A heart transplant is the replacement of a person's diseased heart with a donor's healthy 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.
In the movies, you never doubt when a man's having a heart attack. He clutches his chest, screams, or moans, and falls to the ground. If he's lucky, help is on its way.
In real life, the signs aren't always so clear. Some people do experience Hollywood-type symptoms, says Mohamud Daya, MD, an associate professor of emergency medicine at Oregon Health and Science University in Portland. But others don’t. “Some people say they just feel uneasy discomfort or vague discomfort, not pain that really hurts...
A heart transplant is considered when heart failure is so severe that it does not respond to any other therapy, but the person's health is otherwise good. The leading reasons why people receive heart transplants are because they have:
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.