Age limits for heart transplantation: medical aspects.


OBJECTIVE To contribute to the analysis of the medical issue of aging as a selection criteria for heart transplantation (HT) METHODS: Elderly candidates (52 subjects, aged > or = 60) were compared with younger patients (64 candidates, aged 50-55) in: clinical pattern (sex, etiology, duration of disease); laboratory and instrumental data (multiple organ function, hemodynamics, maximal and submaximal exercise capacity, nutritional status); follow-up (death, transplantation, status I, decompensation, complications) of at least 6 months. RESULTS When compared with younger candidates, over 60 patients did not differ in clinical pattern, in all instrumental data, in end-organ function, in transplantation rate, in fatal and non-fatal cardiac events. In both groups the medical management was similarly complex. CONCLUSION In regard to the medical issue, no reasons emerged to exclude older patients suitable from HT.

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@article{Opasich1997AgeLF, title={Age limits for heart transplantation: medical aspects.}, author={Cristina Opasich and Maggie Sisti and Oreste Febo and Pier Giorgio Riccardi and Soccorso Capomolla and Jole Assandri and Franco Cobelli and Mario Vigan{\'o} and Luigi T Tavazzi}, journal={Giornale italiano di cardiologia}, year={1997}, volume={27 6}, pages={557-62} }