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Related Experiment Video

Updated: Aug 24, 2025

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Published on: July 12, 2024

Donor Heart Utilization in Korea.

In-Cheol Kim¹, Jong-Chan Youn², Sang Eun Lee³

¹Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine, Daegu, Korea.

International Journal of Heart Failure

|October 20, 2022

Summary

Donor heart utilization in Korea is low at 31.4%, with medical conditions and age being key reasons for discard. Strategies are needed to improve the use of available donor hearts.

Keywords:

Donor selection Heart transplantation Korea

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Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Functional Assessment of the Donor Heart During Ex Situ Perfusion: Insights from Pressure-Volume Loops and Surface Echocardiography

Published on: October 11, 2022

Area of Science:

Cardiology
Transplantation Medicine
Public Health

Background:

Donor heart utilization patterns in Korea remain largely uncharacterized.
Understanding these patterns is crucial for optimizing organ transplantation efforts.

Purpose of the Study:

To analyze the current utilization rate of donor hearts in Korea.
To identify and evaluate the primary reasons for donor heart non-utilization.

Main Methods:

Retrospective analysis of brain death donor data from the Korean Network for Organ Sharing registry (November 2009 - December 2019).
Comparison of baseline characteristics and heart transplant parameters between utilized and discarded donor hearts.
Multivariate analysis to identify independent predictors of non-utilization.

Main Results:

The overall donor heart utilization rate was 31.4%, improving to 42.9% by 2019.
Hearts from younger, male donors without hypertension or diabetes were utilized more frequently.
Key reasons for non-utilization included medical condition (34.4%), old age (31.8%), and donor/family refusal (33.5%).
Independent predictors for non-utilization included advanced age, small body surface area, rapid heart rate, non-O blood types, and abnormal echocardiography findings.

Conclusions:

Despite improvements, a significant proportion of donor hearts are still discarded in Korea.
A strategic approach is necessary to enhance donor heart utilization rates.
Addressing factors like donor age, medical suitability, and recipient matching can improve outcomes.