Listing criteria for heart transplantation in the Netherlands.

Autor: de Jonge N; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands. n.dejonge@umcutrecht.nl., Damman K; Department of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands., Ramjankhan FZ; Department of Cardiothoracic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., van der Kaaij NP; Department of Cardiothoracic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., van den Broek SAJ; Department of Cardiology, University Medical Centre Groningen, Groningen, The Netherlands., Erasmus ME; Department of Cardiothoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands., Kuijpers M; Department of Cardiothoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands., Manintveld O; Department of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands., Bekkers JA; Department of Cardiothoracic Surgery, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands., Constantinescu AC; Department of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands., Brugts JJ; Department of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands., Oerlemans MIF; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., van Laake LW; Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Caliskan K; Department of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation [Neth Heart J] 2021 Dec; Vol. 29 (12), pp. 611-622. Date of Electronic Publication: 2021 Sep 15.
DOI: 10.1007/s12471-021-01627-x
Abstrakt: The updated listing criteria for heart transplantation are presented on behalf of the three heart transplant centres in the Netherlands. Given the shortage of donor hearts, selection of those patients who may expect to have the greatest benefit from a scarce societal resource in terms of life expectancy and quality of life is inevitable. The indication for heart transplantation includes end-stage heart disease not remediable by more conservative measures, accompanied by severe physical limitation while on optimal medical therapy, including ICD/CRT‑D. Assessment of this condition requires cardiopulmonary stress testing, prognostic stratification and invasive haemodynamic measurements. Timely referral to a tertiary centre is essential for an optimal outcome. Chronic mechanical circulatory support is being used more and more as an alternative to heart transplantation and to bridge the progressively longer waiting time for heart transplantation and, thus, has become an important treatment option for patients with advanced heart failure.
(© 2021. The Author(s).)
Databáze: MEDLINE
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