Even with well-managed care, many patients with severe heartfailure reach a stage at which medical therapy is insufficientto sustain an acceptable level of cardiac function. It is estimatedthat 0.2% of persons over 45 years of age in the United States,or nearly 200,000 people, may fit this description.1 Since onlyapproximately 2000 donor hearts are available in the UnitedStates each year for transplantation, the need for another approachto cardiac replacement is well established.
Investigators and the medical-device industry have been pursuingthe development of mechanical cardiac support for more thanfour decades. The earliest forms . . . [Full Text of this Article]
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Dr. Baughman is a professor of medicine at Harvard Medical School and director of the Advanced Heart Disease Program at Brigham and Women's Hospital (both in Boston) and an associate editor of the Journal. Dr. Jarcho is a deputy editor of the Journal.
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