Heart Transplant Surgery: Hvornår du skal kontakte lægen

Kontakt dit kirurgiske team inden for få timer

• New or worsening dyspnea, fatigue, or exercise intolerance (rejection until proven otherwise)
• New peripheral edema, weight gain of more than 1 kg in 24 hours, or jugular venous distention (graft failure)
• Fever above 38.5C with rigors or hemodynamic changes (sepsis in immunosuppressed patient)
• Syncope or pre-syncope (graft arrhythmia, rejection, or vasculopathy)
• Signs of stroke: new focal deficit, speech difficulty, facial asymmetry
• Severe chest pain (note: denervated heart typically does NOT produce ischemic chest pain — atypical presentations are the rule)
• Seizure or severe headache with visual changes (tacrolimus toxicity or PRES)
• Sternal instability, wound breakdown, or purulent drainage from sternotomy
• Palpitations with hemodynamic symptoms (denervated heart is prone to atrial arrhythmias)
• Any fever above 38.0C without obvious cause (lower threshold than general population)
• New fatigue disproportionate to activity (may represent subclinical rejection)
• Missed immunosuppression dose (even one — contact transplant team)
• Persistent diarrhea or vomiting (affects drug absorption)
• New-onset tremor, headache, or confusion (tacrolimus toxicity)
• Rising blood pressure readings despite medication adherence
• Elevated blood glucose readings in a previously non-diabetic patient (NODAT)
• New lower extremity edema
• Sternal wound redness, warmth, or new drainage
• Weight gain of more than 2 kg in one week without dietary explanation

Hav dine oplysninger klar, når du ringer

• Navnet på din operation (Heart Transplant Surgery) og datoen for din operation
• Din aktuelle temperatur
• Smerteniveau (0–10) og hvor det er
• Al medicin du har taget de seneste 24 timer
• En beskrivelse af såret (rødme, væske, åbning)