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Quality of Life and Psychosomatics - In Mechanical Circulation * The Heart Transplantation (Paperback, Softcover reprint of the original 1st ed. 1998)
Loot Price: R2,747
Discovery Miles 27 470
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Quality of Life and Psychosomatics - In Mechanical Circulation * The Heart Transplantation (Paperback, Softcover reprint of the original 1st ed. 1998)
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Advances in heart surgical treatment have been impressive in the
last 15 years. In end-stage heart disease, procedures are now
performed routinely which were only experimental one or two decades
ago. Heart transplantation has become a well-established procedure.
According to the Gen eral Registry of the International Society of
Heart and Lung Transplantation. 40,738 heart transplantations had
been performed through the end of 1997 with survival rates of 78 %
at one year, 65 % at five years, and 42 % at ten years. The
progress in this field has been due to intense efforts in
understanding and modulating immune responses to the trans planted
heart, to elaborate therapeutic strategies to constrain infections,
and to improved out-patient care. Accordingly, heart
transplantation is integrated into the facilities of the health
care systems, the routine of physicians, and the awareness of
patients. The resulting increase in potential organ recipients has
not been met, however, by an equivalent increase of available donor
organs. This increasing discrepancy has forced the technical
improvement and clinical evalua tion of mechanical circulatory
support systems as an option for treatment of critically ill
patients with a failing heart. Initially, these assist devices were
only used to maintain sufficient circulation in post-cardiotomy
heart failure until myocardial function had recov ered. Since the
late 1980s, their primary use has been that of bridging patients
with heart failure until a suitable organ is available so that
heart transplantation can be performed."
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