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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 VPS Lakeshore Hospital: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Advanced hi-tech healthcare facility
  • Innovative diagnostic & therapeutic medical technologies
  • Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
  • Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
  • Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
  • Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
  • State-of-the-art-hemodialysis Units
  • Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
  • 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
  • Joint preservation techniques include autologous chondrocyte implantation
  • Cutting edge operation theaters & world-class transplant ICUs
  • Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
  • Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow
CRT - D in Acibadem Bakirkoy Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
  • There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
  • The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
  • A very well developed Neonatal Intensive care unit.
  • Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
CRT - D in Acibadem Maslak Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
  • Smart building technology of the hospital
  • Number of doctors in this hospital are 170.
  • Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
  • There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
  • Translation and interpreter services are available as is multilingual staff.
  • The hospital has moved with the times and all its systems are electronically upgraded.
CRT - D in Acibadem Fulya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • The hospital has cutting edge infrastructure and all latest amenities.
  • Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
  • Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
  • Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
  • Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
  • There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
CRT - D in Medeor 24X7 Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

  • Joint Commission International, or JCI

Medeor 24X7 Hospital located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Radiology Department- fully equipped and offers advanced diagnostic imaging technologies such as the 1.5 tesla MRI, high end 160 CT Scan and dual detector X ray
  • 24*7 Emergency Services
CRT - D in Quironsalud Marbella Hospital: Costs, Top Doctors, and Reviews

Marbella, Spain

  • ISO 9001

Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, Spain 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:

  • The hospital is present in an area of 10.500 square meters.
  • A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
  • There is a specialised radiology department as well as a hemodialysis unit.
  • The hospital also consists of an Intensive Care Unit with a laboratory.
  • Also present are a functional test area with physiotherapy services in addition to functional recovery.
  • Wide network of Insurance partners both national and international.
  • A professionally managed international patient care center.
  • There are more than 25 medical specialties
  • The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
  • There are also more than 5 operation theatres with 2 endoscopy rooms
  • Ultrasound, MRI, CAT scan are also present as per needs and requirements.
CRT - D in Manipal Hospital, Dwarka: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.

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

Ankara, Turkey

Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients
CRT - D in Piyavate Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI
  • ISO 9001

Piyavate Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Medicine Centre: Piyavate Hospital provides advanced holistic treatment for their patients. They offer a complete range of services and physicians that specialize in various fields like the endocrine system, the nervous system, kidney function, cardiovascular care, respiratory and digestive system. They pride themselves for the familial care that they provide to their patients.

  • Fertility and In-Vitro Fertilization Centre: Helping the couples who walk into the Piyavate Hospital to achieve their dream of having a family. They have a medical team that specializes in male and female fertility. They offer consultation services, fertility check-up for both men and women and complete IVF services. They have advanced IVF cycle treatment facilities that offer a high rate of success.

  • Bone and Joint Institute: Piyavate Hospital houses one of the frontrunners in Orthopaedic health care in all of SouthEast Asia. They offer a wide range of services and surgeries in their bone and joint institute that include hand surgery, hip and knee replacement surgery, spinal cord surgery, upper extremity surgery, arthroscopic surgery and sports medicine.

  • Eye and Lasik Centre: Piyavate Hospital is fully equipped with the latest and most advanced technology for eye care and houses highly skilled ophthalmologists, sub-specialists and qualified nurses.

  • Physical Therapy and Rehabilitation Centre: One of the first hospitals to be equipped with the Hybrid Assistive Limb technology that will help a neurologically challenged patient to control the rehabilitation robot limb with a signal from their brain. The Physical Therapy and Rehabilitation Centre at Piyavate Hospital uses this system encourage patients to regain muscle memory to walk and function normally.

Amenities for Patient’s Family:

Piyavate Hospital also offers additional apartment facilities to house the kin of the patients who come to visit them from distant places. A restaurant, a flower shop and a café are a few of the other amenities provided by the hospital.

These are the most popular services offered by the Piyavate Hospital in Bangkok, Thailand. They also provide a plethora of other medical services that are listed below:

  • Diabetic Foot Centre

  • Check-up centre

  • Urology Centre 

  • Heart Institute

  • Paediatric Centre 

  • Obstetrics and Gynaecology Centre

  • Surgery Centre

  • Ear Nose Throat Centre

  • Haemodialysis Centre 

  • Dental Centre

  • X-Ray Centre

  • Gastroenterology Centre

  • Cancer Centre

  • Neonatal Intensive Care Unit (NICU)

  • Emergency Services and Centre

  • Tele-medicine

CRT - D in Dr. Rela Institute and Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.

Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).

Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.

Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.

Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.

Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.

Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:

  • Orthopaedics
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Hepatology
  • Cardiology
  • Internal Medicine and Diabetology
  • Advanced Paediatrics
  • Ear Nose and Throat 
  • Emergency Medicine
  • Interventional Radiology and Imaging Services
  • Neonatology
  • Neurology
  • Liver Disease and Transplantation
  • Gastroenterology
  • Medical Oncology
  • Nephrology
  • Neonatology
  • Pathology
  • Ophthalmology
  • Plastic and Reconstructive Surgery
  • Radiation Oncology
  • Pulmonary Medicine
  • Urology
  • Surgical Oncology
  • Transfusion Medicine

Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients. 

Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.

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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