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By not having an approved indication of bridge to eligibility, some insurers have refused to cover the cost of placing a LVAS in a patient who has relative contraindications for a heart transplant at the time of treatment, Dr.
Numerous authors (5-13) have examined the safety and cost-effectiveness of PDT, and a number of absolute contraindications (4) and relative contraindications (14) to PDT are recognized.
6) Relative contraindications include ischemic heart disease, tachycardia, hypertension, ventricular ectopy, gastroesophageal reflux, and recurrent vertebral compression.
Relative contraindications include abnormal fetal heart rate patterns, maternal heart disease, multiple gestation, evidence of cephalopelvic disproportion, and a breech position.
Factors that may contribute to the tendency to develop heat-related illnesses are considered relative contraindications to heat stress exposure (Table 1).
In the United States, the FDA is currently reviewing WorldHeart's Pre-market Approval Supplement submission to expand the current indication for Novacor LVAS to include implants in end-stage heart failure patients who have relative contraindications that may resolve with LVAS support.
The onus is on surgeons to be far stricter when applying absolute and relative contraindications, such as smoking, to elective surgery.
You assess for relative contraindications to the use of bupropion SR, including history of seizures; history of closed head trauma with loss of consciousness for longer than 30 minutes, amnesia, or skull fracture or subdural hematoma/ brain contusion; anorexia or bulimia; and use of MAO inhibitors.
If there are relative contraindications to elective surgery, proceed with caution.
The relative contraindications include smoking fewer than 15 cigarettes daily, controlled hypertension, or moderate hypertension (systolic 140-159 mm Hg, diastolic 90-99 mm Hg).
1) Relative contraindications in which TIIV should probably be avoided include children younger than 6 months of age and pregnant women in their first trimester of pregnancy.

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