Heart Transplant

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Heart Transplant
A heart transplant is a surgical procedure where
a failing or diseased heart is replaced with a
healthier heart. This treatment is usually
recommended to patients whose conditions have
failed to show any improvement even after
medications and other surgeries. In most cases, a
brain-dead patient is considered as a donor for a
heart transplant.
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Indication

• A patient may need a heart transplant in the
  following conditions
• Coronary artery disease
• Cardiomyopathy, a condition where your heart
  muscles get weakened
• Heart valve disease
• Congenital heart defect (problem in the structure
  of the heart from birth)
• Abnormal rhythms of the heart that keep recurring
  and cannot be controlled by medications
• Amyloidosis (deposit of abnormal proteins in
  organs and body tissues)
• A previous heart transplant that has failed

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Pre Procedure

• The pre-procedure guidelines before
  undergoing a heart transplant are
• First and foremost, you will be evaluated to
  check for certain conditions like if you are
  healthy enough for undergoing the surgery and the
  lifelong medications that you need to take
  post-surgery.
• While you will be put on the waiting list for a
  suitable heart donor, make sure that you are
  nearby as you can get a call any moment. You will
  be informed once the donor heart is available and
  you need to come to the hospital immediately.
• Timing is an important factor here as the donor
  heart can survive only for 4-6 hours after taken
  out from the body.
• Once you arrive at the hospital, you will be
  administered the pre-operative medicines and
  prepared for the surgery.

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During Procedure

• Heart transplant surgery is basically an open
  heart surgery that may take several hours.
  General anaesthesia will be administered in this
  procedure. You will be connected with a
  heart-lung bypass machine to ensure there is
  proper blood flow during the whole operation. The
  surgeon first makes an incision in the chest, and
  opens the rib cage to get access to your heart.
• The diseased heart is then removed and the donor
  heart will be placed in its place. The surgeon
  will then attach the major blood vessels to the
  donor heart. Once the blood flow gets restored,
  the heart starts beating again. In some cases, an
  electric shock needs to be given for the heart to
  start beating properly.

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More info

• There will be several adjustments that you will
  need to make in your lifestyle after a heart
  transplant. There will be some medicines that you
  have to take for the rest of your life, which may
  make you more vulnerable to infection and develop
  health conditions like high cholesterol, high
  blood pressure or diabetes.
• Gradually, the dosage might decrease depending on
  your condition. Ensure that all the medications
  are taken regularly. Eating a healthy diet,
  exercising regularly and avoiding tobacco
  products are the basic changes that needs to be
  made in your daily life. Your doctor may also
  suggest a cardiac rehabilitation programme for
  you, involving exercising and diet guidelines to
  recover better after a transplant.

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