Doctor insights on:
Can You Be Denied A Heart Transplant Operation Because You Are Obese
The definition started with Louis Israel Dublin, chief statistician of the Metropolitan life insurance company, in the early 1940s, as a BMI >25 (definitely >30) for people in their 20's based on retrospective observational life insurance data of the age at which people died later in life. This was subsequently adopted by the medical disease industry. However, BMI is ...Read more
Coulda person be denied a heart transplant if their heart failed due to obesity and refusing to exercise?
2 basic ways: Atrial-aorta-pulmonary artery anastomosis or pulmonary veins - vena cavae - aorta- pulmonary artery anastomosis sequence. The pulmonary vein buttons left atrium and bi caval anastomoses in theory preserve most of the atrial kick. One main issue with transplanted hearts is that chronotropic dysfunction may occur leading to diminished exercise tolerance. If the donor in same or more time available. ...Read more
Better than altern.: Heart transplant recipients can now days expect nearly a 90% 1 yr survival and 75% at 5 years. This therapy is for patients with end stage heart failure who otherwise have a poor quality of life and limited prognosis without transplant or lvad. ...Read moreSee 1 more doctor answer
Unlikely.: Unlikely but possible. It depends on both donor and recipient factors. Although very unlikely, a poorly selected donor heart may cause severe and acute failure and death. Acute failure of the donor heart may also occur due to an acute rejection by the recipient. This can lead to death as well. An unforeseen surgical complication may also lead to death during the transplant. These events are rare. ...Read more
Pretty good: The surgery not very comlicated and is almost always successful , if there is a good match. The survival is ~70% in 5 years. As rejection prevention strategies improve the long term survival will improve further. ...Read more
In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more
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