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Treatment of Heart Attack
Mitral Valve Replacement Surgery
Coronary Angioplasty Treatment
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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Dr. Gaurav Minocha provides answers that are knowledgeable. Thanks
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. In case you have a concern or query you can always consult an expert & get answers to your questions!
Now days frequently I am getting Hugh BP 150/100 OR 140/90. KINDLY ADVISE ME HOW TO OVER COME ON THIS. Due to this I am getting saviour headache.
Hello Doctor I have bad cholesterol more than its required because of that I am having fluctuations in bp and unable to do work so what I can do.
I am 60 years old. For the last 3 months I got chest pain while walking. When I take rest, pain is relieved and after that I can walk further. It occurred during walk only. My lipid profile is normal. ECG and TMT are normal. My hemoglobin is 12 but main worry is about platelets. From three months back it was 75000, it raised to 125000 and again decreased to 89000. When it was 125000 I felt better. Daily I am walking half an hour. My weight is 84 kgs. Can you please tell me the problem I am facing and remedial measures and test for this. My sugar level fasting is 140. I am taking the following medicines: 1. Glykind (iOD) Telmikind 40.(1OD) Cap. Metolar XR 50 (1OD) Lipikind 20 (1OD). antacid 40 (morning. Discontinued after taking 2 months). Please advise.
Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.
Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:
1. It may feel like you are suffering from indigestion or gas or fullness and pressure.
2. It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.
3. You feel better after a little rest or some medication.
4. It doesn't last for too long, at the most five minutes.
5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.
Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4. If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol
Steps You Must Do To Manage the Pain and Resultant Effects
1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.
2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.
3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.
If you would like to consult with me privately, please click on 'Consult'.
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