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<p>The care of patients on the heart transplantation waiting list represents a&#xa0;complex and dynamic phase in the course of advanced heart failure. It requires a structured, interdisciplinary management aimed at maintaining transplantation eligibility, detecting clinical deterioration at an early stage and responding with timely therapeutic interventions. In addition to optimizing drug treatment, regular clinical and instrumental re-evaluations, monitoring of end-organ function and assessment of the patient’s hemodynamic stability play a&#xa0;central role. Particular importance is attached to the early identification of complications and the escalation of treatment, including temporary and/or permanent mechanical circulatory support. Furthermore, organizational aspects, such as the actuality of the waiting list data, close collaboration with transplantation coordination and preparation for a&#xa0;potential organ donor are essential. Psychosocial factors and treatment adherence substantially influence the course on the waiting list and should be an integral part of patient management. This article provides a&#xa0;practice-oriented overview of the key medical, organizational and interdisciplinary aspects of the care for heart transplantation candidates on the waiting list.</p>

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Betreuung von Patienten auf der Warteliste zur Herztransplantation

  • 期刊论文

  • 发表日期：

    2026年4月16日

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  • Raphael Phinicarides,
  • Udo Boeken,
  • Angelika Costard-Jäckle,
  • Jan Gummert,
  • Artur Lichtenberg,
  • Rene Schramm

摘要

The care of patients on the heart transplantation waiting list represents a complex and dynamic phase in the course of advanced heart failure. It requires a structured, interdisciplinary management aimed at maintaining transplantation eligibility, detecting clinical deterioration at an early stage and responding with timely therapeutic interventions. In addition to optimizing drug treatment, regular clinical and instrumental re-evaluations, monitoring of end-organ function and assessment of the patient’s hemodynamic stability play a central role. Particular importance is attached to the early identification of complications and the escalation of treatment, including temporary and/or permanent mechanical circulatory support. Furthermore, organizational aspects, such as the actuality of the waiting list data, close collaboration with transplantation coordination and preparation for a potential organ donor are essential. Psychosocial factors and treatment adherence substantially influence the course on the waiting list and should be an integral part of patient management. This article provides a practice-oriented overview of the key medical, organizational and interdisciplinary aspects of the care for heart transplantation candidates on the waiting list.