Gonzalez-Vilchez, FranciscoAlmenar-Bonet, LuisCrespo-Leiro, Maria G.Gomez-Bueno, ManuelGonzalez-Costello, JosePerez-Villa, FelixDelgado-Jimenez, JuanArizon del Prado, Jose MariaManuel Sobrino-Marquez, JoseSousa Casasnovas, IagoRepresentacion Equipos Espanoles T2023-02-122023-02-122020-11-011885-5857http://hdl.handle.net/10668/18870Introduction 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.esAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Cardiac transplantRegistrySurvivalWorking groupresearch articleopen access10.1016/j.recesp.2020.06.0241579-2242https://zaguan.unizar.es/record/106582/files/texto_completo.pdf585706300010