*2.1.1.2 Cardiac evaluation*

All candidates are assessed for presence of cardiac disease by history, physical examination and electrocardiogram. Recipients with cardiac disease, comorbidities that predispose to coronary artery disease (CAD), history of previous CAD or poor cardiac function are further assessed by cardiologists. Generally, contraindications for transplantation include severe heart disease (New York Heart Association [NYHA] Functional Class III/IV), severe CAD, left ventricular dysfunction [ejection fraction <30%] and severe valvular disease.
