Management of Cardiac Transplant Patients in the Emergency Department Case 1

Management of Cardiac Transplant Patients in the Emergency Department Case 1

  1. 1. Question

    A 42-year-old man presents to the ED. He had a heart transplant at the age of 39. He has felt unwell for a couple of days. His main complaint is breathlessness. He also feels sweaty. His heart rate is 140 bpm. Blood pressure is 95/55. He is afebrile.

    This is his ECG. Click on the image to enlarge.

    What are the important features of the ECG? List two prominent features.

     

  2. 2. Question

    A chest x-ray is performed and this demonstrates pulmonary congestion. During your assessment of the patient, he asks if the hospital will be able to provide him with tacrolimus as he has run out and he has not been able to get to his GP surgery.

    Which one of the following diagnoses is the most likely?

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    • 5.
  3. 3. Question

    Which one of the following would be the definitive test to confirm your diagnosis?

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    • 5.