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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 Dexeus University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Dexeus University Hospital located in Barcelona, 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:

  • There are more than 450 medical professionals working in Dexeus University Hospital, Barcelona, Spain.
  • Facilities include 4 royal suites, 166 single rooms, 13 operating theatres, 564 parking spaces, 5 delivery rooms, day hospital, 140 consultation rooms.
  • The very latest technological and functional equipment and treatment applications.
  • Technological equipment include 1 CAT scanner, 1 PET-CT scanner, 3 MRI scanners, 10 ultrasound machines, 2 neurosurgery surgical microscopes, and 14 operating tables.
  • Care services include Obstetrics area with 24-hour emergency care service, Neonatology Unit and Level III Neonatal ICU, Lung Cancer Early Diagnosis Programme, Rehabilitation and Physiotherapy, Epilepsy Advanced Diagnosis and Emergency Surgery Unit, Congenital Cardiopathy, Growth Disorders and Intensive Care Unit (ICU).
  • Personalised treatment of patients is available.
  • Focus on research based treatment processes and academics.
  • Main international insurance companies are available to provide the best options to the patients.
  • Multilingual personalised care available for patients per their needs and requirements.
CRT - D in Quironsalud Torrevieja Hospital: Costs, Top Doctors, and Reviews

Torrevieja, Spain

  • ISO 9001

Quironsalud Torrevieja Hospital located in Torrevieja (Alicante), Spain is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The national and international partners of Quironsalud Torrevieja Hospitalmake it a healthcare centre of excellence.
  • The technological upgrades in the hospital have made it the choice of patients in specialties such as Nephrology, Neurology, Orthopedics, Cardiac surgery etc.
  • There are over 35 medical specialties in the hospital.
  • The number of private rooms in the hospital are more than 70 and 45 plus consultation rooms and more than 6 operation theatres.
  • The number of suites are 4 suites and there are 4 royal suites.
  • Ultrasound machines, linear accelerators and even PET-CT, MRI, CAT scan options are present.
CRT - D in Burjeel Medical City: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • ISO 9001

The Hospital owns an International Patient Services Team that is responsible to assist international patients with world-class healthcare, transportation arrangement, accommodation facilities, language interpreters, and much more. 

Burjeel Medical City (about 1.2 million square facilities)provides 7-star hospitality to its patients. It has the largest facility space bed among all the private hospitals. The Hospital consists of-

  • Large waiting areas and consultation rooms 
  • Spacious lobbies on each floor 
  • 338 Luxurious Patient Rooms 
  • 70 Ambulatory Rooms
  • Intensive Care Units
  • The Hospital comprises various centers, under Burjeel Cancer Institute- 
  • Breast Center
  • Uro-oncology Center
  • Surface Malignancy Center (HIPC)
  • Head & Oncology Center
  • Medical Oncology & Hematology Center and others
CRT - D in Biruni University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Biruni University Hospital started to serve in 2016. It is a full-fledged multi-specialty healthcare facility, situated in Istanbul, Turkey. The hospital is well-known for its outstanding medical care standards, and it has acquired numerous certificates from international quality organizations. It is a renowned & well-established healthcare facility that provides cutting-edge diagnostic and treatment approaches. They have a team of highly skilled doctors and surgeons on call 24 hours a day, seven days a week to deliver the best medical care possible.

The hospital has various medical departments such as Cardiology, Neurology, Urology, Rheumatology, Pediatrics, General Medicine and Surgery, Gastroenterology, etc. Popular treatments conducted at the hospital are Pediatric Neurology, Cardiac Stenting, Balloon Angioplasty, Bypass surgery, plastic surgery procedures like Hair transplant, & Botox injections, and many more.  The hospital is known for its most valuable service i.e. service to human health. Hospital management & professionals define their service concept with the significance attached to the belief. The management is concerned with both medical statistics and, above all, the satisfaction of the patients. Patients from other countries are well looked after. The hospital offers international patients a relaxing and secure environment in terms of psychology, comfort, and health.

The hospital's primary purpose is to provide world-class patient-centered health care through our highly responsible team who can produce information and use it appropriately. With its university-based scientific infrastructure and competent health care, the hospital's management has long-term plans for it, with a desire to be an innovative and leading health institution that is regarded as a reference in the country and around the world. Several value-added services and quality policies are available at the facility. To mention a few, the hospital is open to development and technology, continuously measuring and improving, training qualified health professionals, caring about patient and employee satisfaction, and becoming mobilized to bring an environment of reliable diagnosis, treatment, and care to the majority of the society.

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

Ankara, Turkey

  • Joint Commission International, or JCI
  • Medstar Antalya Hospital has been providing patients with modern medical services since 2009.
  • It is part of the trusted Memorial Health Group, which is known for expert healthcare in Turkey.
  • The hospital is situated on a large campus and features advanced medical equipment and facilities.
  • It has 124 comfortable beds for patients and five fully prepared operating rooms for surgeries.
  • There are 33 intensive care beds, including specialised units for newborns who require additional support.
  • The hospital treats many health issues like cancer, heart problems, brain conditions, and more.
  • Modern machines, such as MRI, CT, and PET-CT, help doctors identify and treat problems quickly and safely.
  • Medstar meets international safety and care standards and is trusted by both local and global patients.
  • Care plans are made specially for each person, and emotional well-being is also supported.
  • Its location in Antalya makes it easy to reach and ideal for people coming from other countries for treatment.
CRT - D in Vinmec Smart City Hospital: Costs, Top Doctors, and Reviews

Ha noi, Vietnam

  • Joint Commission International, or JCI
  • Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
  • Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
  • There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
  • To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
  • The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
  • Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
  • The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
  • It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
  • A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
  • Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
  • The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
  • The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
  • It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
  • By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
  • The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
CRT - D in Vinmec Da Nang: Costs, Top Doctors, and Reviews

Da Nang, Vietnam

  • Joint Commission International, or JCI
  • Positioned in the Hoa Cuong Bac Ward of Da Nang’s Hai Chau District, along the well-known April 30th Street.
  • Spans a total area of over 37,000 square meters, featuring nine floors above ground and a basement, with 222 inpatient beds.
  • Carries out bariatric surgery using minimally invasive techniques to support effective weight loss and quicker recovery.
  • Offers comprehensive cardiac services, including diagnostics, surgeries, and 24/7 monitoring, utilising state-of-the-art equipment.
  • Performs hysterectomies through both open and laparoscopic procedures, based on individual medical requirements.
  • Internationally accredited by JCI, affirming its commitment to world-class healthcare standards and patient safety.
  • Manned by highly skilled medical staff who prioritise personalised attention and patient well-being.
  • Equipped with modern medical technology to support accurate diagnosis and advanced treatment methods.
  • Houses dedicated departments such as emergency medicine, oncology, paediatrics, women’s health, and diagnostic imaging.
  • Features complete diagnostic support, including laboratory testing and advanced imaging systems.
  • Serves both children and adults with a modern, patient-centred approach to general and specialised care.
  • Offers preventive healthcare services, including vaccinations, maternity monitoring, rehabilitation, and regular wellness exams.
  • Operates as a part of the Vinmec healthcare network, developed by Vingroup to provide high-quality private medical care throughout Vietnam.
CRT - D in Vinmec Nha Trang: Costs, Top Doctors, and Reviews

Nha Trang, Vietnam

  • Joint Commission International, or JCI
  • Located on Tran Phu Street in Vinh Nguyen Ward, Nha Trang City, is a prime area easily accessible to residents and tourists.
  • Built on a total area of over 19,000 ?, with eight above-ground floors and one basement, designed to support modern healthcare delivery.
  • Provides private inpatient rooms, each with one bed, ensuring comfort and personalised care for every patient.
  • Holds international accreditation from a globally recognised body (JCI), reflecting a strong commitment to safety, quality, and patient-centred care.
  • Equipped with advanced imaging systems and diagnostic tools to support accurate and timely treatment.
  • Offers services across primary specialities, including cardiology, paediatrics, obstetrics, surgery, and diagnostics.
  • Utilises digital healthcare systems to streamline operations and enhance treatment precision.
  • Staffed by a team of experts who are regularly trained through partnerships with global medical institutions in countries like France, Japan, the U.S., and Singapore.
  • Welcomes both Vietnamese and international patients, promoting high-quality care and regional medical tourism.
  • Operates as part of a nationwide private hospital network developed by Vingroup, focused on delivering premium healthcare across Vietnam.
  • Built with strict sterilisation and infection control standards to protect patient health.
  • Continuously updates its technology and practices to align with global medical advancements.
CRT - D in Vinmec Can Tho Hospital: Costs, Top Doctors, and Reviews

Can Tho, Vietnam

  • Joint Commission International, or JCI
  • Located in the heart of Can Tho city, it addresses the growing healthcare needs of the Mekong Delta region.
  • Regional access to international-standard medical services was limited, especially in southern Vietnam.
  • Rising demand for modern infrastructure and specialised healthcare due to population growth and urbanisation.
  • Established as the 9th hospital in the Vinmec Healthcare System, covering 41,000+ ? with six floors and 155 beds.
  • Launched with 21 medical specialities and centres, supported by advanced medical equipment and highly qualified personnel.
  • Implemented cutting-edge technology (e.g., 3.0 Tesla MRI, 512-slice CT scanner, digital mammography, AI-integrated mobile X-ray).
  • Rolled out incentive programs for community engagement (e.g., free health screenings, discounted cancer checkups).
  • Built an expert-led service model focused on early screening, precise diagnosis, and modern treatment protocols.
  • To deliver world-class healthcare locally and reduce the need for patients to travel to major cities for treatment.
  • To improve public health outcomes in the Mekong Delta by combining advanced technology with expert care.
  • To align with Vinmec's mission of providing high-quality, patient-centred care and promoting innovation in Vietnamese healthcare
CRT - D in Batra Hospital: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • More than 35 years of trusted healthcare service
  • Multi-specialty tertiary care with over 30 departments
  • Comprehensive preventive, diagnostic, and therapeutic care under one roof
  • International patient coordination team for seamless overseas care

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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