TY - JOUR
T1 - Prognostic Features in Patients With Congestive Heart Failure and Selection Criteria for Cardiac Transplantation
AU - EDWARDS, BROOKS S.
AU - RODEHEFFER, RICHARD J.
PY - 1992
Y1 - 1992
N2 - Cardiac transplantation can be a highly successful therapeutic option for patients with end-stage congestive heart failure. Successful results, however, depend on the appropriate selection of patients for the procedure. Patients whose survival or quality of life would be compromised without cardiac transplantation and who are likely to benefit from this intensive type of treatment are potential candidates. Each patient should undergo a thorough assessment to identify any medical or psychologic contraindications to cardiac transplantation. In this review, we discuss the important predictors of survival in patients with congestive heart failure: the cause of heart failure, the patient's symptomatic and functional status, the hemodynamic and pathologic findings, the evaluation of neurohumoral activity, and the presence of cardiac arrhythmias. Once a patient with congestive heart failure has been identified as having a limited life expectancy and severely impaired quality of life, cardiac transplantation should be considered
AB - Cardiac transplantation can be a highly successful therapeutic option for patients with end-stage congestive heart failure. Successful results, however, depend on the appropriate selection of patients for the procedure. Patients whose survival or quality of life would be compromised without cardiac transplantation and who are likely to benefit from this intensive type of treatment are potential candidates. Each patient should undergo a thorough assessment to identify any medical or psychologic contraindications to cardiac transplantation. In this review, we discuss the important predictors of survival in patients with congestive heart failure: the cause of heart failure, the patient's symptomatic and functional status, the hemodynamic and pathologic findings, the evaluation of neurohumoral activity, and the presence of cardiac arrhythmias. Once a patient with congestive heart failure has been identified as having a limited life expectancy and severely impaired quality of life, cardiac transplantation should be considered
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U2 - 10.1016/S0025-6196(12)60400-5
DO - 10.1016/S0025-6196(12)60400-5
M3 - Article
C2 - 1405777
AN - SCOPUS:0026772290
SN - 0025-6196
VL - 67
SP - 485
EP - 492
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 5
ER -