When is a heart transplant necessary?
Heart transplantation is an effective way of treating end-stage heart failure. Patients really only need a heart transplant and are only referred for it when their heart disease is so serious that, without heart transplantation, they would die in a relatively short period of time - something like six months or so. It's difficult to find hearts for transplantation, and so we limit heart transplantation only to those patients who really are desperately in need of it. In general, heart transplants are needed when patients are in severe heart failure, sometimes because of coronary artery disease and either severe or multiple heart attacks, sometimes because of valvular heart disease, and sometimes because of heart muscle disease or cardiomyopathy.