Diagnosis & Testing
A heart transplant is the replacement of a person’s diseased heart with a healthy donor’s heart. The donor is a person who has died and whose family has agreed to donate their loved one’s organs.
In the more than four decades since the performance of the first human heart transplant in 1967, heart transplantation has changed from an experimental operation to an established treatment for advanced heart disease. More than 2,000 heart transplants are performed each year in the U.S. Each year thousands more would benefit from a heart transplant if more donated hearts were available.
Why Are Heart Transplants Performed?
A heart transplant is considered when heart failure is so severe that it does not respond to all other therapies, but the person’s health is otherwise good. The leading reasons why people receive heart transplants are because they have:
- Dilated cardiomyopathy
- Severe coronary artery disease with scarred heart tissue from a heart attack
- Birth defects of the heart
It is important to note that there are many new innovations for the treatment of heart failure, from new drugs to pacemakers and new surgical therapies.
When determining your treatment options, it is important to be evaluated by a doctor who specializes in heart failure.
Who Is Considered a Candidate for a Heart Transplant?
People who have advanced (end stage) heart failure, but are otherwise healthy, may be considered for a heart transplant.
The following basic questions should be considered by you, your doctor, and your family to determine if a heart transplant is right for you.
- Have all other therapies been tried or excluded?
- Are you likely to die without the transplant?
- Are you in generally good health other than the heart or heart and lung disease?
- Can you adhere to the lifestyle changes, including complex drug treatments and frequent exams, required after a transplant?
If you answered no to any of the above questions, a heart transplant may not be for you. Also, if you have additional medical problems, such as other severe diseases, active infections, or severe obesity, you most likely will not be considered a candidate for transplant.
What Is the Process for Getting a Heart Transplant?
In order to get a heart transplant, you must first be placed on a transplant list. But, before you can be placed on the transplant list, you must go through a careful screening process. A team of heart doctors, nurses, social workers, and bioethicists review your medical history, diagnostic test results, social history, and psychological test results to see if you are able to survive the procedure and then comply with the continuous care needed to live a long healthy life.
Once you are approved, you must wait for a donor to become available. This process can be long and stressful. A supportive network of family and friends is needed to help you through this time. The health care team will monitor you closely to keep your heart failure in control. The hospital must know where to contact you at all times should a heart become available.
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