Related Experiment Videos
[Heart transplantation in Scandinavia]
C H Bergh1, E Berglin, A Harjula
1Divisionen för hjärt/lungtransplantation, Sahlgrenska sjukhuset, Göteborg.
Insights
Heart transplantation is a vital treatment for end-stage heart failure. Survival rates in Nordic countries exceeded 80% at 1 year and 70% at 5 years, surpassing international benchmarks.
Area of Science:
- Cardiology
- Transplantation Medicine
- Cardiac Surgery
Context:
- Heart transplantation is a critical intervention for end-stage heart failure when other treatments fail.
- The Nordic countries performed 620 heart transplantations between 1983 and 1993.
- Dilated cardiomyopathy and ischemic heart disease were the primary indications for transplantation.
Purpose:
- To review the outcomes of heart transplantation in the Nordic countries.
- To analyze survival rates and compare them with international data.
- To discuss the indications, contraindications, and pre-operative evaluation for heart transplantation.
Summary:
- The study reports on 620 heart transplantations performed in Nordic countries from 1983-1993.
- Key causes for heart failure included dilated cardiomyopathy and ischemic heart disease.
- Achieved 1-year and 5-year actuarial survival rates exceeding 80% and 70%, respectively.
Impact:
- Demonstrates high efficacy of heart transplantation in the Nordic region.
- Provides valuable data for comparison with International Society of Heart and Lung Transplantation (ISHLT) registry.
- Highlights the importance of established protocols for pre-operative evaluation and patient selection.
Abstract:
Heart transplantation is well established therapy for end-stage heart failure, where no other treatment is available. From 1983 to the end of 1993, 620 heart transplantations were performed in the Nordic countries, the main causes of heart failure being dilated cardiomyopathy and ischaemic heart disease. The 1-year and 5-year actuarial survival rates were above 80 per cent and 70 per cent, respectively, which are higher than corresponding figures reported by the International Society of Heart and Lung Transplantation. The indications and contra-indications for heart transplantation, pre-operative evaluation and outcome are discussed in the article.