Pre-Transplant C-Reactive Protein ≥ 20 mg/L Predicts Infection-Related Mortality After Heart Transplantation

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Authors: Matthias Helmschrott, Karsten M. Heil, Rasmus Rivinius, Ann‐Kathrin Rahm, Philipp Ehlermann, Norbert Frey, Fabrice F. Darche
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Abstract

Background: Patients after heart transplantation (HTX) require lifelong immunosuppressive therapy to prevent graft rejection, thereby increasing susceptibility to infections. C-reactive protein (CRP) is a recognized biochemical marker of system-wide inflammation and generally rises with increasing infection severity. As the prognostic relevance of elevated CRP (≥20 mg/L) prior to HTX has been unclear, we analyzed its effects on post-transplant outcomes. Methods: We performed a retrospective, observational, single-center study including 418 patients who received HTX at Heidelberg Heart Center between the years 2000 and 2019. HTX recipients were grouped according to pre-transplant CRP (

Fields of Study & Subjects

Transplantation: Methods and Outcomes Cardiac and Coronary Surgery Techniques Sepsis Diagnosis and Treatment

Publication details

Journal / source
Journal of Clinical Medicine
Volume
15
Issue
4
Pages
1332–1332
Publication date
8 February 2026
Language
EN