Survival rates improve only in patients with the worst heart failure

Papers p 540

In the early years after the introduction of heart transplantation the supply of donor hearts increased yearly as greater numbers of transplant centres came into existence and more patients with end stage heart disease were listed as transplant candidates. This parallel expansion of both donor and recipient numbers ceased around 1990, and since then the number of cardiac donors has plateaued at about 3500 a year worldwide while the number of patients listed to receive a heart transplant increases annually. 1 2 This increase in the number of patients waiting for a heart transplant has occurred despite major improvements in medical treatment for heart failure that have been introduced during this time.

This probably reflects the fact that most of the advances in the treatment of heart …