[For whom and when is a heart transplant indicated]

Selection of receptor has a great importance in the field of heart transplantation, due to its influence on short and long-term results after transplantation and to a better profit of available donors and resources. Although several parameters of prognostic value in patients with severe heart failure have been suggested, the indication and timing of heart transplantation are still based on a accurate assessment of contraindications or risk factors in the receptors, as well as on the clinical and functional condition of patients while receiving an adequate medical therapy.