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Certain heart failure patients are managed through cardiac resynchronisation therapy. It enables an improved and organised contraction of the heart's chambers. The heart pumps more effectively into the body due to CRT. To insert a device in the chest for cardiac resynchronisation therapy (CRT), a minimal procedure is required. CRT devices include:

Pacemaker-supported cardiac resynchronisation treatment (CRT-P): This device is designed for patients with abnormal cardiac signals and certain phases of heart failure. It sends signals that make the bottom chambers of the heart beat together. It allows the heart to fill with blood.

Cardiac resynchronisation therapy with a defibrillator (CRT-D).: An implanted cardioverter-defibrillator (ICD) and a pacemaker are employed in this combination device. For patients with heart failure who also are at risk of sudden death, it may be recommended. It can detect and correct life-threatening cardiac rhythms. It can pace the heart or shock the heart out of a life-threatening rhythm.

Cardiac Resynchronisation Therapy with a Defibrillator (CRT-D) treats certain forms of heart failure, particularly in patients with reduced ejection fraction and abnormal electrical conduction (e.g., left bundle branch block). It combines two treatments: defibrillation, which guards against sudden cardiac death brought on by potentially fatal arrhythmias, and cardiac resynchronisation, which helps the heart's chambers beat in unison. When there is a high risk of deadly arrhythmias or when medication alone is not enough to control symptoms, CRT-D is advised.

If you experience signs of heart failure, such as exhaustion, dyspnea, edema in your legs, or fainting spells, you should consult a cardiologist. CRT-D may be taken into consideration if you have been diagnosed with heart failure with reduced ejection fraction (HFrEF), particularly if your ECG shows a large QRS complex. It’s also appropriate for patients with a history of cardiac arrest or prolonged ventricular arrhythmias. The ideal time for device therapy is determined in part by early consultation.

An ECG, echocardiography, chest X-ray, and occasionally a cardiac MRI or Holter monitor will be performed to evaluate heart function and rhythm before CRT-D installation. Medication evaluations and blood tests are performed, particularly if you are taking blood thinners. Before the surgery, you will need to fast for a few hours. Your physician will outline the surgery procedures and give you preoperative instructions.

  • Implantation: Implantation involves inserting three leads into the heart and placing the device beneath the skin close to the left collarbone.
  • Programming: The device is configured to detect and prevent harmful arrhythmias and synchronise heartbeats.
  • Monitoring: After closing the incision, the patient is watched to ensure proper function.

The CRT-D implantation usually takes two to four hours. The majority of patients spend one to two days in the hospital. Physical activity, particularly arm motions on the implantation side, should be minimised during the typical one to two-week recovery period.

  • Infection or bleeding at the implant site
  • Lead displacement
  • Pneumothorax (collapsed lung)
  • Inappropriate shocks
  • Device malfunction (rare)

CRT-D dramatically lowers the risk of sudden cardiac death, improves heart function, and lessens the symptoms of heart failure. It also reduces hospitalisations and allows patients to return to regular activities with less weariness.

Recovery includes wound care, arm movement restrictions, and careful device performance monitoring. Checking battery life and modifying device settings require follow-up visits. Regular imaging, ECG monitoring, and cardiac rehabilitation are all part of long-term care.

About 70–80% of patients carefully chosen for CRT-D implantation have better cardiac function, higher quality of life, and lower mortality rates.

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Explore Hospitals ( 191 )
CRT - D in Istinye University Bahcesehir - LIV Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
  • Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
  • 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
  • Emergency Department with Emergency specialists
  • 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
  • IVF center
  • Pain Clinic
  • Stroke Center/Unit
  • Pediatric Intensive Care Unit
  • International Guest Department
  • In an emergency transfer of patients via air, the hospital also has an air ambulance facility
CRT - D in Medical Park Goztepe Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medical Park Goztepe Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 293 beds
  • 9 Operating theatres
  • 64 intensive care beds
  • Emergency Department
  • Chemotherapy Unit
  • Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
  • Cafeteria/Restaurant
  • Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
CRT - D in VM Medical Park Bursa Hospital: Costs, Top Doctors, and Reviews

Bursa, Turkey

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, VM Medical Park Bursa Hospital located in Bursa, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 55,000 sqm
  • Capacity of 270 beds
  • 10 Operating rooms
  • 83 intensive care beds
  • Helipad for Emergency Transfers
CRT - D in Riyadh Care Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Riyadh Care Hospital located in Riyadh, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • This healthcare organisation is equipped with modern and advanced healthcare instruments.
  • Riyadh Care Hospital has a 325 bed capacity.
  • The Department of Emergency and Department of Children Emergency work round the clock to provide the best of emergency care services.
  • Respiratory Therapy and Dialysis Center takes care of the respiratory and renal conditions of the patients.
  • Medical Rehabilitation Center provides the best in class rehabilitation and recovery services to the patients.
  • Laboratory, Blood Bank, Physical Therapy and Radiology departments are also present.
  • Intensive & Medium Care Unit for Children and Newborns and Intensive Care Unit for Cardiac conditions are also worth a mention for the outstanding work they are doing.
  • Pharmacies for inpatients, outpatients and emergencies.
  • The Intensive Care Unit is working to provide care for advanced and critical care.
CRT - D in Care national Hospital: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Care National Hospital located in Riyadh, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:

  • International patient care services of Care National Hospital is also at par with global standards. They provide all kinds of assistance to the patients coming from different nationalities to get required treatment.
  • Innovative healthcare practices are employed in the hospital and the healthcare providers routinely go over and above to provide the best treatment that any patient could get.
  • The hospital specialises in providing patients with customised healthcare options.
  • A multispecialty hospital with integrated departments, it has a bed capacity of 459.
  • Homecare services are also routinely provided to the patients of Care National Hospital, Riyadh, Saudi Arabia.
  • Outpatient Clinics include the following:
  • Department of Binoculars
  • Emergency Department
  • Radiology Department
  • Laboratory
  • Blood Bank
  • Department of Physical Therapy
  • Pharmacy
CRT - D in Hospital Ruber International: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001

The Hospital has a wide architectural structure that consists of-

  • 90+ consultation rooms
  • 108+ private rooms
  • 15 suites and 3 royal suites
  • 10+ operation theatres
  • Neuro-Rehabilitation unit
  • Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation

CRT - D in Paracelsus Clinic: Costs, Top Doctors, and Reviews

Lustmuhle, Switzerland

Apart from in-detail treatment procedures available, Paracelsus Clinic located in Lustmuhle, Switzerland has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Five large buildings that caters to 8000+ outpatients every year
  • Medical staff of the Hospital includes 5 Doctors, 2 Dentists, 40+ nurses
  • Paracelsus Pharmacy
  • Paracelsus Dentistry
  • Culinarium/Restaurant
CRT - D in Baskent University Istanbul Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Baskent University Istanbul Hospital located in Istanbul, Turkey is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • 13.000 square meters indoor area
  • Aesthetically designed Inpatient rooms
  • Latest healthcare equipments
  • 105 bed capacity
  • 5 operating rooms
  • 38 bed capacity in the Intensive Care Unit
  • 609 healthcare personnel and healthcare professors
  • Translation services for International patients
CRT - D in The Madras Institute of Orthopedics and Traumatology: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Joint Commission International, or JCI

MIOT started its journey with only 70 beds and focusing on Orthopedics and Trauma care. However, we grew into a multi-specialty hospital with time. MIOT is now a 1000-bedded hospital and can offer an extensive range of services across 63 specialties. The state of art laboratory of our hospital is ranked 8th internationally. We have 21 super-specialty operation theaters equipped with cutting-edge technology to help our doctors with complex procedures.

We take great care to make our patient rooms comfortable enough. The patient rooms get plenty of fresh air as well as natural light. The soothing views from the rooms do not let the patients feel cut off from the outside world. We use separate entrances for emergency patients, out-patients, in-patients, and their attendants. We put our patients’ safety first which is why we use a superior air system to ensure a near-zero infection healthy environment.

Apart from that, MIOT’s 24 hours blood bank provides all kinds of blood work related services which include blood collection to component separation. This state-of-art blood bank alone handles more than 30,000 units of blood over the course of a year. Every month around 600 blood transfusions are managed by this blood bank.

MIOT’s SIGNA Pioneer 3T MRI machine is made with noise reduction technology. This silent MRI machine can deliver superior quality neuroimages without wasting any time. The department of Radiology and Imaging Sciences can give tough competition to any international hospital with its advanced technology and accuracy.

The PET CT service at MIOT International is the first of its kind in South India enabling better and more accurate diagnosis than earlier. The superior diagnosis is also possible for the two digital cath labs at MIOT Heart Revive center.

We also have a physiotherapy team where a team of highly efficient physiotherapists deals with the mobility and functional disability issues of our patients. They listen to the patients carefully to identify the root of the pain and use therapeutic exercises to reduce their pain.

The CCU of MIOT is something to be proud of. The specially-trained staff of this unit is dedicated to ensuring top-quality medical support to serious patients. This unit along with the MIOT International Laboratory is the backbone of our facility.

Furthermore, what makes MIOT unique is our Telemedicine service. In the new normal, we are trying everything to reach our patients. Our one of its kind Telemedicine service connects our patients to our 250 full-time doctors over email, phone, chat and video consultations.

CRT - D in Circle Reading Hospital: Costs, Top Doctors, and Reviews

Reading, United Kingdom

Circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services circle Reading Hospital is a multispecialty hospital located in Reading, Berkshire. The infrastructure of the hospital is such that the patient is exposed to the luxurious and friendly environment and not something that seems daunting to them. The hospital offers a wide range of diagnostic and treatment services to its patients, allowing them to choose the services that they wish to avail themselves in a hassle-free manner. 

Keeping the quality in mind that the patient demands, the hospital has associated itself with some of the best consultants from Berkshire. The presence of some of the most experienced specialists from varied backgrounds, allows the hospital to have an environment that ensures the best possible clinical care for the patients. 

The hospital offers treatment across 15+ specialties and some of the most popular treatments are offered for hip, knee, back, foot & ankle, gastroenterology, gynecology, shoulder & elbow, and gastroenterology.

Circle Reading Hospital offers a very warm and comfortable environment to the patients, from the moment they enter the building, whether for consultation or inpatient stay. 

  • Patient-friendly inpatient rooms
  • 15+ Specialties
  • Especially known for orthopedics and spine surgery
  • Innovative technology

Facilities Provided: 

  • Inpatient rooms with TV, music, and films
  • Private bedrooms with en-suite walk-in shower room
  • Complimentary Wi-Fi
  • Free on-site parking
  • On-site cafe

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What is the Difference Between a CRT Pacemaker and a CRT-Defibrillator?
Cardiology

What is the Difference Between a CRT Pacemaker and a CRT-Defibrillator?

Cardiac resynchronization therapy (CRT) has revolutionized the management of heart failure, particularly in patients with conduction delays and dysynchrony of ventricular contraction.

Published: 21 Mar, 2024
Updated: 25 Feb, 2026

Author

Nimra Haseeb
Nimra Haseeb

MSc Biochemistry

4 Years of Experience

Miss Nimra Haseeb is a medical researcher and a scientific content writer. She holds a Bachelor’s degree in Biotechnology and a Master’s in Biochemistry from Integral University, Lucknow. With strong experience in healthcare research, she specializes in secondary research, clinical data analysis, and evidence-based medical writing. Her work focuses on transforming complex scientific and medical information into clear, accurate, and reliable healthcare content for patients and healthcare audiences. She is also experienced in interpreting medical studies and healthcare trends to deliver well-researched and informative content that supports better health awareness and decision-making.. View More

Reviewer

Dr. Naresh Kumar Goyal
Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More

Last Reviewed - January 2026