Page 46 - Heart Transplant Protocol

Heart Function Service: Heart Transplant Protocols

3. CMV PCR at 12 months. IgG and IgM with PCR if CMV R –
4. EBV PCR at 12 months
5. HLA antibody profile at 12 months*
6. >12 mths Tacrolimus Level Goal (5-8)
7. Every 3 month visit, echo, EKG, Labs OR alternate with local cardiologist.

Years 2-5 following transplant:
1. Provider visit every 3 months
a. Echocardiogram and EKG
b. Routine labs
2. EBV PCR yearly, EBV IgG and IgM if past serology negative
3. HLA antibody profile yearly*
3. Annual cardiac catheterization, biopsy, angiograms and annual labs
4. Annual CXR or as needed

>5 years following transplant:
1. Provider visit every 3 months
a. Echocardiogram and EKG
b. Routine labs
3. Cardiac catheterization, biopsy and angiograms every other year
4. Annual CXR or as needed
6. EBV PCR yearly, EBV IgG and IgM if past serology negative
7. HLA antibody profile every year*
8. Annual Labs

*In the setting of rapidly rising DSAs and change in medical management, consider repeat HLA antibody
profile 3 months following change

Routine Labs: BNP, CBC with Diff, Lytes, glucose, BUN, Cr, Mg, Phos, Ca, AST, ALT, Bili T&D, Albumin,
Total Protein, Tacrolimus/Cyclosporine/Sirolimus levels (Patient Specific)

Annual Labs:, Routine labs, GGT, LDH, Amylase, Cystatin C, Fasting lipid profile, PT/INR, Vitamin D 25-
OH, Heart Recipient HLA antibody profile. EBV Panel (only if previously negative serology), EBV PCR,
Varicella IgG and IgM, HIV, HSV, Hepatitis Panels (A, B & C), RPR, Toxoplasmosis IGG & IGM,
Pneumococcal, Tetanus and HiB titers. If vaccine boosters given, check titers in 30 days.

Updated November 9, 2017 46