{"doi":"10.1111/ctr.14091","title":"Heart transplant recipients with confirmed 2019 novel coronavirus infection: The Detroit experience","abstract":"A chronic immunosuppressed state as in solid organ transplant recipients is a reported risk factor for the novel 2019 coronavirus infection. Patients with a history of orthotopic heart transplant (OHT) at a tertiary care transplant center in Detroit, Michigan were retrospectively reviewed from March until May 2020. Clinical parameters and outcomes of 5 OHT recipients and one combined heart-lung recipient with confirmed SARS-CoV-2 were obtained. The cohort was predominately African American males with median age of 59 years (interquartile range, 48.25-73.25). All patients were classified as having mild-moderate disease; none required intubation or ICU admission with no deaths. The most common presenting symptoms were fever and shortness of breath 83% (n = 5), followed by cough and chills 67% (n = 4). All admitted patients (n = 5) received hydroxychloroquine and 3 received high-dose steroids. Antimetabolites were held for 2 patients (33.3%). The calcineurin inhibitor trough goal was decreased in only 1 patient; 3 other patients, without change in goal, required calcineurin inhibitor dosage reduction. Two patients requiring readmission presented 7 and 23 days after initial symptoms onset. In conclusion, our experience with OHT patients infected by the SARS-CoV-2 virus did not have an elevated risk of severe infection. Impact of modifying immunosuppression remains unclear.","journal":"Clinical Transplantation","year":2020,"id":72606,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":15,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9249,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":382881,"name":"Lindsey Aurora","orcid":"0000-0002-7522-3386","position":1,"is_corresponding":false},{"id":384173,"name":"Alexander Michaels","orcid":null,"position":2,"is_corresponding":false},{"id":382882,"name":"Jennifer Cowger","orcid":"0000-0002-0791-6594","position":3,"is_corresponding":false},{"id":382883,"name":"Gillian Grafton","orcid":"0000-0003-1637-443X","position":4,"is_corresponding":false},{"id":384174,"name":"Yelena Selektor","orcid":null,"position":5,"is_corresponding":false},{"id":382884,"name":"Cristina Tita","orcid":"0000-0002-2257-182X","position":6,"is_corresponding":false},{"id":382885,"name":"Bashar Hannawi","orcid":"0000-0001-5764-549X","position":7,"is_corresponding":false},{"id":382886,"name":"David E. Lanfear","orcid":"0000-0001-6471-1483","position":8,"is_corresponding":false},{"id":384175,"name":"Hassan Nemeh","orcid":null,"position":9,"is_corresponding":false},{"id":382887,"name":"Celeste T. Williams","orcid":"0000-0001-8150-3520","position":10,"is_corresponding":false},{"id":382880,"name":"Waleed Al‐Darzi","orcid":"0000-0002-2324-8186","position":0,"is_corresponding":true}],"reference_count":15,"raw_metadata":null,"created_at":"2026-07-18T21:45:09.279825Z","pmid":"32940925","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}