Management of Cardiac Transplant Patients in the Emergency Department

Author: John Usher / Editor: Jason Kendall / Reviewer: Mohamed Elwakil, Joshua Davison / Code: A1Published: 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

  1.  Heart Treatments. National Heart, Lung and Blood Institute.
  2. Libby P, McCarthy P. Heart Disease. 2008:675-683.
  3.  Al-khaldi A, Robbins RC. New directions in cardiac transplantation. Annu Rev Med. 2006;57:455-71.
  4. Schmauss D, Weis M. Cardiac allograft vasculopathy: recent developments. Circulation. 2008 Apr 22;117(16):2131-41.
  5.  Botta DM. Heart Transplantation. emedicine. Medscape. 2022.
  6. 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.
  7. Schofield P, Corris P. Management of Heart and Lung Transplant Patients. 1998:145-153.
  8. Aziz TA, Pereira NL. Electrocardiographic changes simulating a myocardial infarction after cardiac transplantation. J Heart Lung Transplant. 2004 Nov;23(11):1301-3.

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