Heart transplantation indicated only in the most severely ill patient: perspectives from the German heart transplant experience.

Abstract:

:The COCPIT study, performed in a complete national cohort of adult patients consecutively listed for cardiac transplantation in Germany in 1997, found a beneficial effect only in the group that was at high risk of dying from heart failure without transplantation. If these results can be reproduced in other countries, the discussion on the respective roles of pharmacological and organ-saving surgical therapies for advanced heart failure, medical urgency and waiting time as heart transplantation allocation criteria, and the feasibility of a randomized clinical trial testing the survival benefit of transplantation must be reopened.

journal_name

Curr Opin Cardiol

authors

Deng MC,Smits JM,De Meester J,Hummel M,Schoendube F,Scheld HH

doi

10.1097/00001573-200103000-00004

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

97-104

issue

2

eissn

0268-4705

issn

1531-7080

journal_volume

16

pub_type

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