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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 Apollo Hospital International Limited: Costs, Top Doctors, and Reviews

Ahmedabad, India

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

Apollo Hospital International Limited located in Ahmedabad, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Hospital with 234 bed capacity
  • Credit for doing the autologous stem cell transplant when a patient has acute myeloid Leukemia
  • Regular transplants of cell and bone marrow
  • A 1.5 Tesla MRI scan is available, only healthcare organisation in Gujarat with this option
  • Success percentage of 90 when critical oncology procedures are done
  • Diagnostics such as Blood Tests, X-Ray, Echo and Cardiac related tests
  • International Patient Care related facilities: Accommodation, Airport Transfer, Meals per choice, Interpreter, SIM, TV inside room
  • Excellent line up of doctors, surgeons and healthcare professionals such as nurses, technicians
CRT - D in Manipal Hospital, Gurugram: Costs, Top Doctors, and Reviews

Gurgaon, India

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

Manipal Hospital, Gurgaon, which used to be Columbia Asia Hospital, is a 100-bed, multispecialty facility that was established in 2008. It is recognized by NABH, and offers complete care in six specialties: neurology, cardiology, oncology, gynecology, orthopedics, and psychiatry. By bringing together modern infrastructure, sophisticated technology, and a team of qualified medical and nursing staff as a part of its value system, the hospital emphasizes ethics and high-quality, affordable healthcare. The hospital maintains an integrated and collaborative framework, and is able to provide 24/7 emergency services and critical care, to achieve the best possible outcomes, with patient satisfaction and treatment as a whole being a fundamental feature of the service.

CRT - D in Manipal Hospitals Goa, Dona Paula: Costs, Top Doctors, and Reviews

Panjim, India

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

Manipal Hospital Goa, a 235-bed multi-speciality hospital under Manipal Health Enterprises, is located in Dona Paula, Panaji. Spread across 6 acres overlooking the Arabian Sea, it offers world-class preventive, curative, and rehabilitative care supported by modern ICUs, modular OTs, and 24x7 diagnostic and pharmacy services. The hospital performs over 1,800 surgeries annually across key specialties such as cardiology, oncology, orthopaedics, neurosurgery, and nephrology. With a skilled team of doctors and staff, it ensures patient-centric care and safety. Its International Patient Care Centre and MARS ambulance service further enhance accessibility, making it one of Goa’s most trusted healthcare destinations.

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

Noida, India

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

Metro Hospital located in Noida, India is accredited by ISO, NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Metro Hospital is a 317 bedded state-of-the-art super speciality hospital, which is functioning as two units- 110 beds capacity in Metro Heart Institute and 207 beds capacity in Metro Multispeciality Hospital
  • 45 beds in Intensive Coronary Care and High Dependency Unit
  • 24/7 Blood Bank
  • 24/7 Pharmacy
  • 24/7 Cardiac Ambulance
  • 24/7 Emergency unit
  • Different types of patients in-patient rooms are available for patients convenience- Super Deluxe rooms (8), Deluxe Rooms (2), Private Rooms (6), Semi-private rooms (14), Triple bedded rooms (6), Four bedded rooms (8), Five bedded rooms (5) and Six bedded rooms (12)
  • Cafeteria/Restaurant
CRT - D in Sharda Hospital: Costs, Top Doctors, and Reviews

Noida, India

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

Sharda Hospital located in Greater Noida, India is accredited by ISO, NABH. Also listed below are some of the most prominent infrastructural details:

  • The hospital is equipped with the best of technologically advanced equipment.
  • Sharda Hospital, Delhi has a bed capacity of 900.
  • There are as many as 90 beds in the critical care section.
  • The critical care facilities are present for general medicine, Pulmonology, Surgery, Paediatrics, Neonatology, Cardiology, Cardiothoracic surgery and Neurosciences.
  • There are Centers of Excellence such as Institute of Child Care, Institute of Dental Sciences, Institute of Orthopedic & Spine,Institute of Neuro Sciences, Institute of Minimal Access Surgery etc.
  • Virtual consultations in the form of Telemedicine and Teleradiology are a reality at an advanced hospital such as Sharda Hospital.
  • There is also a Tele ICU facility that ensures that a virtual ICU is a functioning system. It is aided with audio visual communication systems, latest computers, a team which is networking and a physically present ICU team.
  • 24/7 Emergency care available aided with buses as well as ambulances.
  • Exceptional International patient care coordination is available throughout the system helping patients with transfer, travel, treatments.
CRT - D in Fortis Hospital: Costs, Top Doctors, and Reviews

Mohali, India

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

Fortis Hospital, Mohali, is a leading 400+ bed tertiary care hospital across 8.22 acres, accredited by JCI, NABH, and NABL, offering 42 specialties. The hospital excels in Cardiac Sciences, Oncology, Neurosciences, Orthopaedics, Robotic Surgery, and Transplants. Fortis Cancer Institute provides advanced cancer care with robotic surgery, LINAC, PET-CT, and a multidisciplinary Tumor Board. The Cardiac Centre features 3 high-end cath labs, heart transplants, and expert cardiologists. Neurosciences and Orthopaedics Centres offer advanced brain, spine, joint, and trauma care. Fortis Paalna ensures world-class maternity and neonatal services, including high-risk pregnancy management and stem cell collection, making it a top healthcare destination in North India.

CRT - D in Asian Institute of Medical Sciences: Costs, Top Doctors, and Reviews

Faridabad, India

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

Asian Institute of Medical Sciences located in Faridabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • 425 bed capacity
  • Preventive and diagnostic sevices of the hospital are its strength.
  • It is also well recognised for the therapeutic and rehabilitative services.
  • For patients who need end process care for advanced healthcare conditions, the palliative services that the hospital provides are a boon.
  • The healthcare delivery of AIMS, Delhi/NCR is focused on patient care.
  • Research focused organisation
  • International Patient care center is present to liason with medical travellers
  • Focus on Academics, various healthcare educational programmes
CRT - D in Bayindir Healthcare Group: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

Bayindir Healthcare Group located in Ankara, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Bayindir Healthcare Group comprises 3 hospitals, 6 Dental special clinics and 1 Medical Center.
    • Sogutozu Hospital
    • Icerenkoy Hospital
    • Kavaklidere Hospital
    • Levent Medical Center
    • Fenerbahce Dental Clinic
    • Besiktas Dental Clinic
    • Icerenkoy Dental Clinic
    • Is Tower Dental Clinic
    • Sirinevler Dental Clinic
    • Alsancak Dental Clinic
  • The International Patient Center was set up in 2010. It is a resource for doctors and the available healthcare services, arranging for consultations and appointments. Also, it manages the travel, transfer, accommodation, visa and insurance resources and translation for international medical travellers.
  • Networking with physicians from various countries to ensure knowledge and know how growth and implementation work towards the benefit of patients.
CRT - D in Max Super Speciality Hospital, Saket: Costs, Top Doctors, and Reviews

Delhi, India

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

Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.

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

Bangalore, India

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

Manipal Hospitals, a group of Manipal Education Medical Group, is India’s leading multi-speciality network, comprising over 650 beds. Dedicated to clinical excellence, patient-centric care and ethical practices, it provides sophisticated diagnostics, surgery and home care services to both domestic and international patients, while also improving access to affordable healthcare for underprivileged communities.

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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