Reference no: EM133304647

Assignment: J.P. a 56-year-old man, developed a severe viral infection and suffered fatigue, fever, and myalgia. Although he recovered from the acute episode, J.P. never quite regained his normal activity level. Six months later, J.P. continues to find it difficult to work a 10-hour day as a brick mason, so he returns to his physician. Diagnostic studies reveal heart failure (HF) related to postviral cardiomyopathy. Following medical management with metoprolol (Toprol XL) and furosemide (Lasix), his condition sta- bilizes and he returns to work, but his attendance is erratic. J.P.'s condition gradually deteriorates. Sixteen months later he is readmitted to the hospital complaining of dyspnea with minimal exertion, fatigue, orthopnea, chest pain, anorexia, and feelings of abdominal fullness. He has 1+ peripheral edema and is diaphoretic. Further studies reveal that J.P. has cardiac dilation, moderate to gross ventricular hypertro- phy, and a systolic ejection fraction of 176, consistent with severe congestive cardiomyopathy. Because J.P.'s only other health problem is mild hypertension, a heart transplant evaluation Is recommended. J.P. and his wife discuss his prognosis, and he agrees to an evaluation for possible heart transplantation.

1. If J.P. is accepted for cardiac transplantation, what data will be collected in addition to his past medical history, current diagnostic findings, and cardiac evaluation?

2. What criteria does J.P. meet that will make him eligible for cardiac transplantation?

3. Identify five contraindications for cardiac transplant.