Listing criteria for heart transplantation in the Netherlands
| Autor: | Olivier C. Manintveld, Michiel E. Erasmus, Kadir Caliskan, Kevin Damman, F. Ramjankhan, Jasper J. Brugts, Jos A. Bekkers, L. W. van Laake, Martinus I. F. J. Oerlemans, N. de Jonge, S. A. J. van den Broek, A. Constantinescu, M. Kuijpers, N. P. van der Kaaij |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Referral Heart disease medicine.medical_treatment Advanced heart failure Stress testing Review Article HIV-INFECTED PATIENTS Heart transplantation PULMONARY-HYPERTENSION Quality of life SDG 3 - Good Health and Well-being Mechanical circulatory support VENTRICULAR ASSIST DEVICE SUPPORT medicine Intensive care medicine RISK OUTCOMES business.industry medicine.disease Heart failure Ventricular assist device HUMAN-IMMUNODEFICIENCY-VIRUS Life expectancy SURVIVAL HEALTH Cardiology and Cardiovascular Medicine business FAILURE MODEL |
| Zdroj: | Netherlands Heart Journal |
| ISSN: | 1568-5888 |
| Popis: | 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. Supplementary Information The online version of this article (10.1007/s12471-021-01627-x) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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