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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 Ruby Hall Clinic: Costs, Top Doctors, and Reviews

Pune, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Ruby Hall Clinic brought in Intensive Care and Coronary care units as early as in 1969.
  • It was the pioneer in terms of having achieved the first successful Kidney Transplant and test tube baby in Pune and being the initiator for Cobalt Therapy to ensure Cancer treatment.
  • Imaging advancement is being used in the hospital which is highly advanced known as Positron Emission Tomography.
  • Ruby Hall Clinic is in the possession of two cardiac cath labs and Linear Accelerators.
  • There are as many as 550 in-patient beds which is inclusive of 130 ICU beds.
  • Air Ambulance services are provided by the hospital.
  • There is a multi-organ transplant centre which began operations in the year 1997 and a Neuro Trauma stroke centre.
  • There is also the presence of an independent Stroke Trauma Unit which is fully equipped and enabled with the right units and healthcare personnel.
CRT - D in Thomson Medical Centre: Costs, Top Doctors, and Reviews

Singapore, Singapore

Apart from in-detail treatment procedures available, Thomson Medical Centre located in Thomson Road, Singapore 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 bed capacity of Thomson Medical Center (of Thomson Medical Group) is 190.
  • Thomson Medical Group has a prominent presence throughout Asia in Malaysia, Singapore and Indonesia.
  • There is a 24/7 Outpatient Family Clinic.
  • TMC also consists of various fertility clinics inclusive of an IVF clinic.
  • A cancer center for breast, gynecological as well as colorectal tumors of women.
CRT - D in Yashoda Hospital, Malakpet: Costs, Top Doctors, and Reviews

Hyderabad, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed facility
  • High-tech labs, modular operation theaters
  • Advanced medical equipement
  • Dedicated rooms for patients with all facilities
  • State-of-art technology
  • 24/7 blood bank
  • State of the art Cardio-Thoracic Center with the latest CATH LAB Equipment & Modular steel operation theatre
  • Neurosurgery department equipped with an operating microscope, high-speed drill & stereotaxy
  • 24-hour Emergency services to take care of all kinds of trauma and other orthopedic emergencies
  • Pulmonology department equipped with modern gadgets.
  • One of the best PFT labs and bronchoscopy units
  • Nephrology services include Renal Biopsy, AV Fistulas, AV Grafts & Permanent Catheter Insertions, Hemodialysis; Temporary Access For Dialysis; Peritoneal Dialysis
  • Has a comprehensive cancer care unit following a trans-disciplinary & multi-modality approach
  • State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
  • Airport Transfer Service
  • Scheduling Of All Medical Appointment
  • Processing Of Medical Second Opinion
  • Provide Language Interpreter
  • Special Dietary Needs / Religious Arrangement
  • Coordination Of Admissions Process
  • Cost Estimates For Anticipated Treatments
  • Foreign Exchange service
  • Billing and Finance Related Service
  • Providing Information Of Patient’s Relatives Back Home
CRT - D in Czech Medical Center: Costs, Top Doctors, and Reviews

Brno, Czechia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Czech Medical Center located in Brno, Czechia 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:

  • A streamlined and well developed process for International patients at Czech Medical Center, Brno, Czechia.
  • It is the most specialised medical center providing complex care.
  • The center possesses the latest technologically upgraded equipment.
  • Really less waiting times, generally between four to six weeks
  • Best treatment provided to the patients by world class specialists
  • The center was awarded, first place in Europe, with NIAHOSM certificate.
  • The center is in the possession of many more quality certificates.
CRT - D in Aster CMI Hospital: Costs, Top Doctors, and Reviews

Bangalore, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Aster CMI Hospital located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Around 500 bed capacity
  • Primary care to Quaternary care services
  • Outpatient and inpatient departments
  • Day care center for small children
  • Availability of Surgical suites
  • Intensive Care Units
  • 24-hour Emergency and Trauma Care
  • Emergency Unit especially for children
  • Newly launched the Lung and Heart Transplant Centre
  • Video Consultation with doctors available on GraphMyHealth
  • A specialised Aster Center of Excellence for Women & Children
  • Latest Minimally Invasive Procedures being performed
  • Safe Interventional Procedures
  • Control of Infection protocols are strictly followed
  • Aster Holistic Collaborative Care: Aster Palliative Care for lowering suffering if critically ill patients, Physical Medicine & Rehabilitation, Aster Wellness, Psychology, Chronic Pain Management, Nutrition & Dietetic, Podiatry Care etc.
  • 11 Centers of Excellence
  • An academics focus with BSc Program, MEM Program, Pediatric Fellowship Program
  • A streamlined International patient care center with dedicated services and technology enabled processes
CRT - D in Lenmed Ethekwini Hospital and Heart Centre: Costs, Top Doctors, and Reviews

Durban, South Africa

4.9 ( 1 Reviews )

Apart from in-detail treatment procedures available, Lenmed Ethekwini Hospital and Heart Centre located in Durban, South Africa 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:

  • 377 bed capacity
  • 24 hour accident and emergency unit
  • Heart, lung and kidney transplants available
  • Pediatric Cardiac Surgery services
  • Cardiac Centre of Excellence for Adult & Paediatric Cardiac Surgery
  • Two Cardiac Catheterisation Labs
  • Cardiac Theatre
  • 7 Major Operating Theatres
  • 42 Bed ICU
  • Neuro Operating Theatre
  • Stroke Centre of Excellence
  • Renal Centre of Excellence
  • 24/7 Emergency unit
  • Transplant Program
  • Pharmacy and Prayer Facility
CRT - D in Medical Park Bahcelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

0.5 ( 1 Reviews )
  • Joint Commission International, or JCI

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

  • Covers an area of 33.000 m
  • 19-storey Hospital Building
  • Capacity for 242 beds
  • 89 Outpatient clinic rooms
  • 10 Operating rooms
  • 24 Newborn Incubators
  • 6 Paediatric Intensive Care Beds
  • 28 Adult Intensive Care beds
  • 6 CVS and 12 cardiology intensive care beds
  • Luxurious & comfortable rooms like of 5-star hotel rooms for patients
  • Free Wi-fi
  • Parking lot
  • Place of worship
  • Cafe/Restaurant
CRT - D in Medical Park Fatih Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Situated in an area of 6500 m2
  • Capacity of 84 beds
  • Emergency Clinic
  • ICU
  • Many special services, including but not limited to T.V. (all domestic and international canals are available), Internet, patient-specific diet and journals and newspapers, are offered to patients to maximize satisfaction
  • Private rooms for patients available
  • Family accommodation
  • Pharmacy
  • Laundry
  • Mobility accessible rooms
  • Parking lot
  • Prayer Room
  • Cafeteria
CRT - D in NMC Specialty Hospital Al Salam: Costs, Top Doctors, and Reviews

Riyadh, Saudi Arabia

Apart from in-detail treatment procedures available, NMC Specialty Hospital Al Salam 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:

  • The hospital is situated at a prime location with easy access from Mecca-Khurais Road and Al-Imam Shafi road
  • 100 Hospital Rooms
  • 25 Intensive Care Units with modern equipment
  • 24-hour Pharmacy
  • 24-hour Emergency Services
  • Laboratory
CRT - D in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, 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:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.

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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