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Abstract: Heart transplant (HT) remains the best therapeutic option for patients with advanced heart failure (HF). The allocation criteria aim to guarantee equitable access to HT and prioritize patients with a worse clinical status. To review the HT allocation criteria, the Heart Failure Association of the Spanish Society of Cardiology (HFA-SEC), the Spanish Society of Cardiovascular and Endovascular Surgery (SECCE) and the National Transplant Organization (ONT), organized a consensus conference involving adult and pediatric cardiologists, adult and pediatric cardiac surgeons, transplant coordinators from all over Spain, and physicians and nurses from the ONT. The aims of the consensus conference were as follows: a) to analyze the organization and management of patients with advanced HF and cardiogenic shock in Spain; b) to critically review heart allocation and priority criteria in other transplant organizations; c) to analyze the outcomes of patients listed and transplanted before and after the modification of the heart allocation criteria in 2017; and d) to propose new heart allocation criteria in Spain after an analysis of the available evidence and multidisciplinary discussion. In this article, by the HFA-SEC, SECCE and the ONT we present the results of the analysis performed in the consensus conference and the rationale for the new heart allocation criteria in Spain.
Fuente: Revista Española de Cardiología, 2023
Publisher: Doyma
Year of publication: 2023
No. of pages: 10
Publication type: Article
DOI: 10.1016/j.rec.2023.11.001
ISSN: 0300-8932,1579-2242,1885-5857
Publication Url: https://doi.org/10.1016/j.rec.2023.11.001
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GONZÁLEZ-COSTELLO, JOSÉ
PÉREZ-BLANCO, ALICIA
DELGADO-JIMÉNEZ, JUAN
FRANCISCO JESUS GONZALEZ VILCHEZ
MIRABET, SONIA
SANDOVAL, ELENA
CUENCA-CASTILLO, JOSÉ
CAMINO, MANUEL
SEGOVIA-CUBERO, JAVIER
SÁNCHEZ-SALADO, JOSÉ CARLOS
PÉREZ DE LA SOTA, ENRIQUE
ALMENAR-BONET, LUIS
FARRERO, MARTA
ZATARAÍN, EDUARDO
GARCÍA-COSÍO, MARÍA DOLORES
GARRIDO, IRIS
BARGE-CABALLERO, EDUARDO
GÓMEZ-BUENO, MANUEL
EDUARDO MIÑAMBRES GARCIA
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