Table 3

Cardiac transplant evaluation tests

Laboratory Creatinine, blood urea nitrogen, electrolytes, liver panel, lipid panel, calcium, phosphorus, total protein, albumin, uric acid, complete blood count with differential and platelet count, thyroid panel, antinuclear antibodies, erythrocyte sedimentation rate, rapid plasma reagin, iron binding, partial thromboplastin time, prothrombin time
Blood type
IgG and IgM antibodies against cytomegalovirus, herpes simplex virus, HIV, varicella-zoster virus, hepatitis B surface antigen, hepatitis C antigen, toxoplasmosis, other titres when indicated
Prostate specific antigen (male >50 years), mammogram and pap smear (female >40 years)
Screening against a panel of donor antigens (panel reactive antibodies) and human leucocyte antigen phenotype
24 hour urine for creatinine clearance and total protein, urinalysis, urine culture
Baseline bacterial and fungal cultures if indicated
Cardiac 12 lead ECG, 24 hour Holter monitor
Echocardiogram
Thallium scan if indicated
Exercise stress test with oxygen uptake measurements
Right and left heart catheterisation
Myocardial biopsy on selected cases where aetiology of heart failure is in question
Vascular Transcranial Doppler
Peripheral vascular studies
Carotid Doppler >55 years
Renal Intravenous pyelogram if indicated
Pulmonary Chest x ray
Pulmonary function tests
Chest computer tomogram >65 years (thoracic aorta)
Gastrointestinal Abdominal ultrasound >55 years
Upper gastrointestinal series if indicated
Barium enema if indicated
Liver biopsy if indicated
Metabolic Bone densitometry
Neurologic Screening evaluation
Psychiatric Screening evaluation
Dental Complete dental evaluation
Cardiothoracic surgery Evaluation
Physical therapy Evaluation
Social work Patient attitude and family support, medical insurance, and general financial resources
Transplant coordinator Education