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Heart Transplant: Symptoms, Classification, Diagnosis & Recovery

Heart transplantation is necessary for patients with a diseased heart, especially when their heart function fails to improve despite undergoing surgeries and prolonged medication use. During this procedure, the patient's heart failure is replaced with a fully functional one from a brain-dead donor who is being kept alive on life support. Despite its life-saving potential, heart transplant surgeries remain rare due to the scarcity of suitable donors, exacerbated by concerns, such as aesthetic reasons, which deter many families from consenting to organ donation. Although heart transplant surgery is a major procedure, the post-operative survival rate is generally favorable, contingent upon the quality of post-surgical care.

This surgery is typically reserved for patients experiencing heart failure resulting from various conditions, including cardiomyopathy, previously failed heart transplants, coronary artery disease, cardiac valve disease, congenital heart defects, amyloidosis, and abnormal heart rhythms. Furthermore, heart transplant surgeries may involve the transplantation of other organs, such as the kidneys, liver, or lungs, depending on the patient's specific needs. However, not all heart patients qualify for transplantation; those with a history of cancer, a major illness that would significantly reduce life expectancy, active infections, advanced age, or unhealthy lifestyle habits are generally deemed unsuitable candidates for heart transplant surgery.

Following are the signs and symptoms before undergoing a Heart Transplant:

  • Severe Shortness of Breath (Dyspnea)
  • Persistent Fatigue
  • Fluid Retention (Edema)
  • Irregular Heartbeats (Arrhythmias)
  • Chest Pain or Discomfort
  • Dizziness or Lightheadedness

These are some of the tests that are used before a Heart Transplant:

  • Cardiac Imaging
  • Echocardiogram
  • Cardiac MRI (Magnetic Resonance Imaging)
  • Cardiac CT (Computed Tomography) Scan
  • Serological tests such as cytomegalovirus, Epstein-Barr virus (EBV), etc are performed to assess the infection
  • Immunological test: HLA typing and PRA test assess the patient's immune system compatibility with the donor's heart.

Recovery after heart transplantation surgery is slow. You will be required to visit the surgeon for frequent follow-ups. They will advise you to undergo a series of tests every time you visit, including echocardiograms, electrocardiograms, and blood tests. You will also be required to undergo heart biopsies to check for signs of organ rejection. A pathologist will look into a tiny heart tissue under a microscope during a biopsy.

Additionally, you will be required to make several long-term adjustments to your schedule after you’ve had a heart transplant. You will be required to take immunosuppressants and make adjustments for medications. You will need intensive emotional support during cardiac rehabilitation. Therefore, make sure to have your near and dead ones around you during the recovery phase.

Patients will also be advised to make several adjustments to their lifestyle to speed up recovery. This includes exercise guidelines, a healthy diet, sunscreen use, and tobacco consumption.

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Best Heart Transplant Hospitals

Mount Elizabeth Hospital

Mount Elizabeth Hospital

Singapore, Singapore

Mount Elizabeth Hospital is a multispecialty healthcare facility operated by Parkway Health. The hos...more

FACILITIES

phone in the room SIM

Free Wifi

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Health Insurance Coordination

Joint Commission International, or JCI

Consult Online with World’s Best Heart Transplant

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Dr. Abhay Kumar
Dr. Abhay Kumar

Cardiac Surgeon

Delhi, India

20 of experience

USD  38 for video consultation

Dr. Sameer Bhate
Dr. Sameer Bhate

Cardiothoracic Surgeon

Faridabad, India

20 of experience

USD  35 for video consultation

Frequently Asked Questions

Q: Who can donate heart after death?

A: Brain-dead people from any age-group can donate a heart. However, whether you can donate a heart or not depends on the presence of certain medical conditions at the time death. For example, brain-dead patients with a diseased heart may not be suitable for a heart donation.

Q: How long do patients with heart transplant live?

A: The survival rate of patients after one, two, and five years of a heart transplant is around  87, 77, and 57 percent.

Q: What is the quality of life after a heart transplant?

A: Quality of life after a heart transplant is generally good but it depends on your rate of recovery. The chances of survival after heart transplant surgery are good. You will have to make several adjustments in your medications and dietary schedule to be able to live a quality life after a heart transplant.

Q: What is the total heart transplant surgery time?

A: Heart transplant procedure may take around four hours to complete. However, the total heart transplant surgery time depends on whether some other organ is being transplanted along with it.

Explore Top Hospitals Worldwide for Heart Transplant

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Author

Dr. Abdullah Rahil

MPT (Neuro)

5 Years of Experience

Dr. Abdullah Rahil, M.P.T. (Neurology), is a dedicated physiotherapy professional specializing in orthopedic, neurological, and musculoskeletal rehabilitation. With strong clinical expertise, he focuses on improving patient mobility, reducing pain, and restoring functional independence through evidence-based rehabilitation techniques. He is skilled in advanced therapeutic approaches that support effective rehabilitation and recovery for a wide range of musculoskeletal and neurological conditions, focusing on improving mobility, reducing pain, and restoring functional independence. Dr. Rahil has extensive experience managing diverse rehabilitation cases. His patient-centered approach emphasizes personalized treatment plans, continuous assessment, and comprehensive rehabilitation to achieve optimal recovery outcomes. . View More

Reviewer

Dr. Akash Khandelwal

Hematologist

9 Years of Experience

Dr. Akash Khandelwal is a distinguished Hematologist, Hemato-oncologist, and Bone Marrow Transplant (BMT) Physician with extensive training from the prestigious AIIMS New Delhi. His expertise encompasses a wide range of specialized techniques in bone marrow transplantation, including autologous and allogeneic transplants such as matched sibling donors, matched unrelated donors (MUD), and haploidentical donor transplants. Dr. Khandelwal has personally supervised and conducted over 100 bone marrow transplants. View More