Heart failure is a severe condition where the heart cannot pump sufficient blood to meet the body's needs. This can drastically reduce the quality of life due to symptoms like fatigue, leg swelling, and abdominal distension.

Dr Bagirath Raghuraman, Senior Consultant, Cardiology Adult, Program Director, Heart Transplant at Narayana Health City, Bommansandra, Bengaluru, provides insights into the treatment for heart failure, particularly for those at an advanced stage. In cases where the heart's pumping capacity drops below 25% (measured by the left ventricular ejection fraction), patients may undergo numerous treatments without significant improvement.

For these patients, a heart transplant is a viable option. The process begins with a series of tests to determine the patient's suitability for a transplant, ensuring that other organs would not reject the new heart. This involves a thorough assessment by a multidisciplinary team, who will decide if the patient should be listed for a transplant.

Finding a donor's heart can take three to five months or longer. Once a suitable heart is found, surgeons perform the transplant by replacing the diseased heart with the donor heart. The new heart generally starts beating automatically after rewarming and connecting it (anastomosis).

A successful heart transplant can significantly enhance the recipient's quality of life, allowing them to perform daily activities with ease and even participate in sports competitions designed for transplant patients, thus restoring their dignity and zest for life.

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