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 Development Costs
26
3 Decisions for Future Research and Development
44
4 Clinical Effectiveness and Need For LongTerm Circulatory Support
65
5 Quality of Life and Mechanical Circulatory Support Systems
85
6 CostEffectiveness Analysis
107
7 The Appropriate Use of Technology
121
8 Ethical and Societal Issues
135
9 Roles of Government and Industry in Medical Technology Research Development and Use
151
10 Conclusions and Recommendations
173
Appendixes
199
Glossary
285
Index
289
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