Indications of ACC/AHA for Cardiac Transplantation in Patient with Heart Failure

Maximal oxygen uptake

Has cardiac disease placed major restrictions on the patient's activities of daily living?

Is the patient in refractory cardiogenic shock?

Is the patient dependent on intravenous inotropic support to maintain adequate organ perfusion?

Does the patient have severe symptoms of cardiac ischemia?

Is the ischemia amenable to coronary artery bypass surgery or percutaneous coronary intervention?

Does the patient have recurrent sympto-matic ventricular arrhythmias refractory to all therapeutic modalities?

Does the patient have recurrent instability of fluid balance and/or renal function?

Are problems with fluid balance or renal function due to patient noncompliance with medical regimens?