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Is heart transplant a reasonable option for my father who is 67?

My father, age 67, has undergone pacemaker (DDD type) surgery in June 2010. His ejection fraction from January 2007 was 20% when he suffered his first attack. He is diabetic from last 35 years, has never smoked or is alcoholic. We have done his angiography a couple of times which shows excessive calcification. From the last couple of months, he has started feeling breathlessness and had excessive coughing. Can we go in for a heart transplant without risking his life? He is currently on following medications: Ivabrad, Lasix, Nikoran, Doxobid, Flavedon MR, Rosovas F20, Lanoxin. Please give proper guidance.

submitted by Yashwant from India on 2/22/2014


Atasu K. Nayak, MDby Texas Heart Institute cardiologist, Atasu Nayak, MD    

I think, he has non ischemic cardiomyopathy from your question. Age 67 is not a contraindication for heart transplant any more. Please continue heart failure medications. Monitor LV functions and symptoms closely with your cardiologist. If left ventricular ejection fraction does not improve, consult a cardiologist with expertise in heart transplant subspecialty.

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Updated March 2014
Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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