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Anticipating a New Era in Heart Transplantation

Anticipating a New Era in Heart Transplantation Opinion EDITORIAL Clyde W. Yancy, MD, MSc; Gregg C. Fonarow, MD We think the way is clear for trial of human heart transplantation… The first of these articles, by Hanff and colleagues, evalu- Norman Shumway, November 20, 1967, Journal of the American Medical ated changes in the use of mechanical circulatory support un- Association der the auspices of new organ allocation rules introduced in October 2018 by the Organ Procurement and Transplantation The 50th anniversary of heart transplantation was celebrated Network. The new system was intended to redirect available in 2018. During those 50 years, heart transplantation as treat- donors to those patients of greatest need. The original status ment of advanced heart failure evolved from a heroic inter- IA category was partitioned into 3 categories, and the original vention with uncertain outcomes to a guideline-directed treat- status IB category became category 4. A patient with ad- ment appropriate for selected vanced heart failure supported with a left ventricular assist de- patients to restore quality of vice (LVAD) without LVAD-associated complications became Related articles pages 652, life and to improve survival. a status 4 candidate. A similar patient with advanced heart 660, and 728 Today, 1-year survival after failure http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Anticipating a New Era in Heart Transplantation

JAMA Cardiology , Volume 5 (6) – Jun 15, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2020.0611
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Clyde W. Yancy, MD, MSc; Gregg C. Fonarow, MD We think the way is clear for trial of human heart transplantation… The first of these articles, by Hanff and colleagues, evalu- Norman Shumway, November 20, 1967, Journal of the American Medical ated changes in the use of mechanical circulatory support un- Association der the auspices of new organ allocation rules introduced in October 2018 by the Organ Procurement and Transplantation The 50th anniversary of heart transplantation was celebrated Network. The new system was intended to redirect available in 2018. During those 50 years, heart transplantation as treat- donors to those patients of greatest need. The original status ment of advanced heart failure evolved from a heroic inter- IA category was partitioned into 3 categories, and the original vention with uncertain outcomes to a guideline-directed treat- status IB category became category 4. A patient with ad- ment appropriate for selected vanced heart failure supported with a left ventricular assist de- patients to restore quality of vice (LVAD) without LVAD-associated complications became Related articles pages 652, life and to improve survival. a status 4 candidate. A similar patient with advanced heart 660, and 728 Today, 1-year survival after failure

Journal

JAMA CardiologyAmerican Medical Association

Published: Jun 15, 2020

References