Department of Therapeutic Strategy for Severe Heart Failure, Graduate School of Medicine, Tokyo Women's Medical University.
Department of Cardiovascular Medicine, Tokyo Medical and Dental University.
Circ J. 2019 Feb 25;83(3):681-683. doi: 10.1253/circj.CJ-17-0024. Epub 2018 Dec 27.
In Japan, there are more patients waiting for heart transplants (HTXs) than available organs.
Since July 2010, 68 pediatric and 366 adult patients aged <60 years applied for HTX candidacy with the Japanese Circulation Society's HTX Committee. No significant differences in freedom from death or HTX were observed between pediatric Status 1 and Status 2 patients. More adult Status 1 patients reached the endpoint of death or HTX than adult Status 2 patients. Pediatric patients (Status 1 and 2) did not have better survival than adult Status 1 or Status 2 patients.
Pediatric patients should be prioritized over adult patients for HTX.
在日本，等待心脏移植（HTX）的患者比可供移植的器官多。
自 2010 年 7 月以来，68 名儿科患者和 366 名年龄<60 岁的成年患者向日本循环学会 HTX 委员会申请 HTX 候选资格。在无死亡或 HTX 方面，儿科 1 级和 2 级患者之间没有显著差异。与成人 2 级患者相比，更多的成人 1 级患者达到死亡或 HTX 的终点。儿科患者（1 级和 2 级）的存活率并不优于成人 1 级或 2 级患者。
儿科患者应优先接受 HTX 治疗，而不是成年患者。
