PROGNOSIS OF PATIENTS WITH SEVERE CONGESTIVE HEART FAILURE REFERRED TO THE CARDIAC TRANSPLANT PROGRAM
スポンサーリンク
概要
- 論文の詳細を見る
In any program for cardiac transplantation, appropriate recipient selection is critically important. The purpose of this study is to evaluate the prognosis of 42 patients with severe cardiac dysfunction who were referred to the Patient Referral Committee of the Osaka University Cardiac Transplant Program from August 1990 to July 1993. All of the patient profiles and clinical data were presented and discussed in the Committee Conference. The Committee classified the patients into three groups according to the following criteria: Class A; 14 patients judged to have a medical indication for heart transplantation. Class B; 7 patients with possible indications which required reevaluation for a definite indication after further intensive medical treatments, and Class C; 21 patients who did not have indications for heart transplantation or who required further clinical examinations and/or medical treatments before a final judgment. Twelve of the 14 Class A patients had a history of NYHA functional class IV and ejection fractions were 25% or less in all of the patients but one (18.5±1.7%). Six patients in Class A had a history of ventricular tachycardia. The one-year survival rate of Class A patients was 60%, and only 28% survived for 28 months. One patient underwent successful heart transplantation in the United States. If we assume that this patient would have died within a year without heart transplantation, the estimated one-year survival rate would fall to 48%, which is comparable to the survival rate of patients who have been accepted for transplant, but are being treated medically, in Western countries. This indicates that our criteria for recipient selection are comparable to those currently used in the Western countries, and therefore may be appropriate for future heart transplantation in Japan.
- 社団法人日本循環器学会の論文
- 1994-05-20
著者
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Koretsune Yukihiro
Osaka National Hospital
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Koretsune Yukihiro
Division Of Cardiology National Hospital Organization Osaka National Hospital
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Koretsune Yukihiro
心臓血管研究所
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Koretsune Yukihiro
大阪大学 医学系研究科循環器内科学
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Koretsune Yukihiro
Cardiovascular Division Osaka National Hospital
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Koretsune Yukihiro
The First Dept. of Medicine, Osaka University
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Azuma Junichi
The Third Department Of Internal Medicine Osaka University Medical School
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MIKAMI Hiroshi
Department of Health Promotion Science, Osaka University Graduate School of Medicine
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HORI MASATSUGU
The First Department of Medicine, Osaka University Medical School
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MATSUDA Hikaru
the First Department of Surgery, Osaka University Medical School
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Mikami Hiroshi
Department Of Community Health Nursing Osaka University Graduate School Of Medicine
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Takemura Kaoru
The Second Department Of Medicine Osaka University School Of Medicine
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Sano Tetsuya
Department of Pediatrics, Osaka University Graduate School of Medicine
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NAKATA SEIZOH
The First Department of Surgery, Osaka University, School of Medicine
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Nakata Seizoh
The First Department Of Surgery Osaka University School Of Medicine
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Koretsune Yukihiro
Departments Of Cardiology National Osaka Hospital
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Hori Masatsugu
Department Of Radiology National Center Hospital For Mental Nervous And Muscular Disorders National
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Azuma Junichi
The Third Department Of Medicine Osaka University School Of Medicine
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Sano Tetsuya
Department Of Developmental Medicine (pediatrics) Osaka University Graduate School Of Medicine
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Sano Tetsuya
Department Of Pediatrics Osaka University School Of Medicine
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Mikami Hiroshi
Department Of Geriatric Medicine Osaka University School Of Medicine
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Koretsune Yukihiro
The First Department Of Medicine Osaka University School Of Medicine
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Hori Masatsugu
The First Department Of Medicine Osaka University Medicial School
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Kobayashi Yasuhiko
Division Of Cardiology National Hospital Organization Osaka National Hospital
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Koretsune Yukihiro
Department Of Cardiology Osaka National Hospital
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Hori Masatsugu
The First Department Of Medicine And The Department Of Medical Information Science
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Matsuda Hikaru
The First Department Of Surgery Osaka University Medical School
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