What percentage does your heart have to be at get a transplant?

The decision for a heart transplant is based on multiple factors, not solely the percentage of heart function remaining. The exact timing may vary depending on individual circumstances and the specific criteria set by transplant teams, but some general considerations include:

1. Advanced Heart Failure: The heart's function must be significantly compromised, with a low ejection fraction (EF), which measures how much blood the heart pumps out with each beat. In general, an EF below 20% is often considered an indication for a transplant evaluation.

2. Refractory Medical Therapy: Despite optimal medical management, including medications, devices, and lifestyle interventions, the heart failure symptoms may remain severe and unresponsive to treatment.

3. End-Stage Heart Disease: When other treatment options, such as medications, surgical procedures (e.g., coronary artery bypass grafting), or mechanical circulatory support devices (e.g., ventricular assist devices) are no longer effective in managing the heart failure symptoms.

4. Quality of Life: The individual's quality of life may be significantly affected by the severity of heart failure, with limitations in physical activity, daily tasks, and overall well-being.

It's important to note that transplant evaluations involve a comprehensive assessment of multiple factors, including medical history, physical examinations, imaging tests, and functional assessments. The decision for transplant is made by a multidisciplinary team of specialists based on the individual's overall condition, prognosis, and potential benefits and risks of transplantation.