Cardiac transplantation for the cardiologist not trained in transplantation

This review focuses on selected aspects of the treatment of patients being evaluated for and undergoing cardiac transplantation. Cardiac transplantation is a potential therapeutic option for a variety of irreversible cardiac disorders when the symptomatic status and anticipated survival after transp...

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Bibliographic Details
Published in:The American heart journal 1995-03, Vol.129 (3), p.578-592
Main Authors: Taylor, Allen J., Bergin, James D.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Heart Failure - diagnosis
Heart Failure - surgery
Heart Transplantation - diagnostic imaging
Heart Transplantation - methods
Humans
Immunosuppression
Medical sciences
Patient Selection
Postoperative Care
Referral and Consultation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Ultrasonography
Waiting Lists
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Summary:This review focuses on selected aspects of the treatment of patients being evaluated for and undergoing cardiac transplantation. Cardiac transplantation is a potential therapeutic option for a variety of irreversible cardiac disorders when the symptomatic status and anticipated survival after transplantation exceeds that of the patient's condition. The timing of cardiac transplantation with respect to prognosis is aided by the measurement of baseline hemodynamics and maximal aerobic capacity. Major cardiac problems that occur after transplantation include an increased early risk of acute allograft rejection and, later, the occurrence of allograft coronary artery disease. Furthermore, cardiac transplant recipients have unique “normal” physiologic alterations with respect to intracardiac hemodynamics, exercise capacity, the effects of denervation, and expected electrocardiographic and echocardiographic findings.
ISSN:0002-8703
1097-6744
DOI:10.1016/0002-8703(95)90288-0