Recipient selection and management before cardiac transplantation

Robert P. Frantz, Lyle J. Olson

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Cardiac transplantation is a proven, effective therapy for selected patients with end-stage congestive heart failure. Recipient selection is performed by a multidisciplinary team consisting of transplant physicians and surgeons. Clinicians responsible for patient assessment must establish the severity of cardiac dysfunction, formulate a prognosis, and stratify patients according to risk for mortality. Patients whose survival and quality of life are most limited without cardiac transplantation are candidates for therapy. The scarcity of organ donors makes careful screening of potential recipients necessary to identify those individuals most likely to obtain a long-term benefit. Recipient selection criteria and management strategies are evolving because of extended waiting times and high mortality caused by the lack of sufficient numbers of donors. Alternative therapies should be applied wherever possible.

Original languageEnglish (US)
Pages (from-to)139-152
Number of pages14
JournalAmerican Journal of the Medical Sciences
Volume314
Issue number3
DOIs
StatePublished - Sep 1997

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Keywords

  • Cardiac transplantation
  • Management of severe congestive heart failure
  • Prognosis in congestive heart failure
  • Recipient selection

ASJC Scopus subject areas

  • Medicine(all)

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