| CONSULT REQUEST GUIDELINES
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Cardiac Transplant/LVAD
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| Suggested Pre-Referral Evaluation and Management Guidelines |
1) Cardiac Catheterization [most recent]
2) Echocardiogram
3) Transesophageal echocardiogram
4) Carotid studies
5) Nuclear Medicine studies
6) Stress test
7) VO2
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| Suggested Additional Test/Management Prior to Specialty Visit |
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| Patient Education/Information (includes preps) |
Center for Circulatory Support
Heart Transplant Program |
| Appointment Timeframe |
Appointments are scheduled within two weeks
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| How to Get Results to Consultant |
UMHS Patients: See CareWeb
External Patients: CT/MRI, Echo films and reports requested prior to appointment |
| Clinic Contact Information |
Physician: 800-962-3555
Patient: 888-287-1082 |
| Clinic Location Sites |
U-M Cardiovascular Center |
| UM Consulting Physician |
Francis D. Pagani, M.D., Ph.D. Jonathan W. Haft, M.D.
Matthew Augustin Romano, M.D.
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| Revised on: |
10/05/2009 |
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800-962-3555
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