Question

Which of the following patients is the best candidate for heart transplantation?

A.) 65 year old with end stage cardiomyopathy and cardiac induced renal insufficiency
B.) 55 year old with three vessel coronary artery disease and mitral regurgitation
C.) 50 year old with severe coronary artery disease and diabetic neuropathy
D.) 45 year old with severe coronary artery disease and active peptic ulcer disease

Answer 1

The best candidate for heart transplantation is a 65-year-old with end-stage cardiomyopathy and cardiac-induced renal insufficiency.

Step-by-step explanation:

The best candidate for heart transplantation would be the 65-year-old with end-stage cardiomyopathy and cardiac-induced renal insufficiency (option A). Cardiomyopathy is a disease of the heart muscle, and when it reaches the end stage, the heart is severely damaged and unable to pump blood effectively. Renal insufficiency indicates that the patient's kidneys are also being affected by the heart condition.

Option B describes a 55-year-old with three-vessel coronary artery disease (blockage in the heart's blood vessels) and mitral regurgitation (leaking of the heart's mitral valve). Although these conditions may require medical intervention, they may not necessarily warrant a heart transplant.

Option C and D both involve severe coronary artery disease, which may suggest a need for medical treatment, such as coronary bypass surgery, but may not make the patients the best candidates for heart transplantation.