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Table 3 Reasons Why Hearts Were Declined by first centre (n = 93).

From: Donor heart selection: the outcome of "unacceptable" donors

 

Primary Reason

Secondary Reason

Inotropic Support * (%)

23.6

4.3

Haemodynamic Instability†(%)

10.7

8.6

ECG Changes‡ (%)

10.7

5.3

Age§ (%)

5.3

12.9

Past Medical History (%)

16.1

13.9

Abnormal CXR††(%)

4.3

3.2

Smoking ‡‡>(%)

6.5

38.7

Other# (%)

22.8

13.1

  1. * Dopamine >10 μg/kg/min or noradrenalin >0.2 μg/kg/min or adrenaline >0.5 μg/kg/min.
  2. † High filling pressures and low systemic blood pressure.
  3. ‡ Abnormal rhythm, bundle branch block, or ST wave changes.
  4. § Up to a maximum of 65 years.
  5. †† Abnormal cardiac size/cardiothoracic ratio or pulmonary oedema.
  6. †† Up to 20 pack-years (i.e. 1 pack/d for 20 years).
  7. # Cerebral astrocytoma grade IV, brain tumour with unknown histological findings, hypernatremia and hyperkalemia of unknown cause and significant history of drug abuse.