patients had more CAV, steroid-induced diabetes, and acute rejections.ConclusionsOverweight HT patients had better survival, but more rejections, CAV, and diabetes. Non-overweight HT patients had worse survival, plus more re-hospitalization time, lymphoma, and renal dysfunction.Copyright © 2016 Elsevier Inc. All rights reserved.

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