{"title":"Tratamiento de la insuficiencia cardiaca avanzada en el siglo XXI. El trasplante cardiaco en la encrucijada","authors":"Juan F. Delgado Jiménez","doi":"10.1016/S1131-3587(15)30002-9","DOIUrl":null,"url":null,"abstract":"<div><p>Today heart transplantation is an accepted and established treatment for advanced heart failure. However, since the first procedure in Spain was performed in 1984, there have been substantial, unfavorable changes in donor and recipient profiles, as well as in the circumstances under which patients present for transplantation. These changes have taken place in parallel with medical and surgical advances in heart transplantation, such that, overall, outcomes have not been greatly affected. Nevertheless, it is important that the number of transplantations is either maintained or increased, that the good results obtained so far are sustained, that organs continue to be allocated as fairly as possible and that mortality among patients on the waiting list is reduced. This article considers the changes that have occurred in the field and reviews proposals for future improvements.</p></div>","PeriodicalId":34926,"journal":{"name":"Revista Espanola de Cardiologia Suplementos","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1131-3587(15)30002-9","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espanola de Cardiologia Suplementos","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1131358715300029","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Today heart transplantation is an accepted and established treatment for advanced heart failure. However, since the first procedure in Spain was performed in 1984, there have been substantial, unfavorable changes in donor and recipient profiles, as well as in the circumstances under which patients present for transplantation. These changes have taken place in parallel with medical and surgical advances in heart transplantation, such that, overall, outcomes have not been greatly affected. Nevertheless, it is important that the number of transplantations is either maintained or increased, that the good results obtained so far are sustained, that organs continue to be allocated as fairly as possible and that mortality among patients on the waiting list is reduced. This article considers the changes that have occurred in the field and reviews proposals for future improvements.
期刊介绍：
Revista Española de Cardiología, is an international scientific journal dealing with cardiovascular medicine. Revista Española de Cardiología, the official publication of the Spanish Society of Cardiology, publishes research articles related to cardiovascular diseases. Articles are published in Spanish for the paper edition and in both Spanish and English in the electronic edition, which is available on the Internet. Regular sections include original articles reporting clinical or basic research, brief reports, review articles, editorials and letters to the Editor.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
