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  • 20 hours ago
After suffering two sudden cardiac deaths and a number of severe health complications, 32-year-old Tamara Schwab's life was saved by a heart transplant . She has now vowed not to waste a single minute of her second stint at life — and is pushing herself to the limit to compete in the World Transplant Games. But can her body take it?

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00:00Tamara Schwab takes every heartbeat as a gift.
00:07So I was like saying goodbye and I think that was pretty hard for all of us.
00:13Her life was in mortal danger until a donor heart saved her.
00:19That's the scar of the heart transplantation.
00:22I was so happy. I was crying because I was so thankful.
00:30That we go this way.
00:36That I get this chance to be alive, to get the second chance.
00:45Now she's making the most of this second chance.
00:48Testing her limits and pushing past every mile.
00:56How far can she make it as a transplant athlete?
00:59With a heart beating in her chest that once belonged to another.
01:02This is Roth, a quaint Bavarian town in southern Germany.
01:18It's been home to 32-year-old Tamara Schwab for all her life.
01:21A business psychologist and coach focusing on resilience, change and success.
01:26She was crowned Vice Miss Germany in 2024.
01:30She also authored a best-selling book which shares the story of the single most important moment of her life.
01:37Her heart transplant.
01:39When I was 24, I had a cardiac arrest in the fitness studio.
01:45So I was on a bike, I was riding the bike and I got arithmia.
01:50After that I had a sudden heart death.
01:54She was revived but months later suffered another cardiac arrest.
01:58I saw my life and everything what happened in my life before I lost my consciousness.
02:06For years Tamara was confined to her home.
02:10Diagnosed with cardiomyopathy, a genetic heart condition.
02:14Her life was filled with uncertainty.
02:17Three years with a lot of hospital visits, a lot of pain, a lot of fear.
02:27Doctors said her only hope was finding a heart donor, something that would take time.
02:33My friends and my family, they had to watch.
02:38They couldn't do anything.
02:40They had more fear than I to lose me.
02:45And then she got lucky.
02:47A match was found and a transplant was finally possible.
02:50I was so happy.
02:52I was crying because I was so thankful that we go this way.
03:00That I get this chance to be alive, to get the second chance.
03:21This operation is so big and they will take my heart and I will get a new one.
03:30And no one knows if it works.
03:36Thankfully it did work.
03:38And ever since Tamara has chosen to make the most out of every moment.
03:42It was a miracle.
03:44It's like I'm feeling alive.
03:47And I want this feeling again and again and again.
03:52Tamara dreams of competing in cycling at the World Transplant Games.
03:56An event that unites organ donors and recipients from around the world to test their limits.
04:02But before she can take part, she has to find out if her body can handle it or if it's too risky.
04:08It takes more time for me and for my heart to warm up.
04:12And I'm not sure if I have a chance to win the races because of this.
04:18I want to ask a doctor today if everything is okay.
04:21I hope everything is okay, everything is fine and I can start at the World Transplant Games with no worries.
04:29Tamara is at Munich Technical University's Sports Medicine Department for a handful of tests today.
04:40That's the scar of the heart transplantation.
04:43From this to this.
04:46From the implantation of the defibrillator.
04:48The tests include an electrocardiogram or ECG.
04:55An ultrasound.
04:57Electrolyte testing and spirometry.
05:01Or lung capacity test.
05:03She also undergoes a supervised stress test to see how her heart responds to physical strain.
05:16It's an endurance exercise with bouts of intense, prolonged cycling.
05:21Designed to detect any structural or electrical changes in the heart.
05:26This is the only way to determine if she can compete in the transplant games at all.
05:36With 8,575 people waiting for a donor organ, Germany has one of the lowest organ donation rates in Europe.
05:44Strict opt-in consent laws and a shortage of registered donors means that patients often wait years for a suitable match.
05:51This is in other countries different, like for example in Spain.
06:00Here the individual or the patient really has to claim that yes, my heart can be transplanted.
06:10In other countries it is that this is without question.
06:16So it should be first the case that all organs from individuals who die can be and should be transplanted.
06:25Trust in Germany's system broke in 2012 when a transplant scandal revealed doctors manipulating waiting lists.
06:32A breach that still shadows the donation system today.
06:35It is still in the back head of the population that why should I, maybe my organs are not reaching the right people.
06:48Tamara's heart holds bittersweet questions about life. Someone had to die so she could live.
06:54So often I'm thinking about my donor. Whatever I see, where I am, what I learn and so on.
07:06Every time my donor is with me. The heart that I got is from another person.
07:11She didn't know me, but she was fine that her heart will be alive after her death and will give life.
07:26Back in the clinic every pedal stroke is a test of Tamara's strength. At last it's over.
07:32Just step out gently, keep moving and quickly let me know everything okay.
07:39Any discomfort, weakness, chest pressure, dizziness.
07:51Now I know the heart is good, everything is good. There's no problem or anything else.
07:58So I have a good feeling and I think it's very important to have this feeling.
08:02Back home Tamara's father is a bit worried about her participation in competitive sport.
08:14Is it good for the heart? That's the question.
08:18Yeah, of course, I'm not doing any extreme sports.
08:23But Tamara's resolve wins him over.
08:27She has shown tremendous strength. She's also grown from this whole thing.
08:36She's fit. I'm not worried anymore.
08:41I'm not worried anymore.
08:44In the evening, some friends come by and join her training for a bit of extra motivation.
08:50So when I'm on my bike and I ride 70 kilometers, I'm like, wow, this is possible with a new heart.
09:05I'm so thankful that I can do sports again because I had two cardiac arrests, one of them in the fitness studio.
09:14It challenged my mental health as well because I have this remember of the hard times and I go through it again and again when I'm on the bicycle.
09:27I like to challenge me.
09:31After practice, it's time for a pint. Tamara's friends will cheer her on at the World Transplant Games in Dresden.
09:40The East German city is hosting athletes from 51 countries competing in events including cycling, swimming and triathlon.
09:49Before race day, Tamara decides to check out the racetrack. Cycling also helps her reflect on the changes she has made in her post-transplant life.
10:02I think what changed a lot is that I live more intensely.
10:07I decide I do things now and not later.
10:11I decided that I won't work at my old job for five days a week.
10:18I decided it will be just three days.
10:22My decisions are more decided from my heart and not from my brain.
10:33It's finally the moment Tamara has been waiting for. Will her heart hold up?
10:48She takes an early lead but this will be a test of stamina.
10:54Tamara can't push her heart beyond a certain limit.
11:01And it's very close at the end. Tamara finishes fourth, just seven seconds shy of the bronze medal.
11:07Four years after her heart beat for the first time inside her body.
11:22This was one of my very first races after my heart transplantation.
11:27And I never thought that this will be possible, that I can push my body, my heart in this way.
11:40I had so many good feelings in me.
11:42I was in a limit, so I had a rate of 135 and I can't go higher.
11:52Just the last 100m decided who will be the first, the second, the third and the fourth.
11:58Next time, I hope, I wriggle the bronze.
12:02Maybe gold.
12:04Or maybe gold, we will see.
12:06I have two years now for training.
12:08In the evening, it's time to celebrate second chances and progress.
12:14I reached my goal, my heart did a great job.
12:18Now, I think I can trust my heart 100%.
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