Heart Failure Patient Loses 100 Pounds Before Transplant Surgery

January 31, 2013
News Office: Leland Kim (415) 502-6397

Suitulaga "Sugi" Hunkin has been overweight most of his life. He attributes that to his love of food and his Samoan ancestry.

Because of his size, he also had trouble breathing and experienced irregular heartbeat — symptoms his doctors diagnosed as a heart disease called cardiomyopathy, which usually leads to heart failure.

Sugi Hunkin says his weight ballooned to more than 350 pounds by his mid-20s because of poor diet and lack of exercise.

"Here I am thinking I'm on top of the world at the age of 27 and all of a sudden I ran into a brick wall," said Hunkin, who tipped the scale at 350 pounds by his mid-20s. "I couldn't believe it. I was in denial."

He needed heart transplantation surgery to replace his failing heart, but before that could happen, he needed to lose at least 100 pounds.

"If a patient is very obese, he bears a lot of risks and complications, inter-operatively as well as post-operatively," said Dr. Georg Wieselthaler, director and surgical chief of UCSF Cardiac Transplantation and Mechanical Circulatory Support. "And therefore it's absolutely favorable for patients to try and have a body mass index of below 35 before going into a complex operation."

Body mass index (BMI) measures a person's body fat based on height and weight. Normal BMI is between 18.5 and 24.9; overweight is 25 to 29.9; and obesity is BMI of 30 or greater.

Hunkin chose UCSF to help him with his heart failure. Its pioneering cardiothoracic surgery program was established 50 years ago by chair Dr. Leon Goldman and Dr. Benson Roe. The Heart and Lung Transplant Program has historically had high one-year survival outcomes among academic surgery programs nationally.

To help Hunkin stay alive, Wieselthaler installed a ventricular assist device (VAD), a mechanical device that helps a failing heart pump blood. The VAD allowed Hunkin stay alive, but it did not help him lose weight.

"A switch clicked in my head," he said. "I need to get on the ball. It's not fair to my wife and my kids, and it's not fair to myself. It's not fair to the doctors that are treating me. Everybody's doing so much. It comes down to me."

Hunkin completely changed his lifestyle. He began walking everywhere, he began using stairs instead of elevators and he changed what he put into his body.

"When I was hungry, I wanted a big steak dinner but I realized I don't need it," Hunkin said. "All I needed was a sandwich, an apple and a glass of water."

He consumed fewer calories and replaced junk food with fruits and vegetables. He also stopped drinking sugary drinks.

"It got to the point where I wasn't waiting to eat every day," Hunkin said. "I wasn't living to eat now but just eating to live."

The dramatic changes worked. In just over a year, Hunkin lost 100 pounds, allowing his doctors at UCSF to replace his failing heart with a donor organ in August 2012.

"I'm only five months out, but the reason I'm recovering so fast is the weight loss," he said. "Your recovery time and your recovery status is much better, if you lose the weight."

Hunkin's heart is doing well, and he has continued to maintain his healthy lifestyle.

"I'm blessed. My faith is stronger because I got a second chance at life," he said. "And I'm just grateful — grateful to my donor's family, grateful to the doctors, grateful to the Lord and Jesus up above. Everything is really good. Life is what you make out of it."

About UCSF Medical Center
UCSF Medical Center consistently ranks as one of the top 10 hospitals in the United States. Recognized for innovative treatments, advanced technology, collaboration among health care professionals and scientists, and a highly compassionate patient care team, UCSF Medical Center serves as the academic medical center of the University of California, San Francisco. The medical center's nationally preeminent programs include children's health, the brain and nervous system, organ transplantation, women's health and cancer. It operates as a self-supporting enterprise within UCSF and generates its own revenues to cover the operating costs of providing patient care.

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