Heart transplantation screening: Difference between revisions
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*Heart Failure prognosis scores | *Heart Failure prognosis scores | ||
*Diagnostic Right Heart Catheterization | *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. | Other routine workups to detect contraindications are also done. | ||
Revision as of 17:50, 22 June 2020
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Heart transplantation Microchapters |
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Diagnosis |
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Treatment |
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Heart transplantation screening On the Web |
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American Roentgen Ray Society Images of Heart transplantation screening |
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Risk calculators and risk factors for Heart transplantation screening |
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
Pre-transplant workup and screening includes- [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.
- Blood work including- CBC, CMP, Electrolytes, Lipid profile, HIV, Hepatitis profile, Other infectious diseases screening
- Echocardiogram
- Electrocardiogram
- Chest x-ray
- Pulmonary function tests
- Bilateral lower extremity Doppler and carotid Doppler
- Ultrasound of the abdomen/pelvis
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.