{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T09:37:12Z","timestamp":1793180232789,"version":"4.5.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Heart transplantation (HTx) remains the gold standard treatment for selected patients with advanced heart failure and survival after transplantation has substantially improved over recent decades. As a consequence, the number of long-term HTx recipients continues to increase, and these patients are now frequently encountered in routine practice outside specialized transplant centers. Their management remains complex due to the use of chronic immunosuppression, transplant-specific complications, and a growing burden of comorbidities in the perspective of increasing longevity. Non-transplant cardiologists, general practitioners, and other healthcare professionals are therefore increasingly involved in their care but often have limited experience of post-transplant management. This clinical consensus statement from the Heart Failure Association (HFA) and the Association of Cardiovascular Nursing &amp; Allied Professions (ACNAP) of the ESC provides practical support and a structured framework for healthcare providers involved in the care of HTx recipients outside dedicated transplant centers. The document reviews key aspects of post-transplant management, including outlining principles of care according to time from transplantation, essential knowledge around immunosuppressive therapy and drug monitoring, recognition and initial management of rejection, infection prophylaxis and treatment, and surveillance of long-term complications such as cardiac allograft vasculopathy, malignancy, chronic kidney disease, and metabolic disorders. In addition, specific clinical situations frequently encountered in practice\u2014including fertility and pregnancy, non-cardiac surgery, rehabilitation, and palliative care\u2014are discussed. Particular emphasis is placed on the organization of shared-care models between transplant centers and community providers and on identifying clinical scenarios requiring early referral. Through providing practical recommendations and a structured framework for follow-up, this document aims to support non-specialist clinicians in the safe management of HTx recipients and to facilitate timely collaboration with transplant centers.<\/jats:p>","DOI":"10.1093\/ejhf\/xuag326","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:14:21Z","timestamp":1792404861000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of Heart transplant recipients for the non Heart Transplant health care provider. A Clinical Consensus Statement of the Heart Failure Association (HFA) and the Association of Cardiovascular Nursing &amp; Allied Professions (ACNAP) of the ESC"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9200-2729","authenticated-orcid":false,"given":"Guillaume","family":"Baudry","sequence":"first","affiliation":[{"name":"Centre d'Investigation Clinique Plurith\u00e9matique 1433, CHRU de Nancy, INSERM, Universit\u00e9 de Lorraine, INSERM U116-DCAC"},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]},{"name":"REICATRA, Universit\u00e9 de Lorraine , Vandoeuvre-les-Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emer","family":"Joyce","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mater Misericordiae University Hospital , Dublin ,","place":["Ireland"]},{"name":"Clinical Professor, School of Medicine, University College Dublin , Dublin ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3855-1815","authenticated-orcid":false,"given":"Marianna","family":"Adamo","sequence":"additional","affiliation":[{"name":"Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia , Brescia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2918-9778","authenticated-orcid":false,"given":"Rafaela","family":"Batista dos Santos Pedrosa","sequence":"additional","affiliation":[{"name":"Nursing School, Universidade Estadual de Campinas, Campinas , S\u00e3o Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6941-1738","authenticated-orcid":false,"given":"Tuvia","family":"Ben Gal","sequence":"additional","affiliation":[{"name":"Heart Failure Unit, Department of Cardiology, Rabin Medical Centre, Petach Tikva, Grey school of Medicine, Tel-Aviv University , Tel-Aviv ,","place":["Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bonios","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Failure and Transplant Units, Onassis Hospital , Athens ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3085-167X","authenticated-orcid":false,"given":"Maria Generosa","family":"Crespo-Leiro","sequence":"additional","affiliation":[{"name":"Hospital Universitario A Coru\u00f1a (CHUAC). CIBERCV, INIBIC, Universidad de A Coru\u00f1a , A Coru\u00f1a ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1461-8931","authenticated-orcid":false,"given":"Ida E","family":"Hoejskov","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. Department of People and Technology, University of Roskilde , Roskilde ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0347-6672","authenticated-orcid":false,"given":"Attilio","family":"Iacovoni","sequence":"additional","affiliation":[{"name":"SSD Chirurgia dei Trapianti e del Trattamento Chirurgico dello Scompenso, Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII , 24127 Bergamo ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1616-6307","authenticated-orcid":false,"given":"Chris","family":"Kapelios","sequence":"additional","affiliation":[{"name":"Heart Failure Unit, 2nd Department of Cardiology, National and Kapodistrian University of Athens, Attikon University Hospital , Athens ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6569-1805","authenticated-orcid":false,"given":"Hoong Sern","family":"Lim","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust , Edgbaston, Birmingham B15 2TH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6691-8568","authenticated-orcid":false,"given":"Marco","family":"Metra","sequence":"additional","affiliation":[{"name":"Cardiology. IRCCS San Raffaele Scientific Institute , Milan ,","place":["Italy"]},{"name":"Vita-Salute San Raffaele University , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8221-1295","authenticated-orcid":false,"given":"Felix","family":"Schoenrath","sequence":"additional","affiliation":[{"name":"Deutsches Herzzentrum der Charit\u00e9, Klinik f\u00fcr Herz-, Thorax- und Gef\u00e4\u00dfchirurgie , Augustenburger Platz 1, 13353 Berlin ,","place":["Germany"]},{"name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Charit\u00e9platz 1 , 10117 Berlin ,","place":["Germany"]},{"name":"DZHK (German Centre for Cardiovascular Research), partner site Berlin , Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0541-4926","authenticated-orcid":false,"given":"Hadi","family":"Skouri","sequence":"additional","affiliation":[{"name":"Division of Cardiology at Sheikh Shakhbout Medical City , Abu-Dhabi \u00a0","place":["UAE"]},{"name":"Division of Cardiology at Balamand University Medical School , Beirut-Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5027-0661","authenticated-orcid":false,"given":"Linda W","family":"Van Laake","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Transplantation Center Utrecht, University Medical Center Utrecht, Utrecht, The Netherlands. Utrecht University , Utrecht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0190-2228","authenticated-orcid":false,"given":"Kevin","family":"Damman","sequence":"additional","affiliation":[{"name":"University of Groningen, Department of Cardiology, University Medical Centre Groningen , Groningen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,19]]},"container-title":["European Journal of Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurjhf\/advance-article-pdf\/doi\/10.1093\/ejhf\/xuag326\/72089722\/xuag326.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjhf\/advance-article-pdf\/doi\/10.1093\/ejhf\/xuag326\/72089722\/xuag326.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T09:06:24Z","timestamp":1793178384000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjhf\/advance-article\/doi\/10.1093\/ejhf\/xuag326\/8937277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,19]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/ejhf\/xuag326","relation":{},"ISSN":["1388-9842","1879-0844"],"issn-type":[{"value":"1388-9842","type":"print"},{"value":"1879-0844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,19]]},"article-number":"xuag326"}}