Chapter

Cardiac transplant patients

Río Aguilar Torres, Luigi P. Badano and Dimitrios Tsiapras

in The EACVI Textbook of Echocardiography

Second edition

Published on behalf of © European Society of Cardiology

Published in print November 2016 | ISBN: 9780198726012
Published online December 2016 | e-ISBN: 9780191792991 | DOI: http://dx.doi.org/10.1093/med/9780198726012.003.0050

Series: The European Society of Cardiology Textbooks

Cardiac transplant patients

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Echocardiography has a pivotal role in the care of heart transplant (HT) recipients. This chapter discusses the use of echocardiographic techniques for the assessment of HT patients. In the early post-transplant period, echocardiography has demonstrated its utility to assess the normal and abnormal structural and physiological changes of the transplanted heart, as well as to detect complications such as graft failure. During follow-up, development of acute/chronic graft rejection and cardiac allograft vasculopathy remains the leading causes of mortality in HT recipients and the role of conventional and new echocardiographic techniques in detecting these complications is discussed. Finally, the role of stress echocardiography, which provides additional functional information to the anatomical data obtained with invasive coronary angiography and intravascular ultrasound, is highlighted. The last sections of the chapter are dedicated to the echocardiographic monitoring of endomyocardial biopsies and how to schedule serial echocardiograms during the follow-up of HT recipients.

Chapter.  5178 words.  Illustrated.

Subjects: Cardiovascular Medicine ; Radiography

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