RT Journal Article T1 Spanish Heart Transplant Registry. 31th Official Report of the Heart Failure Association of the Spanish Society of Cardiology A1 Gonzalez-Vilchez, Francisco A1 Almenar-Bonet, Luis A1 Crespo-Leiro, Maria G. A1 Gomez-Bueno, Manuel A1 Gonzalez-Costello, Jose A1 Perez-Villa, Felix A1 Delgado-Jimenez, Juan A1 Arizon del Prado, Jose Maria A1 Manuel Sobrino-Marquez, Jose A1 Sousa Casasnovas, Iago A1 Representacion Equipos Espanoles T, K1 Cardiac transplant K1 Registry K1 Survival K1 Working group AB Introduction and objectives: The present report describes the clinical characteristics and outcomes of heart transplants in Spain and updates the data to 2019.Methods: We describe the clinical characteristics and outcomes of heart transplants performed in Spain in 2019, as well as trends in this procedure from 2010 to 2018.Results: In 2019, 300 transplants were performed (8794 since 1984; 2745 between 2010 and 2019). Compared with previous years, the most notable findings were the decreasing rate of urgent transplants (38%), and the consolidation of the type of circulatory support prior to transplant, with an almost complete disappearance of counterpulsation balloon (0.7%), stabilization in the use of extracorporeal membrane oxygenation (9.6%), and an increase in the use of ventricular assist devices (29.0%). Survival from 2016 to 2018 was similar to that from 2013 to 2015 (P = .34). Survival in both these periods was better than that from 2010 to 2012 (P = .002 and P = .01, respectively).Conclusions: Heart transplant activity has remained stable during the last few years, as have outcomes (in terms of survival). There has been a trend to a lower rate of urgent transplants and to a higher use of ventricular assist devices prior to transplant. (C) 2020 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved. PB Ediciones doyma s a SN 1885-5857 YR 2020 FD 2020-11-01 LK http://hdl.handle.net/10668/18870 UL http://hdl.handle.net/10668/18870 LA es DS RISalud RD Apr 20, 2025