{"id":3842,"date":"2022-05-17T09:00:43","date_gmt":"2022-05-17T01:00:43","guid":{"rendered":"https:\/\/asiamd.com\/?p=3842"},"modified":"2025-08-22T17:15:48","modified_gmt":"2025-08-22T17:15:48","slug":"what-do-you-need-to-know-about-heart-transplant-in-singapore","status":"publish","type":"post","link":"https:\/\/asiamd.bqubetech.com\/id\/2022\/05\/17\/what-do-you-need-to-know-about-heart-transplant-in-singapore\/","title":{"rendered":"What do you need to know about heart transplant in Singapore?"},"content":{"rendered":"

This article has been verified medically<\/span><\/em> by Dr Lim Chong Hee<\/a>, consultant thoracic and cardiovascular <\/i><\/span>surgeon at Surgi-TEN Specialists, Farrer Park Hospital (Singapore).<\/i><\/span>
\nAbout the Doctor<\/a><\/p>\n

Follow us on Telegram for the latest updates: https:\/\/t.me\/AsiaMDsg<\/a><\/em><\/strong><\/p><\/blockquote>\n

What is a heart transplant<\/span><\/h2>\n

Heart transplant replaces a diseased heart with a healthy donor heart, typically from a donor who has been medically certified to be brain dead. This is the most advanced treatment for heart failure, the last and final resort when the diseased heart has not responded to medications or surgery and the patient\u2019s chance for survival falls below 50%.<\/span><\/p>\n

Here in Singapore, the National Heart Centre Singapore (NHCS)<\/span><\/a> is the only healthcare institution that carries out heart transplantations.\u00a0 <\/span>As of 2014, it has carried out more than 54 heart transplants.\u00a0<\/span><\/p>\n

Human Organ Transplant Act (HOTA)<\/span><\/h2>\n

The availability of donor hearts is key to give patients with advanced stage heart failure a new lease of life through a heart transplant.<\/span><\/p>\n

In Singapore, the Human Organ Transplant Act (HOTA), allows four organs, namely, the kidneys, liver, heart and cornea of a person declared to be medically brain dead to be harvested for transplantation\u00a0 <\/span>All Singaporeans and Permanent Residents who are 21 years old and older and not mentally disordered are automatically deemed donors under the Act.\u00a0<\/span><\/p>\n

A person will have to sign and submit an opt-out form if he does not wish to be a deemed donor. Those who choose to remain under HOTA will have a higher priority in receiving an organ if they need a transplant in future. <\/span><\/p>\n

Although HOTA has increased the pool of potential organ doners, denial and objections from grieving family members often present a real obstacle for organs to be harvested under HOTA, leading to delays and rendering the organs unsuitable for harvesting outside the 24-48 hour window.<\/span><\/p>\n

Singapore\u2019s deceased organ donation rate<\/a><\/span> was 6.6 organ donors per million population (pmp) in 2017. This is significantly lower than Spain\u2019s 46.9 pmp in 2017, the highest in the world.<\/span><\/p>\n

Statistics from the Ministry of Health showed that there were 6 heart transplants out of a total of 504 deceased donor organ transplants in 2018. Of them, 19 were liver transplants and 38 were kidney transplants. Cornea transplants represented the bulk of these organ transplants at 88 per cent.\u00a0<\/span><\/p>\n

Who is eligible for a heart transplant?<\/span><\/h2>\n

Patients suffering from end-stage heart disease and under the age of 60 are the most likely candidates for heart transplant.\u00a0 <\/span>Four basic questions have to be addressed by the doctor, patient and family to determine whether a transplant should be considered for the patient:<\/span><\/p>\n