The Artificial Heart: Prototypes, Policies, and Patients

Front Cover

A significant medical event is expected in 1992: the first human use of a fully implantable, long-term cardiac assist device. This timely volume reviews the artificial heart program--and in particular, the National Institutes of Health's major investment--raising important questions.
The volume includes:

  • Consideration of the artificial heart versus heart transplantation and other approaches to treating end-stage heart disease, keeping in mind the different outcomes and costs of these treatments.
  • A look at human issues, including the number of people who may require the artificial heart, patient quality of life, and other ethical and societal questions.
  • Examination of how this technology's use can be targeted most appropriately.
  • Attention to achieving access to this technology for all those who can benefit from it.

The committee also offers three mechanisms to aid in allocating research and development funds.

 

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Contents

Executive Summary
1
Current Status and History
14
Technological Potential and Research and
26
Decisions for Future Research and Development
44
Clinical Effectiveness and Need for LongTerm Circulatory Sup
65
Quality of Life and Mechanical Circulatory Support Systems
85
CostEffectiveness Analysis
107
The Appropriate Use of Technology
121
Ethical and Societal Issues
135
Roles of Government and Industry in Medical Technology
151
Conclusions and Recommendations
173
A History and Methods of This Evaluation
201
Epidemiology of EndStage Heart Disease commissioned
251
E Assessing the CostEffectiveness of the Development and Use
262
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