A patient has dilated cardiomyopathy and his left ventricular ejection fraction is 15%. The patient has been scheduled to undergo cardiac transplant surgery. Which of the following would be contraindications for the surgery?
  1. Age > 60 years
  2. Hepatitis C positive
  3. Diabetes
  4. Hypertension
Explanation
Answer: B - An active infection is a cContraindication for cardiac transplant surgery. Other contraindications include:
• incurable malignancy
• major systemic illness
• irreversible major organ disease (e.g., renal, hepatic)
• emotional instability or acute psychiatric illness
• age > 70 years
• obesity
• irreversible pulmonary hypertension (PVR > 6 Wood units)
• severe COPD (FEV1 <1 L)
active drug addiction or alcoholism
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