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]

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

• 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.

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