CIMS Fever Clinic

CIMS Fever Clinic

JCI

JCI

Isolation Unit

Isolation Unit

CIMS BREAST CANCER

CIMS BREAST CANCER

Global Healthcare Excellence Award 2018

Global Healthcare Excellence Award 2018

Diabetes Check

Diabetes Check

Heart Transplant

Heart Transplant


Because of awareness to organ donation in India, treatments for heart failure and heart transplants are increasing across the country.

CIMS Hospital Ahmedabad achieved one of the rare feat by doing the 1st heart transplant surgery in Gujarat.

What is a heart transplant?

A heart transplant  is  a surgery to  remove  a damaged or diseased heart and replacing it with a healthy donor, performed on patients  with  end stage  heart  failure  or  severe  coronary  artery  disease heart when other  medical or  surgical  treatments  have  failed. It  is  not  considered  to  be  a  cure  for  heart  disease,  but  a  life-saving  treatment  intended  to  improve  the  quality  of  life  for the  recipients.

What is heart failure?

Heart  failure  occurs  when  the  heart  is  unable to  pump enough  blood to  meet the  needs  of  the body. The typical symptoms  of  heart  failure  are  shortness  of  breath,  poor  exercise  tolerance, cough (especially at night), fatigue, and fluid retention. If heart failure symptoms  and  heart  function  cannot  be  improved  by  medications  or  surgery, heart  transplant  may  be beneficial.

How is heart failure diagnosed?

Heart failure is diagnosed based on patient’s medical and family histories, a physical exam, and test results. The signs and symptoms of heart failure also are common in other conditions.

  • The cause of heart failure is evaluated such as coronary heart disease (CHD), high blood pressure, or diabetes
  • Other causes of patient’s symptoms are evaluated
  • Find any damage to patient’s heart and check how well patient’s heart pumps blood
  • Early diagnosis and treatment can help people who have heart failure live longer, more active lives.

After medical and family histories and physical exam, patent has to undergo certain tests.  There are main 2 very simple tests that are primary – an echocardiogram and a blood test called NT-pro BNP (a hormone that rises in the blood as a response to a failing heart). The echocardiogram will measure the Ejection Fraction or EF which is a measure of how well the heart is contracting. BNP Blood Test checks the level of a hormone in patient’s blood called BNP. The level of this hormone rises during heart failure. Other tests are  ECG (Electrocardiogram), Chest X-Ray, Doppler Ultrasound, Holter Monitor, Cardiac Catheterization, Coronary Angiography, Stress Test, Cardiac MRI and  Thyroid Function Tests, which are done as and when needed.

Why is heart transplant performed?

Heart  transplant  is  indicated  in  those  who’ve experienced  heart  disease  or  heart  failure  due  to  a variety  of  causes,  including:

  • A congenital  defect
  • Coronary artery  disease
  • Valvular heart  disease
  • A weakened  heart  muscle,  or  cardiomyopathy

How is a heart transplant performed?

A heart transplant is carried out under general anaesthesia and normally takes between four and six hoursThe  transplant  should  be  performed  within  2  hours  from  the  brain  death. Patent is connected to a heart-lung bypass machine, which will take over the functions of the heart and lungs while the transplant is being carried out.

The procedure:

  • The surgeon makes a cut (incision)  down the chest of  the patient  over  breastbone and the bone is separated, allowing the surgeon to access the heart
  • Then the heart is removed, leaving behind a section of the right and left atria, the two upper chambers of the heart
  • The new heart is connected to the aorta, the main artery from the heart, the pulmonary artery, and the remaining part of the atria
  • The bypass machine should be taken off when the new heart starts beating.
  • The breastbone will be closed with metal wires, and the tissues and skin will be closed with stitches.

After the operation

Once the transplant is complete, the patient will be moved to an intensive care unit (ICU). A machine called a ventilator will assist in breathing, and a tube will be inserted into a vein to provide with fluid and nutrients. These will normally be removed after a few days.

Pain relief is also provided as required.

Most people are well enough to move from the ICU and into a hospital ward within a few days.

Patient will be able to leave hospital within two or three weeks, although they need to have regular follow-up appointments and take medication to help stop their body rejecting patient’s new heart.

What are the risks associated with Heart Transplants? 

A heart transplant is a major operation, and there is a risk of several complications.

Some complications can occur soon after the procedure, while others may develop months or even years later.

The main risks associated with a heart transplant are described below.

  1. Rejection

This is where the immune system recognises the transplanted heart as foreign and attacks it. Rejection usually occurs in the days, weeks or months after the transplant, although it can sometimes happen years later. Immunosuppressant medication can reduce the risk of this happening, but can’t always prevent it completely.

  1. Graft failure

In this the donated heart fails and doesn’t work properly. It occurs in 5-10% of people who’ve had a heart transplant, and can be fatal.

  1. Immunosuppressant side effects

The immunosuppressant medications needed to prevent rejection can have a number of significant side effects.

  1. Infections

Immunosuppressant medication will weaken patient’s immune system and make the patient more vulnerable to infection.

  1. Narrowed arteries

Narrowing and hardening of the blood vessels connected to the donor heart is a common long-term complication of a heart transplant.

Outcome after first heart transplant

Cardiac transplantation remains the treatment of choice for many patients with end-stage heart failure (HF) with severely impaired functional capacity despite optimal medical therapy. Although barriers to long-term survival remain, the outcome among transplant recipients has improved over several decades as a result of careful recipient and donor selection, advances in immunosuppression, and the prevention and treatment of opportunistic infections.

Receiving  a  new  heart  can  improve  quality  of  life  considerably,  but  one  has  to  take  good  care  of  it.  In addition to taking daily anti-rejection medications, the recipient needs to follow a heart-healthy diet and lifestyle as prescribed by doctor.  This includes not smoking and exercising on a regular basis.

Survival 

Approximately  50 – 60% patient survive more than 12 years. Their results are as god as kidney transplant  Survival rates  for  people who’ve had a heart transplant  vary according  to  their  overall health status, but  averages  remain  high.  Rejection is   the main cause for a shortened life span.

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CIMS GlobL Healthcare Excellence Awards 2018

October 30, 2018
CIMS Family is honoured to be the recipient of “Among Best Hospital (Cardiology & Oncology) in Gujarat” on October 27, 2018 at the “Prime Time Global Healthcare Excellence Awards 2018”, New Delhi. A very special thanks to our CIMS Staff for their commitment and the patients who have always trusted us. CIMS GlobL Healthcare Excellence Awards 2018

CIMS Hospital has been awarded the Certificate of Excellence as the Best Multispecialty Hospital in Gujarat

August 31, 2018
We proudly announce that CIMS Hospital has been awarded the Certificate of Excellence as the Best Multispecialty Hospital in Gujarat at the International Healthcare Awards, 2018 held in Delhi. The Award is a testimony to the hard work and dedication of the entire CIMS Family which has inspired trust in us leading to rising patient volumes.

Certificate course in EMG & NCV Technology

May 15, 2018

Renal Transplant (CIMS/RIC/2018/09) on 15/05/2018

May 15, 2018
Renal Transplant is done on 15/05/2018, which was approved by Hospital based Ethical committee and Government Authorization committee. Relationship between Donor and Recipient : Wife - Husband

We are proud to announce that CIMS Hospital has been recognized as the Times Health Icon 2018 in 2 categories

March 19, 2018
We are proud to announce that CIMS Hospital has been recognized as the Times Health Icon 2018 in 2 categories Multispecialty Hospital- Oncology and Multispecialty Hospital-Critical Care.

CIMS Heart Transplant Team completes another successful Heart Transplant on 06-02-2018, 5th row in a short term.

February 8, 2018

Felicitation Ceremony of Heart Transplant Donors and Recipients held in the presence of Honorable Chief Minister of Gujarat, Shri Vijay Rupani, CIMS cardiac and heart tranplantation doctors by CIMS Hospital.

January 12, 2018
Felicitation Ceremony of Heart Transplant Donors and Recipients held in the presence of Honorable Chief Minister of Gujarat, Shri Vijay Rupani, CIMS cardiac and heart tranplantation doctors by CIMS Hospital.