Heart Transplant
Christiaan Barnard and his team performed the world’s first human-to-human heart transplant operation on 3 December 1967 in Cape Town, South Africa. It was a major historical event and a significant breakthrough for medical science.1 The transplant itself was a huge success, although complications led to the patient unfortunately passing 18 days post-op.1
Much has been learned since then. The first year after a cardiac transplant is the period with the highest mortality, but survival rates at one year have improved to almost 90%.2 This is largely due to improved immunosuppression (to prevent rejection of the donor heart) and to the prevention and treatment of infection.2
Seventy-five percent of patients report no limitation of activity at one year and five years after heart transplant and many patients return to work.2
Solid organ transplant (e.g. heart, kidney, liver and lung) is a life-saving therapy that requires the use of immunosuppressive medications for the rest of a patient’s life.3
The number of patients who do not adhere to prescribed medications after lung or heart transplantation is between 1% and 43%.4 This non-adherence is the second most important cause of graft loss within the first three months after transplantation.4
Whilst various complex factors play a role in non-compliance with post-organ-transplant immunotherapy, cost is one of the relevant factors.5 The advent of generic medications has helped to reduce this cost.3
Sandoz and Novartis have over 40 years of experience in transplant care and Sandoz is the #1 provider of generic transplant medications in Europe.6 We are proud of our ability to help patients maintain the optimum immunosuppression medication dosing which is so critical to transplant care.6
Brink JG, Hassoulas J. The First Human Heart Transplant and Further Advances in Cardiac Transplantation at Groote Schuur Hospital and the University of Cape Town - With Reference to: The Operation. A Human Cardiac Transplant: An Interim Report of a Successful Operation Performed at Groote Schuur Hospital, Cape Town. Cardiovasc J Afr. 2009;20(1):31-35
Fischer S, Glas KE. A Review of Cardiac Transplantation. Anesthesiology Clinics. 2013;31(2):383-403. doi:10.1016/j.anclin.2013.01.003
James A, Mannon RB. The Cost of Transplant Immunosuppressant Therapy: Is This Sustainable? Curr Transplant Rep. 2015;2(2):113-121. doi:10.1007/s40472-015-0052-y
Brocks Y, Zittermann A, Grisse D, et al. Adherence of Heart Transplant Recipients to Prescribed Medication and Recommended Lifestyle Habits: A Single-center Experience. Prog Transpl. 2017;27(2):160-166. doi:10.1177/1526924817699959
Laederach-Hofmann K, Bunzel B. Noncompliance in Organ Transplant Recipients: A Literature Review. Gen Hosp Psychiatry. 2000;22(6):412-424. doi:10.1016/s0163-8343(00)00098-0
Sandoz. News – Media Releases – Sandoz Launches Once-daily Generic Tacrolimus for Transplant Patients in Europe [Online]. Cited 28 Aug 2021. Available from: https://www.sandoz.com/news/media-releases/sandoz-launches-once-daily-generic-tacrolimus-transplant-patients-europe