HEART TRANSPLANT - WatsonsHealth

HEART TRANSPLANT

Heart transplant is a surgical procedure that removes an unhealthy heart and replaces it with a healthy heart from an expired donor to enhance your quality and increase your life expectancy.

Most heart transplants are done on patients who have terminal heart failure, a condition in which your heart is seriously harmed or debilitated, and on individuals who have failed treatment choices. End-stage heart disease can be caused by conditions, for example,  heart disease, viral infections, or inherited conditions.

You might be qualified for heart transplant if you have severe heart disease that does not respond to different medications.

Types of heart transplants include a single heart transplant or a double transplant. Doundl transplants are either of the following:

  • Heart/Lung
  • Heart/Liver
  • Heart/Kidney

Indications for a heart transplant include the following:

  • Dilated cardiomyopathy
  • Ischemic cardiomyopathy
  • Congenital heart disease
  • Ejection fraction of less than 20%
  • Intractable angina
  • Pulmonary vascular resistance
  • Age younger than 65 years

DIAGNOSIS

Prior to a heart transplant, the following laboratory tests may be requested:

  • Virus testing for hepatitis viruses, human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), and cytomegalovirus (CMV)
  • Fungus and tuberculosis testing
  • Prostate-specific antigen testing
  • Papanicolaou testing
  • Complete blood count (CBC) and bleeding tests such as platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT)
  • Clinical chemistry including liver profile, lipid profile and urinalysis
  • Blood typing and screening
  • Coronary arteriography
  • Echocardiography
  • Chest x-rays
  • Bilateral mammograms
  • Cardiac and pulmonary evaluation
  • Biopsy

 

TREATMENT

Heart transplant will be done in a hospital. You will have general anesthesia so that you will not be awake during the procedure. You will get medications through an intravenous (IV) line in your arm. A breathing tube associated with a ventilator will enable you to breathe. A surgeon will open your chest, attach your heart and blood vessels to a heart-lung sidestep machine, and  remove your heart. The body’s blood vessels will be removed the machine and reconnected to the  donor heart. The heart transplant is finished after the surgeon closes up your chest.

After the procedure, you will recover the intensive care unit of the hospital and remain in the hospital for up to three weeks.  While recovering, you may begin a cardiovascular rehabilitation program. Before leaving the hospital, you will figure out how to monitor your general health; screen your weight, blood pressure, heartbeat, and temperature; and recognize the signs and symptoms of heart transplant rejection and infection.

For the initial three months after hospital discharge, you will return frequently for tests to check for disease or rejection of your new heart, to test your heart if it is functioning effectively, and to ensure that you are recuperating well.

Having good hygiene, acquiring routine vaccinations, and settling on healthy food choices are vital after a heart transplant to decrease your risk of disease. Consistent dental care is likewise critical. Your specialist or dental practitioner may recommend anti-infection medicines before any dental work to prevent disease. Following your specialist’s recommendation will enable you to recover and remain healthy and well.

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