Page 39 - Heart Transplant Protocol

Heart Function Service: Heart Transplant Protocols

Evaluation/Listing Checklist

Evaluation Labs
 BNP Lipid Profile (>8yo)
 Lytes + Gap  Cholesterol
 Magnesium  HDL
 Phosphorus  LDL
 Glucose  Triglycerides
 BUN Liver Profile
 Creatinine  Total and Direct Bilirubin
 Cystatin C  Alkaline Phosphatase
 Uric Acid  Alanine Aminotransferase
 Amylase  Aspartate Aminotransferase
 Lipase  GGT
 Total Protein Urine
 Albumin  Urinalysis
 Vit D (25 OH Cholecalciferol)  Pregnancy Test >8 years old
 Lactate Blood Typing
 LDH  ABO/Rh Blood Type- solid organ
 CK Total  Type and Screen
 HgA1c (>8yo)  ABO Isohemagglutinin titer(<2yr)
Complete Blood Count Antibody Testing
 CBC with Differential  HLA antibody profile HLA Typing
Inflammatory Markers Fontan Patients
 C-reactive Protein  Lymphocyte Subsets
Coagulation Studies  IgG levels
 PT/INR  IgM levels
 PTT  IgA levels
Thyroid Studies
 TSH, High Sensitivity
 Free T4
Infectious Disease Evaluation Labs
 Hep A Total Ab Interp  Herpes Simplex 1 & 2 IgG
 Hep B S Ag Interp  Measles IgG
 Hep B S Ab  Mumps IgG
 Hep B Core Total Ab  Rubella IgG
 Hepatitis C Ab  Pneumococcal titers
 HIV 1-2 Ab Screen  Tetanus titers
 CMV IgG  HIB titers
 CMV IgM  HHV 6 PCR (if HHV 6 PCR+ on mother, obtain on sample of
 CMV PCR infant)
 EBV Early Ag Ab  Quantiferon TB Gold > 5 yo
 EBV Nuclear Ag Ab  PPD < 5 yo
 EBV VCA IgG  MRSA Screening
 EBV VCA IgM  Strongyloides IgG (If history of travel to Central/South
 EBV PCR America)
 RPR  Coccidiodes IgG (if history of travel to Southwest US -AZ,
 Toxoplasma IgG West TX, Southern CA)
 Toxoplasma IgM  Trypanosoma Cruzi Antibody IgG
 Varicella IgG  Trypanosoma Cruzi Antibody IgM

Updated November 9, 2017 39