Heart transplant
Alternate Names : Cardiac transplant, Transplant - heart
Expectations after Surgery
You should expect to stay in the hospital for 7 to 21 days after a heart transplant. The first 24 to 48 hours will likely be in the intensive care unit (ICU). The recovery period is about 6 months. Often, your transplant team will ask you to stay fairly close to the hospital for the first 3 months. Patients need to have regular check-ups with blood test and x-ray for many years.
Fighting rejection is an ongoing process. The body's immune system considers the transplanted organ an infection and fights it. For this reason, organ transplant patients must take drugs that suppress the body's immune response. Taking medicines and following instructions precisely is very important to preventing rejection. Biopsies of the heart muscle are often done every month during the first 6 to 12 months after transplant, and the less often after that. This helps the doctor determine if your body is rejecting the new heart, even before symptoms begin.
Prognosis
Heart transplant prolongs the life of a patient who would otherwise die. About 80% of heart transplants are alive 2 years after the operation. The main problem, as with other transplants, is graft rejection. If rejection can be controlled, the patient's survival can be increased to over 10 years. Drugs that prevent transplant rejection must be taken for the rest of the patient's life. Normal activities can resume as soon as the patient feels well enough and after consulting with the doctor. However, vigorous physical activities should be avoided.
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