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Untitled 4 PDF
Untitled 4 PDF
TRANSPLANTATION
JOHN CHRISTOPHER A. ASILO, RPH
■ Candidacy determination and evaluation are key components of the process, as are post
operative follow-up care and immunosuppression management.
■ Candidates for cardiac transplantation generally present with New York Heart
association Class III symptoms or Class IV symptoms.
■ Interim Therapy can include oral agents as well as inotropic support.
■ Laboratory Studies
– Virus: Including hepatitis viruses, HIV, Epstein- Barr Virus, & Cytomegalovirus
– Fungus and Tuberculosis
– Prostate- Specific Antigen
– Papanicolaou Test
– Complete Blood Count
– Blood Typing and Screening, Panel-Reactive Antibody Testing and Tissue Typing
■ Imaging Studies
– Coronary Arteriography
– Echocardiography
– Postanterior and Lateral Chest Radiograph
– Bilateral Mammograms
■ Biopsy
– Endomyocardial Biopsy
■ Complications
– Bleeding from suture lines
– Hyperacute rejection
– Infection
– Psychiatric disturbances from steroid therapy
– Cardiac rejection
– Allograft Vascular Disease
■ Another issue is the question of recipient selection and listing status , which continues
to pose medical and ethical dilemmas.
■ Final Issue is FINANCIAL!