Heart transplantation screening: Difference between revisions

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==Screening==
==Screening==


Pre-transplant workup and screening includes- <ref name="pmid26776864">{{cite journal| author=Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA | display-authors=etal| title=The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. | journal=J Heart Lung Transplant | year= 2016 | volume= 35 | issue= 1 | pages= 1-23 | pmid=26776864 | doi=10.1016/j.healun.2015.10.023 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26776864  }} </ref>
* 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]]- <ref name="pmid26776864">{{cite journal| author=Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA | display-authors=etal| title=The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: A 10-year update. | journal=J Heart Lung Transplant | year= 2016 | volume= 35 | issue= 1 | pages= 1-23 | pmid=26776864 | doi=10.1016/j.healun.2015.10.023 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26776864  }} </ref>
*[[Cardiopulmonary]] stress testing
*[[Cardiopulmonary]] stress testing
*[[Heart Failure]] prognosis scores
*[[Heart Failure]] prognosis scores
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Other routine workups to detect contraindications are also done.
Other routine workups to detect contraindications are also done.
*Blood work including- [[Complete blood count|CBC]], Complete metabolic profile (CMP), [[Electrolyte|Electrolytes]], [[Lipid profile]], [[Human Immunodeficiency Virus (HIV)|HIV]], [[Hepatitis]] profile, Other [[Infectious disease|infectious diseases]] screening
*[[Echocardiography]]
*[[Electrocardiogram]]
*[[Chest X-ray|Chest x-ray]]
*[[Pulmonary function tests]]
* Bilateral lower extremity [[Doppler ultrasound|Doppler]] and carotid Doppler
*[[Ultrasound]] of the abdomen/pelvis


==References==
==References==

Revision as of 20:12, 15 July 2020

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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

  1. 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.

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