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Know Everything about Heart Transplant in India

Heart Transplant in India

  • 2021-10-10

Know Everything about Heart Transplant in India

A heart transplant is a medical procedure. It involves replacing a failed or failing heart with a good one. Surgeons get appendages from a donor.

Doctors recommend this procedure when our treatment efforts are either fail or did not work.

Our country is a popular hub for heart modalities across the world. Doctors here could achieve a high success rate for cardiac moving surgeries.

However, patients must observe appropriate lifestyle changes. They must not forget to take medications, as the doctor recommends. Visit your doctor for follow-up checks in fixed schedules too.

Patients usually can lead to quality afterlife post-treatment.

 

Heart Failure

It happens when your cardiac organ rejects to perform. When this happens, the blood supply in the body becomes insufficient. It occurs as the cardio cannot pump blood in an adequate amount.

The disease may occur on any side of the organ. Seldom it affects both sides too.

 

Reasons to perform Heart Transplantation

Coronary Heart Disease

It happens when fatty matters deposit around the artery walls. It results in left ventricular dysfunction.

The disease occurs when these arteries harden and become narrow. The fatty matters cause such hardening.

Its narrowing debars the bloodstream flow into the heart muscle. The appendage thus is deprived of the oxygen that it needs for functioning. 

Doctors try to melt those deposits with medications at the first instance. They go for surgery when other attempts do not succeed.

 

Congenital Heart Ailment

It is a group of congenital issues. It prevents our cardiac organs from normal functioning. It thus creates several complications.

 

Peripartum Cardiomyopathy

It is a rare type of heart failure. Usually, it occurs to females during the final stage of their pregnancy. It may happen during the last month before conception.

Sometimes, females have experienced this disease after five months of delivery.

 

Congestive Heart Failure

Medical science also calls an end-stage heart failure. In this disease, the organ muscles could not pump blood after desperate efforts.

No medicines or therapy can improve the situation. Thus, the doctors have no alternative but to recommend heart transplantation.

 

Heart Transplantation eligibility in India

Heart movement may be a solution for your disease. Yet, the doctors cannot declare that you will get the process.

You need to fulfill some criteria before having such a process. These include:

  • People with active infection are not eligible for the process. It will worsen the usual surgical complications.
  • You must be ready to observe the directed measures before and after the surgery. Adapting these procedures will help to keep your heart healthy and well-functioning.
  • If the diagnosis proves that your recovery period will be fair longer than usual, the doctor will not allow the process.
  • You cannot be a candidate for Heart Transplantation if one of your family members has cancer. This clause also applies if you have a cancer history.
  • You are not a fit candidate for Heart Transplantation if you are suffering from a life-threatening disease. 

Heart movement in these cases would mean resource wastage.

 

 

Pre-evaluation and assessment

The doctor fixes the treatment procedure based on your symptoms. After making a primary diagnosis, he will order some tests for your evaluation and assessment.

These tests confirm your potential to sustain an organ removal program:

Electrocardiogram

The testing doctor places electrodes on the chest. 

It records signals from the heart. Analytic estimation helps to diagnose cardiac activity.

The doctor prepares a report based on waves on a monitoring screen placed nearby.

VO2 Max Test

The lab doctor uses a treadmill in this test. 

He connects the device to a machine. It displays the amount of expired air.

With this test, your doctor estimates your oxygen requirement while walking on the treadmill.

Lab Tests

It involves several blood tests. The test report mentions any signs of previous viral infections.

Chest X-ray

It helps to find out abnormalities in the lungs. It also helps determine the heart size.

Pulmonary function test

It estimates the functionality of the lungs. You will also get information about their current oxygen-carrying abilities.

Cath Study

This procedure helps the doctor measure the pressure levels in the affected zone.

You will be under local anesthesia when the test doctor inserts a catheter into a vein in the neck or groin.

The tube brings up pressure level estimates in the heart chambers and blood vessels.

The Carotid & Peripheral Doppler Study

During the procedure, the testing doctor uses an ultrasound probe. The probe indicates blockages in the carotid and leg arteries.

 

Understanding the procedure

Heart Transplant is a complex procedure. Usually, this conforms to the first-range treatment. Your surgeon will go to open-heart surgery for the second-time surgery receivers.

The whole process consists of three operations.

  • The first one constitutes collecting the organ from the donor’s organ. 

You will be under general anesthesia. It will help you sleep throughout the procedure. 

  • A contributor is a person whose brain is dead because of some irreversible injury. He may also have trauma to the head because of an automobile accident or similar incident.
  • In the second phase, your surgeon removes your damaged heart. The procedure may offer some complications. It occurs when the appendage recipient takes heart surgery for the second time. 
  • Cutting through the scar tissues requires much more precaution. It thus takes much more time than the first-time surgery receivers.
  • Heart removal for secondary patients is also much more complicated.
  • The third and final stage is probably an uncomplicated procedure. During this phase, your surgeon implants the donor’s heart into yours. The advanced method comprises fives lines of stitches. Doctors call these ‘anastomoses.’ 
  • The suture lines connect the larger blood vessels that enter and leave the cardiac limb.

 

How can your treatment team find an appropriate organ subscriber for you?

  • Once you are eligible for the process, they will put your name on the waiting list.
  • They will monitor your health condition at frequent intervals while you are waiting for the donor.
  • You can even get an altered care method. It happens when the treatment team finds the procedure is inadequate.
  • A few people can develop another medical condition during the waiting period. With this, they lose their eligibility as a potential recipient.
  • The above condition can be a temporary procedure. Once you access recovery, your name will reappear on the list.
  • You may also require ventilation support while waiting for the subscriber. It holds your condition to an acceptable range.
  • The doctor will do several tests once having a replaceable organ. These include checking the probable donor’s blood type. A blood group match is an essential consideration for a heart transplant.

 

The Recovery Process

  • Your treatment team closely monitors your overall health. These include pulse rate, weight, heartbeat, blood pressure, and body temperature.
  • They will put you under a cardiac rehabilitation program to facilitate the post-surgery recovery process.
  • The team includes a transplant counselor. H/she will keep track of your recovery speed.
  • Your family members will get detail from the recovery team. They will intend to teach you about the transplanted heart failure, rejection, or infection.
  • The team will also organize a three-month follow-up plan. It helps to check the transplanted heart infection or rejection status.

 

Your resumption to usual life

Observe the following schedule while working to resume life after a transplant process.

  • You must pay regular visits to the clinic. For the first few weeks post-procedure, the doctor advises you to follow up with the team. 
  • In the initial weeks, the frequency is much higher and decreases after a few months.
  • The doctor will recommend an immunosuppressant to check an attack on the new organ by the innate immune system.
  • Following good hygiene is a must. There will be routine vaccines and other medications that you need to continue for a lifetime.
  • Change your lifestyle as per your doctor’s recommendations.

 

Probable complications

Heart transplant, like other surgical processes, has numerous risks. These include:

  • Chances of bleeding while conducting the surgery and after.
  • Infection.
  • Kidney failure because of immuno-suppressants.
  • Blood clot formation. It can affect other organs. These include lung problems, stroke, and heart failure.
  • Death.

Coronary allograft vasculopathy is a coronary artery disease. 

It usually happens after a heart transplantation process. The process may occur even after ten years after having the procedure.

The prescribed medications may also cause several complications. These include:

  • Repetitive infections.
  • Poor blood circulation throughout the body.
  • Serious health issues.
  • Developing metastatic cancer.
  • Alcohol and drug abuse.

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