Skip to main content
SpringerLink
Log in

Quality of life after open heart surgery: strategies to improve quality of life after heart transplantation

  • Chapter
Quality of Life after Open Heart Surgery

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 132))

Abstract

The astounding progress in the field of heart transplantation achieved over the past decade, the culmination of prior decades of intense effort to understand and modulate the immune response to the transplanted heart, has transformed this procedure from an experimental to a proven clinical therapy suitable for wide application, to the benefit of many thousands of patients. With the success of heart transplantation and the now commonplace expectation of long-term survival, our awareness of issues of quality of life after surgery has increased. In the past several years much has been learned about the quality of life of heart transplant recipients, and where the problems lie [1–3]. Much less is known about interventions to address these problems. I will attempt to summarize what I believe are key issues for the quality of life of he art transplant recipients, what we know about these issues, what has been described so far about attempts to improve the quality of life of heart transplant recipients, and what we do not know and might be able to study.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Shapiro P.A.: Life after heart transplantation. Prog Cardiovasv Dis 1990;32:105–418.

    Google Scholar 

  2. Packa D.R.: Quality of life of adults after a heart transplant. J Cardiovasc Nurs 1989;3:12–22.

    PubMed  CAS  Google Scholar 

  3. Gutkind L.: Life after transplantation Transplant Proc 1988;20(Suppl 1):1092–1099.

    Google Scholar 

  4. Lough M.E., Lindsey A.M., Shinn J.A., et al: Life satisfaction following heart transplantation. J Heart Transplant 1985;4:446–449.

    PubMed  CAS  Google Scholar 

  5. Kaye M.P.: The long-term effects of cyciosporine in heart transplant patients. Transplant Proc 1990;22(3 Suppl 1):12–14.

    CAS  Google Scholar 

  6. Lawrence K.S., Fricker F.J.: Pediatric heart transplantation: quality of life. J Heart Transplant 1987;6:329–333.

    PubMed  CAS  Google Scholar 

  7. Bailey L.L.: Pediatric heart transplantation (editorial). Ann Thorac Surg 1989;48:612.

    Article  PubMed  CAS  Google Scholar 

  8. Trento A., Griffith B.P., Fricker F.J., Kormos R.L., Armitage J., Hardesty R.L.: Lessons learned in pediatric heart transplantation. Ann Thorac Surg 1989;48:617–623.

    Article  PubMed  CAS  Google Scholar 

  9. Lough M.E., Lindsey A.M., Shinn J.A., Stotts N.A.: Impact of symptom frequency and symptom distress on self-reported quality of life in heart transplant recipients. Heart Lung 1987;16:193–200.

    PubMed  CAS  Google Scholar 

  10. Jones B.M., Taylor F.J., Wright O.M., et al: Quality of Life after Heart Transplantation in patients assigned to double or triple-drug therapy. J Heart Transplant 1990;9:392–396.

    PubMed  CAS  Google Scholar 

  11. Wallwork J., Caine N.: A comparison of the quality of life of cardiac transplant recipients and CABG patients before and after surgery. Quality of Life in Cardiovascular Care 1985;1:317–331.

    Google Scholar 

  12. Niset G., Coustry-Degre C., Degre S.: Psychosocial and physical rehabilitation after heart transplantation: 1-year follow-up. Cardiology 1988;75:311–317.

    Article  PubMed  CAS  Google Scholar 

  13. Meister N.D., McAleer M.J., Jeister J.S., Riley J.E., Copeland J.G.: Returning to work after heart transplantation. J Heart Transplant 1986;5:154–161.

    PubMed  CAS  Google Scholar 

  14. Harvison A., Jones B.M., McBride M., Taylor F., Wright O., Chang V.P.: Rehabilitation after heart transplantation: the Australian experience. J Heart Transplant 1988;7:337–341.

    PubMed  CAS  Google Scholar 

  15. Shapiro P.A., Kornfeld D.S.: Psychiatric outcome of heart transplantation. Gen Hosp Psychiatry 1989;11:352–357.

    Article  PubMed  CAS  Google Scholar 

  16. Freeman A.M., Folks D.G., Sokol R.S., et al: Cardiac transplantation: clinical correlates of psychiatric outcome. Psychosomatics 1988;29:47–54.

    Article  PubMed  Google Scholar 

  17. Kuhn W.F., Myers B., Brennan A.F., et al: Psychopathology in heart transplant candidates. J Heart Transplant 1988;7:223–226.

    PubMed  CAS  Google Scholar 

  18. Mai F.M., McKenzie F.N., Kostuk W.J.: Psychiatrie aspects of heart transplantation: preoperative evaluation and postoperative sequelae. Br Med J 1986;292:311–317.

    Article  CAS  Google Scholar 

  19. Brennan A.F., Davis M.H., Buchholz D.J., Kuhn W.F., Gray L.A. Jr.: Predictors of quality of life following cardiac transplantation. Psychosomatics 1987;28:566–571.

    Article  PubMed  CAS  Google Scholar 

  20. Lunde D.T.: Psychiatric complications of heart transplants. Am J Psychiatry 1969;126:369–373.

    PubMed  CAS  Google Scholar 

  21. Schall R.R., Petrucci R.J., Brozena S.C., Cavarocchi N.C., Jessup M.: Cognitive function in patients with symptomatie dilated cardiomyopathy before and after cardiac transplantation. J Am Coll Cardiol 1989;14:166–172.

    Google Scholar 

  22. McAleer M.J., Copeland J., Fuller J., Copeland J.G.: Psychological aspects of heart transplantation. J Heart Transplant 1985;4:232–233.

    PubMed  CAS  Google Scholar 

  23. Suszycki L.H.: Psychosocial aspects of heart transplantation. Social Work 1988;33:205–209.

    Google Scholar 

  24. Hyler B.J., Corley M.C., McMahon D.: The role of nursing in a support group for heart transplantation recipients and their families. J Heart Transplant 1985;4:453–456.

    PubMed  CAS  Google Scholar 

  25. Suszycki L.H., Midelfort J., Gibson J., Lysandrou S.: Social workers’ responsibilities in heart transplantation programs. Prog Cardiovasc Dis 1990;33:35–48.

    Article  PubMed  CAS  Google Scholar 

  26. Shapiro P.A.: Nortriptyline treatment of depressed cardiac transplant recipients. Am J Psychiatry 1991;148:371–373.

    PubMed  CAS  Google Scholar 

  27. Kay J., Bienenfeld D., Siomowitz M., et al: Use of tricyclic antidepressants in recipients of heart transplants. Psychosomatics 1991;32:165–170.

    Article  PubMed  CAS  Google Scholar 

  28. Suszycki L.H.: Social work groups on a heart transplant program. J Heart Transplant 1986;5:166–170.

    PubMed  CAS  Google Scholar 

  29. Uzark K., Crowley D.: Family stress after pediatric heart transplantation. Prog Cardiovasc Nurs 1989;4:23–27.

    PubMed  CAS  Google Scholar 

  30. Yacoub M.H., Reid C.J., Al-Khadimi R.H., et al: Cardiac transplantation-the London experience. Z Kardiol 1985;6(Suppl 74):45–50.

    Google Scholar 

  31. Hunt S.M.: Quality of life considerations in cardiac transplantation. Quality of Life in Cardiovascular Care 1985;1:308–316.

    Google Scholar 

  32. Tabler J.B., Frierson R.L.: Sexual concerns after heart transplantation. J Heart Transplant 1990;9:397–403.

    PubMed  CAS  Google Scholar 

  33. Mulligan T., Sheehan H., Hanrahan J.: Sexual function after heart transplantation. J Heart Lung Transplant 1991;10:125–128.

    PubMed  CAS  Google Scholar 

  34. Kabalin J.M., Kessler R.: Successful implantation of penile prostheses in organ transplant patients. Urology 1989;33:282–284.

    Article  PubMed  CAS  Google Scholar 

  35. Mai F.M., McKenzie F.N., Kostuk W.J.: Psychosocial adjustment and quality of life following heart transplantation. Can J Psychiatry 1990;35:223–227.

    PubMed  CAS  Google Scholar 

  36. Maricle R.A., Hosenpud J.D., Norman D.J., et al: Depression in patients being evaluated for heart transplantation. Gen Hosp Psychiatry 1989;11:418–424.

    Article  PubMed  CAS  Google Scholar 

  37. Herrick C.M., Mealey P.C., Tischner L.L., Holland C.S.: Combined heart failure-transplant program: advantages in assessing patient compliance. J Heart Transplant 1987;6:141–146.

    PubMed  CAS  Google Scholar 

  38. Gier M.D., Levick M.D., Blazina P.J.: Stress reduction with heart transplant recipients and their families: a multidisciplinary approach. J Heart Transplant 1988;7:342–347.

    PubMed  CAS  Google Scholar 

  39. Berron K.: Transplant patients’ perceptions about effective preoperative teaching. J Heart Transplant 1986;5:162–165.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Peter A. Shapiro
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University School of Medicine Antwerp, Antwerp, Belgium

    Paul J. Walter (Professor of Cardiac Surgery, Head) (Professor of Cardiac Surgery, Head)

  2. Department of Cardiovascular Surgery, University Hospital Antwerp, Wilrijkstraat 10, B-2650, Antwerp/Edegem, Belgium

    Paul J. Walter (Professor of Cardiac Surgery, Head) (Professor of Cardiac Surgery, Head)

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Shapiro, P.A. (1992). Quality of life after open heart surgery: strategies to improve quality of life after heart transplantation. In: Walter, P.J. (eds) Quality of Life after Open Heart Surgery. Developments in Cardiovascular Medicine, vol 132. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2640-3_50

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-2640-3_50

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5166-8

  • Online ISBN: 978-94-011-2640-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation