Quality of Life and Psychosomatics

1. Front Matter

   Pages I-IX

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2. Mechanical circulatory support until heart transplantation

   • M. Loebe, V. Theodoridis, R. Hetzer

   Pages 1-16

3. Psychiatric and psychosocial issues and intervention among ventricular assist device patients

   • M. A. Dew, R. L. Kormos, C. Nastala, J. M. Pristas, S. Winowich, R. D. Canning et al.

   Pages 17-27

4. Psychiatric-psychosomatic disorders and coping mechanisms during mechanical circulatory support with the biventricular Berlin Heart Assist Device

   • W. Albert, A. Bittner, R. Hetzer

   Pages 29-43

5. The impact of physical complaints and quality of life in patients after heart transplantation

   • Brigitta Bunzel

   Pages 45-51

6. Health related quality of life of heart-lung transplant patients

   • N. Caine, L. D. Sharples, J. Wallwork

   Pages 53-59

7. Neuropsychological function before and after heart transplantation

   • R. A. Bornstein, R. C. Starling

   Pages 61-67

8. The emotional state of the individual after heart-transplant

   • François Mai, R. Davies

   Pages 69-74

9. Body image and subjective anatomy

   • Rolf Johnen

   Pages 75-79

10. Coping with heart disease — assessment and applications

    • F. A. Muthny

    Pages 81-92

11. Psychosomatic therapy in cardiology and heart-transplant medicine

    • Hans-Christian Deter

    Pages 93-99

12. Social and individual health aspects in transplantation medicine

    • E. Huber

    Pages 101-108

13. Back Matter

    Pages 109-118

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Advances in heart surgical treatment have been impressive in the last 15 years. In end-stage heart disease, procedures are now performed routinely which were only experimental one or two decades ago. Heart transplantation has become a well-established procedure. According to the Gen­ eral Registry of the International Society of Heart and Lung Transplantation. 40,738 heart transplantations had been performed through the end of 1997 with survival rates of 78 % at one year, 65 % at five years, and 42 % at ten years. The progress in this field has been due to intense efforts in understanding and modulating immune responses to the trans­ planted heart, to elaborate therapeutic strategies to constrain infections, and to improved out-patient care. Accordingly, heart transplantation is integrated into the facilities of the health care systems, the routine of physicians, and the awareness of patients. The resulting increase in potential organ recipients has not been met, however, by an equivalent increase of available donor organs. This increasing discrepancy has forced the technical improvement and clinical evalua­ tion of mechanical circulatory support systems as an option for treatment of critically ill patients with a failing heart. Initially, these assist devices were only used to maintain sufficient circulation in post-cardiotomy heart failure until myocardial function had recov­ ered. Since the late 1980s, their primary use has been that of bridging patients with heart failure until a suitable organ is available so that heart transplantation can be performed.

• Emotion
• Heart surgery
• Herzchirurgie
• Lebensqualität
• Psychische Symptome
• Psychosomatische Aspekte
• Surgery
• psychosomatic and psychiatric syndroms
• quality of life

• German Heart Institute Berlin, Berlin, Germany

  W. Albert, A. Bittner, R. Hetzer

Policies and ethics