[HSF] Viability test

[Tea Acuff]

As Ani pointed out about SVR, transplant centers are (not completely) marketing tools for patients that need bread and butter surgery all be it in more complex patients. And what is wrong about that, or the desire to fix them before the get there?

tea


----- Original Message ----
From: "Hgrmd at aol.com" <Hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, January 12, 2008 5:42:24 AM
Subject: Re: [HSF] Viability test

Zhadong,
  I see those type of patients fairly frequently, as I'm sure do most  
members of HSF.  I suspect your cardiologist is a bit too aggressive with  the 
transplant referral reflex.  For one thing, what is the likelihood that   the 
patient will actually receive a donor heart?  Perhaps Ani or Michael   could address 
that question.  In my own experience, only a few of the  patients sent for 
transplant actually get a heart.
  Anyway, sending the patient to transplant with an EF of 25% and good   
targets and a negative viability study begs the question as to why the patient  was 
having angina and EKG changes.  Doesn't sound like a dead heart to  me.

Hal



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