must consider the likelihood of improved survival with a heart transplantation compared with the expected survival without a transplant. Survival with a transplant is approximately 80%, 70% and 55% at 1, 5 and 10 years respectively. A heart transplant must make a significant difference with respect to expected patient survival.
different aetiologies of patients who have heart transplants include:
ischaemic heart disease (about 50%)
cardiomyopathies (about 40%)
valvular and congenital heart defects (about 5%)
upper age limit is usually taken at about 60 years of age
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