Trasplante de corazón en México. Análisis de la productividad 2006-2019 y comparativa panamericana e ibérica

Abstract

Introduction:In Mexico, heart transplants (HTs) have been performed since 1988. Objective: To review Mexican productivity in terms of HT between 2006 and 2019 and compare it with that of American and Iberian Peninsula countries. Methods: Mexican information was collected from HT waiting lists (WL) and from the HTs carried out annually in the period, and was expressed as rates per million population (pmp); 2019 information was compared with that reported at the Pan American and Iberian levels. Results: In the studied period, the rate of HTs in Mexico went from 0.12 pmp in 2006 to 0.25 pmp in 2019, with HTs accounting for between 1 and 2% of all solid organ transplants. Among 13 countries, in 2019 Mexico ranked 12 th in the HT rate pmp and 11 th in the rate of patients registered for the first time in the WL for a heart (0.42 pmp). Between 2016 and 2019, only one authorized Mexican center reached a volume higher than 10 HT/year. Conclusions: Given the low figures in the main indicators related to HT in Mexico, it is urgent to rethink health policies in heart failure and HT.

Deceased donation and organ transplantation in Mexico. Analysis of 12 years and seven strategic proposals

“…On July 21, 1988, was the first heart transplant performed in Mexico 1 . At 31 years of this event, this document analyzes the evolution and current state of deceased organ donation and transplantation activity in Mexico over a 12-year period, from 2007 to 2018.…”

La experiencia adquirida a 34 años del primer trasplante de corazón en México

“…En este momento, después de una cuidadosa evaluación, la opción es el reemplazo de ese órgano irreversiblemente dañado mediante el trasplante. 1,2 Eso mismo puede ocurrir con el corazón. Una falla cardiaca secundaria a lesiones estructurales congénitas o adquiridas puede evolucionar desfavorablemente sin respuesta a las opciones terapéuticas actuales.…”