Listing criteria for heart transplantation in the Netherlands

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 expect...

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Published inNetherlands heart journal Vol. 29; no. 12; pp. 611 - 622
Main Authors de Jonge, N., Damman, K., Ramjankhan, F. Z., van der Kaaij, N. P., van den Broek, S. A. J., Erasmus, M. E., Kuijpers, M., Manintveld, O., Bekkers, J. A., Constantinescu, A. C., Brugts, J. J., Oerlemans, M. I. F., van Laake, L. W., Caliskan, K.
Format Journal Article
LanguageEnglish
Published Houten Bohn Stafleu van Loghum 01.12.2021
Springer Nature B.V
Subjects
Anaerobic threshold
Beta blockers
Cardiac catheterization
Cardiology
Cardiovascular disease
Cerebrovascular disease
Contraindications
Heart failure
Heart transplants
Lung transplants
Medical Education
Medical prognosis
Medicine
Medicine & Public Health
Patients
Pulmonary arteries
Pulmonary hypertension
Quality of life
Review
Review Article
United States > US
Netherlands
Europe
Heart transplantation
Mechanical circulatory support
Advanced heart failure
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Summary: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.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-021-01627-x