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Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.

Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.

期刊: Cardiology clinics 日期: 2026-08-01 PMID: 42399043 DOI: 10.1016/j.ccl.2026.04.004 浏览: 23
作者: Friedman AL, Mery MW, Jelly CA, Alvis BD
AL, F., MW, M., CA, J., & BD, A. (2026). Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.. Cardiology clinics. https://doi.org/10.1016/j.ccl.2026.04.004
AL F, MW M, CA J, BD A. Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.. Cardiology clinics. 2026; doi: 10.1016/j.ccl.2026.04.004
AL F, MW M, CA J, et al. Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.[J]. Cardiology clinics. 2026. DOI: 10.1016/j.ccl.2026.04.004.
@article{al2026,
  author = {Friedman AL and Mery MW and Jelly CA and Alvis BD},
  title = {Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.},
  journal = {Cardiology clinics},
  year = {2026},
  doi = {10.1016/j.ccl.2026.04.004},
  note = {PMID: 42399043},
}
TY  - JOUR
AU  - Friedman AL
AU  - Mery MW
AU  - Jelly CA
AU  - Alvis BD
TI  - Post-Heart Transplantation Intensive Care Unit Recovery: A Phase-Based Approach.
T2  - Cardiology clinics
PY  - 2026
DO  - 10.1016/j.ccl.2026.04.004
AN  - PMID:42399043
ER  - 

摘要

Heart transplantation is the definitive treatment for end-stage heart failure. Post-transplant care is dynamic and complex, requiring a thoughtful multidisciplinary approach. Invasive hemodynamic monitoring is central to guiding inotrope and vasopressor titration to optimize allograft function and end-organ perfusion. Vigilant assessment for primary graft dysfunction is essential and informs escalation to mechanical circulatory support when needed. As hemodynamics and graft function stabilize, patients are liberated from mechanical ventilation, volume status is optimized, nutrition and mobility are prioritized, and pharmacologic and mechanical supports are weaned. Concurrently, immunosuppression is titrated and patients are monitored closely for infection.

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