Pretransplantation predictors of 1-year mortality include Need for preoperative ventilation or left ventricular assist devices Cachexia Female recipient or donor Diagnoses other than heart failure or coronary artery disease Posttransplantation predictors include Elevated C-reactive protein and troponin levels Within 1 year, death most often results from acute rejection or infection; after 1 year, death most often results from cardiac allograft vasculopathy or a lymphoproliferative disorder.