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Preparing for a Heart Transplant

If you’re being seriously considered for a heart transplant or you’re on the list for one, it’s important for you to be ready physically, mentally, emotionally and logistically. This phase includes testing, education and lifestyle planning.

What steps do you need to take before heart transplant surgery?

As part of preparing for a heart transplant, you will need to:

  • Attend all of your pre-transplant appointments
  • Stay as healthy as you can by:
  • Following your care team’s guidance
  • Taking medications as prescribed
  • Staying as active as you can 
  • Eat a heart-healthy diet
  • Continue to avoid smoking, alcohol or substance use
  • Stay up-to date-on your vaccinations

How does the transplant waitlist process work?

When you’re accepted as a candidate for a heart transplant, you’ll be placed on the United Network for Organ Sharing (UNOS) waitlist.

Your status on the waitlist depends on how healthy you are. Status levels run from 1 to 6. People with status 1 or 2 have the top priority for receiving a heart transplant. Your status can change based on your health.

These factors can also affect how long you may wait for a heart transplant:

  • Blood type, because you need to be matched with a compatible heart
  • Height and weight, because you need to be matched with a heart that’s the right size
  • Where you live, because the donor heart needs to be close enough to get to you quickly
  • The presence of antibodies, proteins in your blood that can reject the new heart

Your doctor and heart transplant team will stay in touch with you throughout your wait, so you feel informed throughout the process.

You’ll be monitored regularly while you wait. If you’re hospitalized, you’ll be monitored based on your condition. If you’re at home you’ll probably see your cardiologist every one to three months.

As you wait, you may need mechanical circulatory support, like a left ventricular assist device (LVAD), short-term devices like an Impella (catheter-based pump) or a temporary artificial heart to help pump blood to your body.

How can you prepare for a heart transplant emotionally and mentally?

It’s common and normal to feel scared, anxious and uncertain while you wait. As part of heart transplant preparation, it can help to:

  • Get support from a behavioral health specialist or transplant psychologist
  • Meditate or write in a journal
  • Connect with other people waiting for transplants in support groups
  • Lean on your faith community or other connections
  • Involve your caregiver or support person in your efforts to support your emotional and mental health

Discuss available support options with your transplant team.

How can your caregiver plan and prepare for your heart transplant?

You will need to have a dedicated caregiver before and after heart transplant surgery. You may need to count on this person for support such as:

  • Driving you to and from appointments
  • Tracking your medication
  • Monitoring your symptoms

At Banner Health, as part of our pre-transplant process, we provide caregiver education so they know what to expect and how they can best help you.

Your caregiver can work with Banner staff to create a home recovery plan, so you’re prepared with things like your bedroom setup and infection prevention strategies before you get the call that a heart is available for you.

How can you prepare for heart transplant surgery day?

When a heart becomes available, you’ll get a call from the transplant team. You’ll need to get to the hospital right away, so it’s important to plan transportation ahead of time and have emergency contacts lined up who can help at a moment’s notice. You need to get to the hospital within about four hours of the call.

You should stop eating and drinking as soon as you’re told a donor heart is available and follow your care team’s instructions about taking your medications and any other surgery prep for your heart transplant.

Have a bag packed and ready to go with:

  • Loose, comfortable clothing or pajamas
  • Slippers or socks
  • Toothbrush, comb and deodorant
  • Your cell phone and charger

Do not bring jewelry or large amounts of cash.

FAQs and helpful resources

How long will I wait for a heart transplant?

The wait time for a transplant varies based on your health, blood type, body size and where you live. The average wait time is about four months but can extend to years. Your care team can give you a better estimate based on your specific situation.

What happens if I get sick while I’m on the heart transplant waitlist?

If you get sick while you’re waiting for a donor heart, tell your transplant team right away. They can evaluate your health and decide whether you should temporarily come off the list while you recover.

Can I travel while I’m waiting for a heart transplant?

You should talk to your transplant team to discuss your options. Travel may be possible, but you will need to be able to get to the hospital within about four hours if a donor heart becomes available. And your transplant team needs to be able to reach you by phone at all times.

Learn more:

Why choose Banner Health for heart transplant?

When you choose Banner Health, you get care from a recognized leader in heart transplants. You can count on:

  • Personalized support from the day you're referred
  • An experienced transplant team focused on caring for all your needs, not just your heart
  • Transplant nurse coordinators to guide you on every step of your journey
  • Financial counselors and insurance assistance to help with the cost
  • Behavioral health support to care for your emotional and mental health needs
  • Education classes or one-on-one sessions so you have all the information you need to help you get the best possible outcome
  • Support groups for patients and their caregivers
  • Care based in the Southwest with access to major specialists and services throughout the region

Are you ready to move forward with your transplant journey?

If you’re on the heart transplant waitlist and have questions about preparing, we’re here to help. Contact your transplant coordinator for pre-surgery support.