Doctor in Dr Harvinder Singh
Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Submit a review for Dr Harvinder SinghYour feedback matters!
There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).
Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.
People who need a heart transplant:
A heart transplant may be essential in the following cases.
- A congenital heart disorder (a person born with a heart problem).
- Defective or diseased heart valves.
- Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
- Problems in the coronary artery.
- Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
- A heart transplant that failed previously.
- Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).
However, under the following circumstances, a heart transplant may not be a wise idea
- People with infections or chronic lung or kidney disorders.
- A case of cancer in the past.
- Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.
The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.
- The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
- In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
- The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
- Once the implantation takes place (without any complications), the surgeons sew the heart into place.
- The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
- To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
- If no complications develop after the transplant, the patient is discharged within a fortnight.
In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants.
Sir bp. 140/90 rhta hi kya kre Dr. pass jate hi toh bolte hi. Bp.nhi hai meri. Age 23 hai or. Mujhe kuch neend ki dawai multivitamin de dete hi kya kre Mujhe daily chakr sirdard weakness ghabrahat hoti hai lekin koi v Dr. mujhe bp. Ki.dawai nhi dete Aisa kyu meri weight v 51 kg hai.
My Blood pressure is high 160/100. Which medicine should I take. I feel frustration. I have eye ache and head ache & earn block. Breathing problem is also.Please help me for that.
Sir, Meri age 20 year ho chuki hai. Aur mujhe 3 year se chest pain muscle tight and twitching aur useless skin hai, aur bone bhi week lagta hai. What should i do?
Our heart is basically a muscle. So when this muscle weakens the heart is unable to do its function i.e., to pump blood throughout our body and keep us alive.
The heart muscle gets progressively weak due to a disease called cardiomyopathy.
There are different types of cardiomyopathy caused by different causes. Untreated cardiomyopathy can lead to heart failure or early death. Treatment can’t cure the condition but can give you extra healthy years of life and prevent serious complications.
Cardiomyopathy has 4 main types, they are:
Dilated Cardiomyopathy: This is the most common form and its principal cause is that your heart muscle becomes too weak to pump blood. The heart muscles stretch and become thinner in this case leading to the four chambers of the heart to expand causing a pathology called an enlarged heart.
Hypertrophic Cardiomyopathy: This happens due to genetics. It occurs when the walls of your heart thicken and prevent the flow of blood through this natural pump.
Arrhythmogenic Right Ventricular Dysplasia: This is a rare form of cardiomyopathy. It causes sudden deaths of athletes and is caused when fat and fibrous tissues replace muscle in the right ventricle of the heart.
Restrictive Cardiomyopathy: This is the least common form of the disease. The cause is the stiffening of the ventricles, the part of the blood which receives blood. When these stiffen, the heart doesn’t get enough blood to oxygenate. Scarring of the heart due to heart disease and a heart transplant operation can be a cause of this stiffening.
Ischemic Cardiomyopathy: Ischemic cardiomyopathy is caused due to coronary artery disease which causes blood vessels supplying blood to the heart to become narrow. The heart doesn’t get enough oxygen and a person can die due to a heart attack.
Other types of cardiomyopathy are grouped into this category and can include:
Left ventricular noncompaction happens when the left ventricle has trabeculations, projections of muscle inside the ventricle.
Peripartum cardiomyopathy, another form of the disease can occur during or after pregnancy. This is a form of dilated cardiomyopathy and can be fatal. There’s no documented cause.
Alcoholic cardiomyopathy is caused due to alcoholism causing an enlargement of the heart.
Takotsubo cardiomyopathy, or broken heart syndrome, happens when extreme stress leads to heart muscle failure. Though rare, this condition is more common in post-menopausal women.
Doctors will decide the treatment after finding out the extent of damage due to cardiomyopathy.
Others whose life is affected due to symptoms are treated with lifestyle changes and medicines. The bad news is that cardiomyopathy can’t be cured but can only be managed and controlled by doing the following:
Exercise is also crucial to keep the heart healthy and maintain a healthy weight through regular bouts of low-intensity exercise.
Medications for high blood pressure will be prescribed to prevent water retention, keep the heart beating normally, prevent blood clots and reduce inflammation.
Pacemakers and defibrillators can be implanted.
Surgery like heart transplant can be done as a last resort.