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New guidelines for global heart patient management

Recognizing a need for standardized treatment around the globe, ISHLT initiated a review process more than two years ago, establishing a series of task forces utilizing a diverse group of its members who are active in heart failure and transplant medicine. The task forces reviewed criteria for placing patients on waiting lists for donor organs as well as pharmacological, surgical and device-based intervention to successfully bridge patients to transplant.

International collaboration within ISHLT made possible a global perspective that takes into consideration the barriers to transplantation in different countries, reviewing varied healthcare systems and economic factors that influence medical care for heart-failure patients.

"While there are several agencies worldwide that review and address guidelines for treatment and management of heart failure in patients, none are comprehensive," explained Mandeep Mehra, M.D., University of Maryland School of Medicine and ISHLT task force chair. "With our international membership, ISHLT is in the ideal position to advocate comprehensive guidelines for the global medical community."

A Comprehensive International Approach To develop the new guidelines, ISHLT convened three international task forces to examine particular areas of consideration in heart failure patient management. Each task force consisted of an international mix of society members charged with reviewing and deliberating specific issues of importance to heart failure patient management. The final recommendations of the task forces were reviewed by a blinded, independent, international editorial review board and then presented to the ISHLT board of directors for approval.

Revisiting Listing Criteria for Heart Transplantation The first task force, charged with Revisiting Listing Criteria for Heart Transplantation, produced a report particularly focused on patient outcomes. This task force, working to balance societal need
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