Table 1

(A–C) Heart transplantation as primary treatment for ventricular tachyarrhythmias and heart failure following myocardial infarction


(A) Actually transplanted (n = 8)
Age/sexMI-NFirst VT presentVTA numberTx waiting (days)KCCADsLVEF (%)WMSCITx (+/−) F-up (months)Status
52/M2Arrest1644II22822.0+109Alive
51/M3Arrest392II21622.7+103Alive
51/M4Arrest5111III21821.2+92Alive
42/M4Tolerated2435III21612.7+56Died (MI)
59/M1Arrest1052IVNA1503.1+54Alive
56/M2Tolerated530I11502.6+17Alive
59/M4Tolerated128I31811.6+11Alive
60/M2Tolerated120IVNANA12.9+33Alive
(B) Died of arrhythmias awaiting transplantation (n = 5)
Age/sexMI-NFirst VT presentVTA numberTx waiting (days to death)KCCADsLVEF (%)WMSCITx (+/−)LV support deployed
50/M2ToleratedIntractable × 24 h 2IV2100NAIABP
38/M1Tolerated⩾ 4 7II1NA2NAPC bypass
62/F1Arrest⩾ 518IV21522.9IABP/pacing
59/M1ToleratedIntractable11II3<250NAIABP/pacing
57/F2ArrestIntractable × 48 h13IVNA26NANADobutamine
(C) High risk arrhythmia surgery undertaken (n = 4)
Age/sexMI-NFirst VT presentVTA numberTx waiting (days to death)KCCADsLVEF (%)WMSCITx (+/−)LV support deployed
49/M1ArrestIncessant12I12352NAIABP + LVAD
54/F1ToleratedIncessant7IV150NAIABP
52/M1Collapse611IV1175NAIABP; dopamine
43/M1Arrest72IV1<100NA+LVAD→Tx
  • Arrest, cardiac arrest; CADs, number of major coronary arteries with stenoses >75%; CI, cardiac index (l/min/m2); First VT present, clinical presentation of the first arrhythmic episode; F-up, duration of follow up after cardiac transplantation; IABP, intra-aortic balloon pump device; KC, Killip classificication of heart failure (I-IV); LVAD, left ventricular assist device; LVEF, % left ventricular ejection fraction; MI, myocardial infarction; MI-N, number of confirmed myocardial infarctions; NA, data not available; PC bypass, percutaneous cardiopulmonary bypass; Tolerated, haemodynamically tolerated + syncope; Tx (+/−), whether cardiac transplantation performed; WMS, left ventricular segments with normal systolic motion (1–9).