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Cardiac Transplantation Complications, Emergency Medicine

Jarrod Mosier and Samuel M. Keim Reviewed 06/2017
 


Basics

Description

  • Cardiac transplant recipients are a unique population with increased risk for cardiac ischemia, heart failure, as well as general risks as an immunocompromised host.

  • 1,900–2,300 cardi...

Diagnosis

Signs and Symptoms

  • Acute rejection

    • Nonspecific symptoms predominate because the heart is usually denervated

    • Fatigue

    • Dyspnea

    • Low-grade fever

    • Nausea

    • Vomiting

    • May be difficult to differentiate between ...

Treatment

Pre-Hospital

Adenosine should not be given to patients who have had a heart transplant as the effects may be prolonged and unpredictable. 

Initial Stabilization/Therapy

  • IV access

  • Oxygen

  • Monitor

  • In...

Additional Reading

  • Abecassis  M, Bridges  ND, Clancy  CJ, et al. Solid-organ transplantation in older adults: Current status and future research. Am J Transplant.  2012;12:2608–2622.

  • Chinnock  R, ...

Codes

ICD9

996.83 Complications of transplanted heart 

ICD10

  • T86.20 Unspecified complication of heart transplant

  • T86.21 Heart transplant rejection

  • T86.23 Heart transplant infection

  • T86.22 Heart transplant f...

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