Heart transplantation screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ifrah Fatima, M.B.B.S[2]
Overview
There is insufficient evidence to recommend routine screening for the need of cardiac transplantation. However, if a patient has indications for the need of a cardiac transplant, they should be thoroughly evaluated and screened
Screening
- There is insufficient evidence to recommend routine screening for the need of cardiac transplantation.
- According to the International Society for Heart and Lung Transplantation, screening of pre-transplant patients by the following tests is reccommended in patients with intractable heart failure- [1]
- Cardiopulmonary stress testing
- Heart Failure prognosis scores
- Diagnostic Right Heart Catheterization
- These tests determine the appropriateness to proceed with a heart transplant. If these screening tests reveal contraindications or the ability to optimize the condition of the patient with medical and device therapy, the utility of cardiac transplant may be reconsidered.
- Other routine workups to detect contraindications are also done.
References
- ↑ Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA; et al. (2016). "The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update". J Heart Lung Transplant. 35 (1): 1–23. doi:10.1016/j.healun.2015.10.023. PMID 26776864.