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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 ParkCity Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

In Kuala Lumpur, Malaysia, ParkCity Medical Centre is a 300-bed, cutting-edge, interdisciplinary private hospital that provides award-winning private healthcare in an environment of lush vegetation.

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

Singapore, Singapore

  • Joint Commission International, or JCI

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy
CRT - D in Krabi Nakharin International Hospital: Costs, Top Doctors, and Reviews

Krabi, Thailand

  • Joint Commission International, or JCI

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

  • Capacity of Imported electronically adjustable 100 beds
  • Housing Facility in VIP Rooms, Deluxe Rooms, Superior Rooms, 2-Beds room, 9-Beds room
  • All rooms are fully equipped with Smart TV, Refrigerator with soft drinks, Wi-fi, sofacumbed, personal nurse call system, telephone for local & international calls, Microwave,
  • Main meals and snacks are also included
  • Medical Technology includes- 64-slice CT scan, MRI, Fluoroscopy Examination, Digital Mammogram, Computed Radiography and 4D-Ultrasound
  • 14 Treatment Centers and Clinics
  • 24*7 Intensive Care Unit (ICU)
  • Outpatient Department (OPD)
  • Emergency Department
CRT - D in Subang Jaya Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Subang Jaya Medical Center is renowned for pioneering radiation oncology treatments and infrastructure in Malaysia. The hospital also has a state-of-the-art Cancer Radiosurgery Centre (CRC), which is fully furnished with the latest medical technology for cancer detection, monitoring, and treatment.

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

Mumbai, India

  • Joint Commission International, or JCI
  • Gleneagles Hospital, Parel, Mumbai, is a premier quaternary-care multispeciality hospital and a top destination for complex medical care in Western India.
  • Renowned for multi-organ transplants and advanced surgeries, the hospital offers specialised treatment across Cardiology, Neurology, Gastroenterology, Hepatology, Nephrology, Urology, Orthopaedics, Critical Care, Interventional Radiology, Gynaecology, and General Medicine.
  • Equipped with state-of-the-art diagnostic and surgical technology, including 3-Tesla MRI, 128-slice CT Scan, Bi-plane Cath Lab, and robotic surgery systems, Gleneagles provides integrated, patient-focused care.
  • Its expert team of doctors, nurses, and support staff ensures high standards of safety, efficiency, and compassionate care, making it a trusted healthcare destination for patients in Mumbai and beyond.
CRT - D in Saudi German Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

4.6 ( 1 Reviews )
  • Joint Commission International, or JCI

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

  • Saudi German Hospital is spread over 41,062 square meters.
  • Many kinds of rooms are available for patients based on their needs and requirements from General Ward, Economy rooms, Deluxe, Super Deluxe to Royal suites.
  • It is a healthcare services umbrella providing diverse healthcare services.
  • The hospital comprises 37 ICU, 21 NICU,11 PICU and 11 Bed capacity for stroke unit.
  • 30 beds capacity of the 24/7 emergency unit
  • The hospital comprises a medical tourism department under its efforts to better connect with and help international patients.
  • Translators available in many languages such as English, French, Arabic, German, Russian, Turkish, Italian and more.
  • 316 bed capacity of the Saudi German Hospital, Dubai.
CRT - D in Yanhee International Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI
  • ISO 9001

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

  • The hospital is located in 10 stories and 4 connected buildings.
  • International patient care is provided with accommodation, flight booking, airport transfer, choice of meals available.
  • There is a Cosmetic and Beauty Center and a 24/7 Dental Center in the hospital.
  • Some of the important healthcare specialties are Cardiac Sciences, ENT, Gastroenterology, General Surgery, Gynecology, Neurology, and Orthopedics etc.
  • The healthcare delivery by the Yanhee International Hospital stands strong with:
  • 155 Physicians
  • 183 Medical Specialists
  • 2000 nurses and other healthcare personnel
CRT - D in Max Super Specialty Hospital, Vaishali: Costs, Top Doctors, and Reviews

Ghaziabad, India

4.9 ( 1 Reviews )
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Max Super Speciality Hospital, Vaishali, Ghaziabad, is a leading multi-speciality hospital with 387+ beds and 37+ clinical specialities, offering advanced care in Cardiology, Neuro Sciences, Oncology, Orthopaedics, Transplants, Gastroenterology, and Reconstructive Surgery.
  • Supported by 389+ doctors and 1038+ trained staff, the hospital combines state-of-the-art technology, including robotic surgery and advanced imaging systems, with compassionate, patient-centred care.
  • Accredited by NABH and NABL, Max Vaishali is a trusted destination for both domestic and international patients seeking high-quality, integrated medical services.
CRT - D in Antalya Anadolu Hastanesi: Costs, Top Doctors, and Reviews

Antalya, Turkey

Apart from in-detail treatment procedures available, Antalya Anadolu Hastanesi located in Antalya , 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 technological powerhouse, it provides 24*7 trauma care.
  • 4 suites and 54 luxurious rooms
  • 3 exceptional operating theatres
  • 3 Intensive Care Units
  • Efficient and capable healthcare personnel
  • Focus on patient care, reasonable prices
  • State of the art diagnostics setup
  • Recognised for providing integrated care for complex cases and rare cases
  • Latest 1.5 Tesla MR, 64 2 Multi-slice Computed Tomography (CT), coronary angiography, and panendoscope
  • Treatments such as angioplasty(PTCA), cryotherapy, IVF, ERCP, peritoneoscopy, facial palsies, and electro shock wave lithotripsy are available
  • Widely experienced and well educated healthcare professionals are at the forefront of healthcare delivery at the Antalya Anadolu Hospital, Antalya, Turkey
CRT - D in Canadian Specialist Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

  • Joint Commission International, or JCI

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

  • A multispecialty hospital which is based in 7 stories of a building.
  • More than 30 specialised centres
  • It has over 35 specialties and 40 plus OPD clinics with 200 beds
  • 6 Operating Theatres as well as ICU, CCU, HDU, NICU
  • The most advanced lab & Imaging services
  • International patient care services
  • Option for Telemedicine to connect with the specialists

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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