Bhagra Sai, Parameshwar Jayan
Transplant Unit, Royal Papworth Hospital, Papworth Everard, Cambridge, CB23 3RE UK.
Indian J Thorac Cardiovasc Surg. 2020 Aug;36(Suppl 2):166-174. doi: 10.1007/s12055-019-00796-0. Epub 2019 Feb 15.
For a carefully selected group of patients with advanced heart failure where prognosis and quality of life remain poor, cardiac transplantation is the treatment of choice. Long-term survival and quality of life are now excellent in most patients post-transplantation, but important short- and long-term complications remain a significant concern. The mainstay of early and longer term post-transplant care is the surveillance for and treatment of these complications. This review article provides an overview of the contemporary outcomes after heart transplant, the more commonly encountered problems and their management in the early and late stages.
对于精心挑选的晚期心力衰竭患者群体，若其预后和生活质量仍然较差，心脏移植是首选治疗方法。目前，大多数移植后患者的长期生存率和生活质量都非常好，但重要的短期和长期并发症仍然是一个重大问题。移植后早期和长期护理的主要内容是监测和治疗这些并发症。这篇综述文章概述了心脏移植后的当代疗效、早期和晚期更常见的问题及其管理。
