Who Can Have a Heart Transplant?
Patients with end-stage cardiac disease including but not limited to the following will be considered for heart transplant:
- Cardiomyopathy (with class II or IV congestive heart failure)
- Class IV angina (on medical therapy not amenable to revascularization despite evidence of ischemia on stress test)
- Non-obstructive hypertrophic heart disease
- Severe decompensated inoperable valvular heart disease
- Transthyretin related (TTR) amyloidosis involving the heart (with no other end organ damage)
- Congenital heart disease (without irreversible pulmonary hypertension)
- Any other cardiac abnormalities that severely limit normal function and/or have a mortality risk of greater than 50% at two years
Upon re-evaluation, patients with the following potentially reversible or treated comorbidities may be considered for transplant:
- Morbid obesity
- Uncontrolled diabetes mellitus
- Renal failure
- Tobacco/marijuana use
- Pharmacologically irreversible pulmonary hypertension
Until transplant approval, patients may consider the use of mechanical circulatory support.