NEW DELHI: Lack of infrastructure, logistical constraints, and myths and stigma associated with organ donation are keeping biggest obstacles rate heart transplant in India in an “abysmal low”
Cardiovascular disease (CVD) are the leading cause of death worldwide, resulting in more deaths each year than from any other cause.
While a growing population, including young people, is growing susceptible to heart disease with changing lifestyle, doctors say the country is not updated in donations heart that could save many lives.
“history of India when it comes to transplant heart is very sad. One of the main factors is the medical infrastructure and often the brain deaths in ICUs are not notified, thus losing precious time.
“In addition, there are logistical constraints, when the heart fails harvested in the time allotted by the green corridor,” says Balram Airan, Professor of Cardiothoracic and Vascular Surgery at AIIMS.
Airan was part of the team in the first high school, who performed the first heart transplant in the country at AIIMS on August 3, 1994.
Heart transplantation is warranted for patients with terminal heart failure or of irreparable coronary artery disease. In this procedure, doctors replace the diseased heart with a healthy collected from a patient with brain death.
Mukesh Goel, Senior Consultant, Cardiovascular Surgery at Indraprastha Apollo Hospital here, he says, at home “in northern India lags behind its southern counterpart.”
“In the south, there are also procedures scheduled departure and the government is very active, besides people aware about organ donation. In Delhi and other parts of northern India, the coordination work is rather informal and therefore is not smooth and efficient, resulting in delays, “said Goel PTI.
It is said in the Indraprastha Apollo, “without transplant has been performed yet, but there are four and five patients on the waiting list, Delhi and Ghaziabad and Bareilly, among other places.”
Tamil Nadu is leading the way today with about 200 transplants, Delhi 50-60, Kerala 20, a single transplant in Rajasthan and nothing Lucknow to Kolkata, he said.
“Sometimes the heart harvested does not reach the recipient in the golden time due to lack of coordination and traffic agency. After the harvest, the heart must reach its destination within 3-4 hours or dies, “says Rajeev Maikhuri, transplant coordinator major organ in the AIIMS.
Doctors also say that sometimes people refuse to donate organs due to superstition, like “will not get that body in the next life, if I donated.”