Who is eligible?
End-stage heart failure is the most common condition for which heart transplant is considered an option. Patients referred for heart transplant may have heart failure as a result of coronary heart disease, a hereditary condition, damaged tissue or an infection.
Generally, a patient considered for a heart transplant has already tried other treatments and may have been hospitalized more than once for heart failure. Heart failure is considered "end stage" when other treatments (such as medicine, implanted devices or surgery) have failed to relieve symptoms.
A patient eligible for a transplant must meet a variety of criteria. Transplant is often not recommended for patients with certain conditions, because the surgery is less likely to be successful. Patients with any of these conditions
may not be eligible for a heart transplant:
- Advanced age
- Poor circulation
- Diabetes mellitus
- Smoking
- Immune system unable to match with a compatible donor
- Active infection throughout the body
- Inability (or unwillingness) to follow a permanent regimen of certain medical instructions
- History of cancer or malignant tumors
- Certain diseases of the kidney, lung or liver
- Irreversible pulmonary hypertension