N %
Medical Severe hemodynamic instability Ventricular dysfunction on echocardiography Active sepsis Recipient related refusal Elevated cardiac enzymes Structural heart disease Chagas positive serology Coronary artery disease Previous donor open-heart surgery Positive virtual cross-matching against all recipients History of malignancy 111 46 35 9 5 4 4 3 2 1 1 1 46.3 19.2 14.6 3.8 2.1 1.7 1.7 1.3 0.8 0.4 0.4 0.4
Non-medical Logistics for transportation unavailable Lack of complementary tests for heart donor assessment Important donor to recipient weight/height mismatch High-risk donor: intravenous illicit drug addict Need of a local donor for combined heart-kidney transplant Duplicate offer to an already transplanted recipient 129 78 36 12 1 1 1 53.7 32.5 15 5 0.4 0.4 0.4