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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.