I chose this topic because my father was on the transplant list for five years, experienced three myocardial infarctions and died from the heart failure and never made to the top of the wait list. Those years of struggle, multiple hospitalizations, tons of medications, sleepless nights and hope for a new heart and a chance to live created a big emptiness in my heart. That is one of …show more content…
The person must meet the criteria and be on the United Network of Organ Sharing (UNOS) and heart transplant waitlist. For carefully selected patients, heart transplantation offers markedly improved survival and quality of life.
According to the American College of Cardiology and American Heart Association (ACC/AHA) heart transplantation should be considered if the medical treatments have failed or not possible.
Indications for the heart transplant procedure.
The guidelines for the heart transplant are:
• Refractory cardiogenic shock requiring intra-aortic balloon pump counterpulsation or left ventricular assist device (LVAD);
• Cardiogenic shock requiring continuous intravenous inotropic therapy (i.e., dobutamine, milrinone, etc.);
• Peak VO2 (VO2max) less than 10 mL/kg per min;
• NYHA class of III or IV despite maximized medical and resynchronization therapy;
• Recurrent life-threatening left ventricular arrhythmias despite an implantable cardiac defibrillator, antiarrhythmic therapy, or catheter-based ablation;
• End-stage congenital HF with no evidence of pulmonary hypertension;
• Refractory angina without potential medical or surgical therapeutic