Hearts on the Line: Choosing Wisely, Saving Lives ❤️🫀

🫀 Heart transplantation is a life-saving treatment for end-stage heart failure, but donor hearts are scarce. 🔍 Donor selection is complex, involving factors like age, heart size, LV function, and comorbidities. 🌍 The U.S. is more conservative than Europe, with higher donor heart nonuse rates. ⚙️ New tools like Predicted Heart Mass (PHM), Organ Care Systems, and AI models improve matching and outcomes. 💉 Donation after Circulatory Death (DCD) is expanding the donor pool. ⚖️ Ethical concerns and upcoming policy shifts aim for more equitable, data-driven heart allocation.