Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation
In Japan, the incidence of heart failure has escalated to become a major cause of morbidity and mortality. Advanced therapeutic interventions, such as heart transplantation and durable left ventricular assist devices, have become a focus of interest in recent decades. However, the unique sociocultur...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | JHLT Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S295013342400154X |
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| author | Satoshi Miyashita, MD Francisco B. Alexandrino, MD Amanda R. Vest, MBBS, MPH Tomohiro Fujisaki, MD Wai Hong Wilson Tang, MD Yasumasa Tsukamoto, MD, PhD Koichiro Kinugawa, MD, PhD |
| author_facet | Satoshi Miyashita, MD Francisco B. Alexandrino, MD Amanda R. Vest, MBBS, MPH Tomohiro Fujisaki, MD Wai Hong Wilson Tang, MD Yasumasa Tsukamoto, MD, PhD Koichiro Kinugawa, MD, PhD |
| author_sort | Satoshi Miyashita, MD |
| collection | DOAJ |
| description | In Japan, the incidence of heart failure has escalated to become a major cause of morbidity and mortality. Advanced therapeutic interventions, such as heart transplantation and durable left ventricular assist devices, have become a focus of interest in recent decades. However, the unique sociocultural landscape of Japan, coupled with a historically controversial background of organ transplantation, has impeded progress in these areas. This has resulted in a notable donor shortage and the absence of a robust framework for heart transplantation. This review aims to highlight the specific challenges faced in advancing heart failure care in Japan and proposes strategic solutions to overcome these barriers. |
| format | Article |
| id | doaj-art-67b46eb585a5453493adb7412e5df124 |
| institution | Kabale University |
| issn | 2950-1334 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JHLT Open |
| spelling | doaj-art-67b46eb585a5453493adb7412e5df1242025-02-09T05:02:02ZengElsevierJHLT Open2950-13342025-02-017100204Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantationSatoshi Miyashita, MD0Francisco B. Alexandrino, MD1Amanda R. Vest, MBBS, MPH2Tomohiro Fujisaki, MD3Wai Hong Wilson Tang, MD4Yasumasa Tsukamoto, MD, PhD5Koichiro Kinugawa, MD, PhD6Department of Cardiovascular Medicine Heart, Vascular, and Thoracic Institute Cleveland Clinic Foundation, Cleveland, Ohio; Corresponding author: Satoshi Miyashita, MD, Department of Cardiovascular Medicine Heart, Vascular, and Thoracic Institute Cleveland Clinic Foundation, Cleveland, OH.Department of Internal Medicine, Primary Care Institute, Cleveland Clinic Foundation, Cleveland, OhioDepartment of Cardiovascular Medicine Heart, Vascular, and Thoracic Institute Cleveland Clinic Foundation, Cleveland, OhioDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, JapanDepartment of Cardiovascular Medicine Heart, Vascular, and Thoracic Institute Cleveland Clinic Foundation, Cleveland, OhioDepartment of Transplantation, National Cerebral and Cardiovascular Center, Suita, Osaka, JapanThe Second Department of Internal Medicine, University of Toyama, Toyama, Toyama, JapanIn Japan, the incidence of heart failure has escalated to become a major cause of morbidity and mortality. Advanced therapeutic interventions, such as heart transplantation and durable left ventricular assist devices, have become a focus of interest in recent decades. However, the unique sociocultural landscape of Japan, coupled with a historically controversial background of organ transplantation, has impeded progress in these areas. This has resulted in a notable donor shortage and the absence of a robust framework for heart transplantation. This review aims to highlight the specific challenges faced in advancing heart failure care in Japan and proposes strategic solutions to overcome these barriers.http://www.sciencedirect.com/science/article/pii/S295013342400154Xheart transplantleft ventricular assist deviceadvanced heart failurecardiogenic shockheart failure |
| spellingShingle | Satoshi Miyashita, MD Francisco B. Alexandrino, MD Amanda R. Vest, MBBS, MPH Tomohiro Fujisaki, MD Wai Hong Wilson Tang, MD Yasumasa Tsukamoto, MD, PhD Koichiro Kinugawa, MD, PhD Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation JHLT Open heart transplant left ventricular assist device advanced heart failure cardiogenic shock heart failure |
| title | Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| title_full | Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| title_fullStr | Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| title_full_unstemmed | Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| title_short | Challenges in advanced heart failure care in Japan: Bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| title_sort | challenges in advanced heart failure care in japan bridging the gap in durable mechanical circulatory support utilization and heart transplantation |
| topic | heart transplant left ventricular assist device advanced heart failure cardiogenic shock heart failure |
| url | http://www.sciencedirect.com/science/article/pii/S295013342400154X |
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