Heart Transplantation Patient Selection

Heart failure (HF) is a major cause of morbidity and mortality in the United States and worldwide. It is only second to pancreatic cancer with the shortest life expectancy. It plagues millions of people every year. Currently, over 5 million people have an HF diagnosis, and that number is only expected to rise in the future. Advanced heart failure or stage D disease affects >10% of the heart failure population. In the most advanced phase of heart failure, heart transplantation (HT) is the only means of improving the quality of life and survival in these patients. Unfortunately, not all patients who need a heart transplant meet criteria to receive a heart transplant. This chapter will cover in detail patient selection for a heart transplant including indications, contraindications, medical professionals required to assess patient selection, preparation, and clinical significance.