Q:

Suitable donors for heart transplantation have which of the following characteristics?

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Suitable donors for heart transplantation have which of the following characteristics? 


  1. Normal electrocardiogram (ECG).
  2. Normal echocardiogram.
  3. Positive serology for HIV or hepatitis B or C.
  4. Patient requiring high-dose epinephrine to maintain a systolic blood pressure of 90 mm. Hg.
  5. Age over 70 years.

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A. Normal electrocardiogram (ECG).

B. Normal echocardiogram. 

DISCUSSION: To be suitable for cardiac donation, individuals must have a normal ECG and a normal echocardiogram. Clearly, positive serologic tests for HIV or hepatitis B or C would render donors unsuitable for solid organ transplantation. Similarly, high-dose pressor support and age greater than 60 years, in most programs, contraindicate cardiac donation.

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