By Chris Kaiser, Cardiology Editor, MedPage Today
Published: April 26, 2012
Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner
30-day preference for heart transplantation given to patients with left ventricular assist devices (LVADs) may not be necessary and may put others on the waiting list at risk, researchers found.
Patients waiting for a transplant who were supported by dual inotropes and right heart monitoring had a threefold higher risk of adverse events compared with patients with LVADs, reported Todd Dardas, MD, from the University of Washington in Seattle, and colleagues.
Yet the odds of receiving a transplant were higher for those with LVADs (OR 1.5, P<0.0001), according to the study published online April 25 in the Journal of the American College of Cardiology.
Waiting list registrants categorized as status 1A have top priority for transplant. All patients on LVADs receive a 1A status they can elect to use for a 30-day period. Physicians also can seek status 1A for non-LVAD patients.
Status 1B is the next highest priority status and these patients can be home-bound or in the hospital.Read more: http://www.medpagetoday.com/Cardiology/HeartTransplantation/32368
Published: April 26, 2012
Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner
30-day preference for heart transplantation given to patients with left ventricular assist devices (LVADs) may not be necessary and may put others on the waiting list at risk, researchers found.
Patients waiting for a transplant who were supported by dual inotropes and right heart monitoring had a threefold higher risk of adverse events compared with patients with LVADs, reported Todd Dardas, MD, from the University of Washington in Seattle, and colleagues.
Yet the odds of receiving a transplant were higher for those with LVADs (OR 1.5, P<0.0001), according to the study published online April 25 in the Journal of the American College of Cardiology.
Waiting list registrants categorized as status 1A have top priority for transplant. All patients on LVADs receive a 1A status they can elect to use for a 30-day period. Physicians also can seek status 1A for non-LVAD patients.
Status 1B is the next highest priority status and these patients can be home-bound or in the hospital.Read more: http://www.medpagetoday.com/Cardiology/HeartTransplantation/32368
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