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Post-transplant Psychosocial and Mental Health Care of the Cardiac Recipient

  • Peter A. ShapiroEmail author
  • Luis F. Pereira
  • Katherine E. Taylor
  • Ilona Wiener
Chapter

Abstract

Heart transplantation offers patients with end-stage heart disease an opportunity for many additional years of life, with relief of heart failure and resumption of valued activities and social roles. Nevertheless, psychiatric problems are common and may undermine quality of life and survival. Important problems following transplantation include delirium, cognitive dysfunction, mood disorders, anxiety, post-traumatic stress disorder, sexual dysfunction, sleep disorders, and marital and family dysfunction. Steroids, immunosuppressants, and other medicines used in care of transplant recipients may cause psychopathology. Few controlled treatment studies have been conducted in psychiatric care of post-heart transplant recipients, so most treatment is based on uncontrolled case series, clinical experience, and extrapolation from other patient populations. Psychopharmacologic treatments are based on consideration of anticipated adverse effect profiles and drug interactions.

Keywords

Heart Transplantation Psychiatric disorders Quality of life Treatment 

Notes

Acknowledgement

Supported in part by the Nathaniel Wharton Fund, New York, NY.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Peter A. Shapiro
    • 1
    Email author
  • Luis F. Pereira
    • 1
  • Katherine E. Taylor
    • 1
    • 2
  • Ilona Wiener
    • 1
  1. 1.Department of PsychiatryColumbia University Irving Medical CenterNew YorkUSA
  2. 2.Department of PsychiatryNew York University Medical CenterNew YorkUSA

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