Author: John Usher / Editor: Jason Kendall / Reviewer: Mohamed Elwakil, Joshua Davison / Code: A1 / Published: 05/12/2022
Management of Cardiac Transplant Patients in the Emergency Department (ED).
After completing this session you will be able to:
- Describe the basic anatomy related to cardiac transplantation
- Recognise ECG changes related to cardiac transplantation
- Recognise the main complications of cardiac transplantation: graft rejection, infection and graft vasculopathy
- Differentiate graft vasculopathy from conventional coronary artery disease
- Manage sepsis in a transplant patient
- Assess and manage cardiac conditions not specifically related to transplantation.
References
- Heart Treatments. National Heart, Lung and Blood Institute.
- Libby P, McCarthy P. Heart Disease. 2008:675-683.
- Al-khaldi A, Robbins RC. New directions in cardiac transplantation. Annu Rev Med. 2006;57:455-71.
- Schmauss D, Weis M. Cardiac allograft vasculopathy: recent developments. Circulation. 2008 Apr 22;117(16):2131-41.
- Botta DM. Heart Transplantation. emedicine. Medscape. 2022.
- Chacko P, Philip S. Emergency department presentation of heart transplant recipients with acute heart failure. Heart Fail Clin. 2009 Jan;5(1):129-43, viii.
- Schofield P, Corris P. Management of Heart and Lung Transplant Patients. 1998:145-153.
- Aziz TA, Pereira NL. Electrocardiographic changes simulating a myocardial infarction after cardiac transplantation. J Heart Lung Transplant. 2004 Nov;23(11):1301-3.