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Heart Failure and Transplant

Yashoda Hospital Centre of Heart Disease provides a comprehensive, multi-disciplinary approach to treat patients with advanced heart problems, including heart failure. Our heart failure and transplant unit are committed to enhancing heart function and the patient's quality of life.

We at Yashoda Hospital perform the most complicated heart surgeries using the most advanced latest technology to ensure higher precision and accuracy with higher success rates and better results.

Our team of professionals consists of remarkably distinguished Advanced Heart Failure/ Transplant Cardiologists, Cardiothoracic Surgeon, Interventional Cardiologists, Electrophysiologists, Cardiovascular Imaging Specialists, and Cardiovascular Surgeons concentrating on treating the patient using a patient-centric approach.

We aim to improve the patient's condition by stabilizing the functioning of their heart and treating them using ICD, conducting Cardiac Resynchronization Therapies, and performing Heart Transplants with precision.

What Is Heart Failure And Heart Transplant?

Heart Failure: It is a condition that arises due to the heart's inability to pump enough blood to meet the body's needs. It doesn't mean that the heart has stopped working; it merely means that the heart might be weak and is not working effectively.

Heart Transplant: It is a surgical method that addresses stimulating patients suffering from end-stage heart disease or heart failure. It involves removing the infected heart from the patient's body and supplanting it with a robust heart from a departed donor

It is a very highly skilled procedure done at selected centers and requires a high degree of specialization. To make the transplant, doctors have to make sure that the patient is healthy enough to undergo the transplant. This is done by performing specific tests and screenings. The procedure can be performed on both adults and paediatric patients.

What Are The Various Indicators Of Heart Failure And Transplant?

A heart transplant is a procedure that is performed when other treatments for heart problems have failed to work. The heart failure can cause due to various conditions such as:

  • A weakening of the heart muscle (cardiomyopathy)
  • Ischemic cardiomyopathy
  • Dilated cardiomyopathy
  • Heart valve disease
  • Coronary artery disease and defects
  • A heart problem since birth (congenital heart defect)
  • Ventricular arrhythmias (Dangerous recurring abnormal heart rhythms, which are not easy to control with other treatments)
  • Amyloidosis (Infiltrative heart diseases)
  • Congenital Heart Defects
  • Failure of a previous heart transplant
  • Dangerous Reoccurring life-threatening Arrhythmias
  • Refractory angina
  • Fluid retention
  • Severe cardiac dysfunction

Are You A Candidate For a Heart Transplant?

A heart transplant is suggested, particularly in case of end-stage heart disease or failure, which cannot be dealt with by any other means.

Transplantation is right for you if your condition is valid for the below mention statements:

  • Have you tried all the other therapies and medications?
  • Is the transplantation the last resort of treatment, and you'll likely die without a heart transplant?
  • Are you in good health other than the heart or lung diseases?
  • Are you ready to adopt the changes that will come after transplant, including complex drug treatments and frequent exams?

If your answer to any of the above questions is "no," then heart transplant is not for you. Also, a candidate is not eligible for a heart transplant if he/she is suffering from other problem such as

  • Severe diseases
  • Active infections
  • Severe obesity
  • Recent personal history of cancer

What Are The Diagnosis Tests Required For Heart Transplant?

The doctors may conduct several tests like:

  • Blood Tests
  • Chest X-Ray
  • Electrocardiogram (ECG)
  • Metabolic Stress Test
  • Echocardiogram
  • Cardiac Computerized Tomography (CT) Scans
  • Cardiac Magnetic Resonance Imaging (MRI)
  • Coronary Angiogram
  • Myocardial Biopsy
  • Cardiac Catheterisation

A heart failure cardiologist or a surgeon will ask the patient to undergo these tests. However, the tests, as mentioned above, are performed before the surgery.

What Is The Procedure For Heart Transplant?

Heart Transplant Preoperative Details

Before going ahead with the surgery, the specialists have to ensure that the patient is fit for the procedure. This is done by performing a series of tests, screenings, and including right heart catheterization. The patient might be prescribed certain medications, a week, or two before the surgery to avoid any infection during or after the surgery.

Before moving to the operation theatre, a patient will receive general anesthesia and sleep through the heart transplant procedure.

Heart Transplant Operative Details

Heart transplantation is the procedure that subsists of three processes.

  • First Operation: Harvesting the heart from the donor

For a heart transplant procedure, a patient requires a donor's heart replaced with the patient's defective heart. A donor is usually an unfortunate person who has suffered irreversible brain injury/ brain death.

The doctors' team keeps the donor's organ working with the help of medications and other "life support" that may include a respirator or other devices. The team removes the donated organs and keep them alive using ice and individual solutions until they can be implanted. For heart, the transplant must take place within six hours of its removal.

  • Second Operation: Removing the recipient's damaged heart

Depending on the patient's medical condition, the process of the replacement of the damaged heart can be very simple or complicated (especially when a patient has had previous heart surgery). The doctor makes an incision in the middle of the chest and removes the patient heart. During the surgery, the patient is on a heart-lung bypass machine, which aids in keeping the oxygen-rich blood circulating in the patient's body.

  • Third operation: The implantation of the donor's heart

The operation involves the final step of replacing the patient's heart with the donor's heart. After transplantation, the doctor connects the donor's heart to the main arteries and veins of the patient. This operation involves the creation of only five lines of stitches or "anastomoses."

Heart Transplant Post-Operative Details

Heart transplant operation is very safe and comes with very rare to no complications. Most patients are discharged about one week after the surgery. However, there is a requirement of taking some medication for life long.

What Are The Precautions One Must Take After Heart Transplant?

  • The patient may be required to take complete bed rest for two weeks or two after the surgery.
  • Smoking and consumption of alcohol should be strictly prohibited.
  • The rehabilitation program should be started a day or two after the surgery without any delay.
  • The surgical site should be kept clean and covered at all times.
  • Consult a specialized dietician for a proper diet plan.
  • Patients should be counselled for immunosuppressant.
  • In case of any pain or discomfort, immediately inform your doctor.
  • Be punctual with the medicines
  • Maintain a healthy lifestyle
  • Blood pressure management is a must
  • Don't take stress or live/work in a stressful environment
  • Maintain your BMI

Are There Any Complications Involved?

Like any other medical procedures heart transplant is also accompanied by certain complications, the most common of which are:

  • Organ rejection

Signs of organ rejection include:

  • Fever (100.4°f)
  • Shortness of breath
  • Elevation in blood pressure
  • Chest pain
  • Fatigue or feeling "lousy."
  • Symptoms of Flu such as headaches, chills, dizziness, aches, nausea, and vomiting

This is the reason why patients undergoing heart transplants are required to take anti-rejection medicines throughout their life.

The other factors involved are:

  • Kidney damage
  • Lung Injury
  • Infection
  • Bleeding (during or after the surgery)
  • Breathing problems
  • Blood clots
  • High blood pressure
  • Osteoporosis (a severe thinning of the bones that can lead to fractures)
  • Lymphoma (a type of cancer which affects cells of the immune system)
  • Coronary artery disease or Atherosclerosis of the heart's arteries
  • Angina (chest pain)

A patient must seek the immediate help of the doctor if the complications do not improve.




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