End stage heart failure becoming common cardiac ailment: Dr Nagamallesh
5 min read
Mysuru: Heart Transplant is effective to expand the life span and the success rate has touched 90 per cent.
Cardiac ailment is the leading cause of mortality in the country. Out of the cardiac ailments, nearly 1.5-2% of the patients suffer from end-stage heart failure and succumb to mortality. Though complex and serious, with appropriate as well as adequate treatment patients suffering from end-stage heart failure can be saved successfully.
On Saturday, cardiology experts of Narayana Hospital Cardiology, Mysuru addressed a press conference to brief about the four heart transplant cases.

Explaining the procedure Dr Nagamallesh U M Prof and head department of cardiology Sr. consultant heart failure and transplant, Ramaiah Narayana heart centre, Bangalore said, “End-stage heart failure is fast becoming a common cardiac ailment. Majority of those suffering from this condition can be treated if diagnosed at the right time. We are extremely happy that we have been able to save patients suffering from end-stage heart failure successfully”.
Speaking on the occasion, Dr M N RAVI, Clinical Director and Senior Heart Specialist of the hospital said “According to ICMR, India accounts for about 60% of world’s heart disease burden. Incidence of heart failure in patients attending cardiac OPDs in India is about 1 in 5 ! This alarming burden of heart failure in India is despite a younger population. Heart failure clinic, a specialised unit at NH Mysore was initiated 2 years ago with a view to address the problem and has been successful in identifying patients needing help including heart transplant and taking them through the entire process and post transplant care “.
Addressing the gathering, Dr Keshava Murthy V Senior Interventional Cardiologist, Narayana Multispeciality Hospital, said, “A specialised unit, Heart Failure Clinic provides diagnostic and treatment facilities to all kind of cardiac conditions. The unit is equipped with the latest cathlab and team of experts. We have been able to do that only because of the deep expertise that we have as a healthcare chain. In our hospital, we have more than 20+ beds and 03 cardiologists dedicated to cardiac care. At Narayana Multispeciality Hospital in Mysore also we have dedicated team with expertise in treating common to complex cardiac ailments.”
Four persons Nandish, Keshava, Kumara and Shivakumar. They were suffering from end-stage heart failure and were treated by the Heart Failure Clinic at Narayana Multispeciality Hospital. The patients were treated and guided to undergo heart transplants by the heart failure clinic. The transplant was conducted at the M S Ramaiah Narayana Heart Centre, a unit managed by Narayana Health.
Hailing from Mysuru, Nandish was suffering from heart problem, As his condition was not improving he shifted to the Heart Failure Clinic at Narayana Multispeciality Hospital. After a thorough evaluation, he was advised to undergo a heart transplant.
He was referred to M S Ramaiah Narayana Heart Centre, a group of medical experts headed by renowned heart transplantation expert Dr Nagamalesh U M of Narayana Health. The heart transplant was successful. It’s been more than 3.3 years and he has not even once had a heart issue. He has been attending to his work and has been leading a near-normal life since then.
What is a heart transplantation
A heart transplant is a surgical procedure in which the diseased heart is replaced with a healthy donor heart. Generally, doctors recommend heart transplants only for individuals with terminal stage of advanced heart ailment, and for individuals who do not respond to the treatment.
It has evolved into the treatment of choice for many people with severe heart failure who have severe symptoms despite maximum medical therapy. Survival among cardiac transplant recipients has improved as a result of improvements in treatments that suppress the immune system and prevent infection.
Annually close to 750 organ donations happen in India, with over 200 heart transplants.
A heart transplant is advised if the heart is failing and other treatments are not effective. Unlike the name, heart failure does not mean that the heart has stopped functioning. Heart failure signifies the inability of the heart to pump blood efficiently to the body due to damage or weakness or sometimes both.
The most common causes of heart failure comprise:
• Myocardial infarction, commonly known as heart attack
• High blood pressure
• Heart valve disease
• Viral infection of the heart
• Congenital or by birth heart defects
• Irregular heartbeats
• Pulmonary hypertension or persistent high blood pressure levels of the lungs
What is heart failure?
Heart failure is one of the leading causes of death globally. Heart failure accounts for around 32% of global deaths. But have you ever wondered what heart failure is?
According to the CDC, heart failure is marked by the inability of the heart to pump blood to different parts of the body including the heart efficiently. Heart failure is a grave condition that needs proper medical intervention.
What are the symptoms of heart failure?
People with heart failure usually experience the following symptoms:
• Shortness of breath; the shortness of breath is persistent even while resting.
• Edema or swelling in the feet, legs, and ankles.
• Feeling tired almost all the time.
• Irregular heartbeats
• Ascites or swelling in the abdomen
• Loss of memory, and reduced concentration.
• Bluish discoloration on the lips, the tip of the nose, and on the fingertips.
• Nausea and loss of appetite.
What are the different treatment options for heart failure?
The diagnosis of heart failure is overwhelming for many. While heart failure is a complicated heart condition your doctor might advise you with the best treatment options. The different treatment options for heart failure include:
• Medication
• Pacemaker or defibrillator
• IV drug therapy
• Left ventricular assist device.
However, sometimes the above treatment fails. When all the treatment fails then we will advice you for a heart transplant
What is the success rate of heart transplants?
Thanks to advanced cutting-edge technology, the success rate, and life expectancy post-heart transplant have increased significantly. Lately, doctors have reported a huge surge in the success rate of heart transplants to 95%.
Doctors have claimed that around 88% of people with heart transplants have survived their first after the surgery.
However, around 75% of people survived after five years.
India flaunts a high success rate of heart transplants because of the availability of highly qualified and skilled doctors along with well-equipped hospitals.
NH / MYSORE started its heart failure clinic in 2020 which is spearheaded by senior cardiologist Dr Keshavamurthy V and his team of cardiologists.
Dr Nagamalesh U M is renowned heart transplant cardiologist from NH/ RAMAIH heart institute with be visiting this unit once a month and will be guiding on heart transplant programme.
Dr Nagamalesh U M is available for consultation on the 3rd Saturday of Every month at Heart Failure Clinic in NH, Mysore”.
– Team Mysoorunews
