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  • Chronological age greater than 70 or physiologic age greater than 65
  • Life threatening illness that despite transplant will limit survival to less than 5 years despite therapy
  • High risk or severely symptomatic carotid or peripheral vascular disease that is not amenable to correction
  • HIV infection
  • Severe pulmonary disease that will likely result in the patient being ventilator dependent after transplant

Relative contraindications include the following:

  • Uncontrolled Diabetes mellitus with significant neuropathy, nephropathy, or retinopathy
  • Severe asymptomatic peripheral vascular disease
  • Patients with body mass index > or = 35
  • Psychological impairment
  • Active alcohol abuse without an attempt to stop
  • Evidence of noncompliance with accepted medical practices
  • Lack of social support network that can make long term commitment for patient's welfare
  • Cigarette smoking when the patient makes no attempt to stop
  • Unrealistic expectations by the patient or family regarding transplant, its risks, and benefits
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Q: What are contraindications for cardiac transplants?
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