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In order to help individuals with heart failure improve their blood flow, a specialized device called a Cardiac Resynchronization Therapy Pacemaker (CRT-P) is implanted in the chest. It makes sure the two ventricles beat in unison for improved heart function by sending them electrical signals.

Cardiac Resynchronisation Therapy (CRT) is used for patients with moderate to severe heart failure who have left bundle branch block or other aberrant electrical transmission in the heart. It is usually advised when medications are no longer adequate or when a pacemaker or defibrillator is required. CRT can boost quality of life, decrease the risk of hospitalisation, improve cardiac function, and lessen symptoms like shortness of breath. Generally speaking, people with mild heart failure shouldn't do it.

A cardiologist should be consulted if you suffer from signs of heart failure, such as palpitations, limb oedema, shortness of breath, decreased exercise capacity, or chronic weariness. If you have a history of arrhythmias, low ejection fraction, or heart disease, routine testing and follow-ups can help establish whether CRT-P is required. Certified cardiologist specialists are easily accessible through MediGence for thorough assessments and individualised treatment plans.

A comprehensive cardiovascular evaluation, which includes an ECG, echocardiography, chest X-ray, blood tests, and potentially cardiac MRI or electrophysiology testing, is the first step in preparation. Your physician will evaluate the electrical and mechanical functioning of your heart. Fasting will be necessary on the day of implantation, and you might be told to stop taking some medications before the surgery. Your medication list and medical history will be thoroughly reviewed to inform the pre-procedure planning.

  • Implantation of the Device: The pacemaker is placed beneath the skin, close to the collarbone. To resynchronise heartbeats, leads (wires) are inserted through veins into the right atrium, right ventricle, and a coronary vein above the left ventricle.
  • Testing and Programming: After the leads are positioned, the CRT-P device is tested and programmed to guarantee peak performance.
  • Closure and Monitoring: Depending on the patient's state, the incision is closed after implantation, and the patient is kept under observation for a few hours or overnight.

The average time for CRT-P implantation is two to four hours. The majority of patients spend one to two days in the hospital. During the one to two weeks it typically takes for full recovery, patients are encouraged to minimise physical strain and arm mobility.

  • Infection
  • Bleeding
  • Lung collapse
  • A hole in a heart chamber that results in the accumulation of blood and fluid in the sac that surrounds the heart
  • The device's failure
  • Movement of the device's components, which could need to be fixed by another process

CRT-P enhances heart contraction coordination, raising cardiac output, lessening heart failure symptoms, and enhancing quality of life. It increases exercise tolerance, reduces hospitalisations, and extends survival in qualified individuals.

Patients are advised on wound care, activity restrictions, and recognising potential issues after surgery. Follow-up visits are planned to monitor device function and make programming adjustments. Heart function is evaluated through routine imaging and functional tests. For the best recovery, cardiac rehabilitation may be advised.

About 70% of carefully chosen patients who receive CRT-P report significant symptom relief and better cardiac function, indicating a high success rate.

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Explore Hospitals ( 8 )
CRT - P in Fortis Escorts Heart Institute, Okhla: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Fortis Escorts Heart Institute, located in New Delhi, was founded in 1988 and is a JCI-accredited cardiac care centre, as well as the largest private heart hospital in the Asia-Pacific region. The hospital has 285 beds, five cath labs, state-of-the-art ICUs, and NABL-accredited labs and offers advanced cardiac care surgery 24?7. The hospital also provides advanced cardiac treatment, but is particularly well-known for heart transplants as well as minimally invasive cardiac surgery and paediatric cardiology. The hospital offers world-class facilities and patient-centric services, providing comprehensive support to all international patients.

CRT - P in Indraprastha Apollo Hospital: Costs, Top Doctors, and Reviews

Delhi, India

4.4 ( 5 Reviews )
  • Joint Commission International, or JCI

Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.  

Let’s see some of the features of the infrastructure:

  • Spread over 15 acres, the hospital has 710 beds.
  • 6 beds dedicated to bone marrow transplant units with very strict infection control practices.
  • 64-Slice Scan coupled with data acquisition which provides highest temporal resolution
  • One of the hospitals to be using Da Vinci Robotics Surgery System
  • In South Asia, the Spect-CT and Pet-CT got their first installation at Indraprastha Apollo Hospital in India
  • Technologies such as PET- MR, BrainLab Navigation System, PET-CT, Portable CT Scanner, Tilting MRI, NovalisTx, Cobalt based HDR Brachytherapy, Hyperbaric Chamber, DSA Lab, Fibroscan, 3 Tesla MRI, Endosonography, 128 Slice CT scanner are all installed at the hospital.
  • The Cancer Institute at Indraprastha Apollo is equipped with a highly advanced Radiation Oncology Center with ClinaciX, NovalisTx, and HDR-Brachytherapy.
  • It is equipped with the largest Sleep Lab in Asia, & has one of the largest Dialysis Units in India.
  • A large number of ICU beds than any other Private Hospitals in India.
  • WIFI is accessible across the whole campus.
CRT - P 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 - P 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 - P 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
CRT - P in Fortis Hospital, Shalimar Bagh: Costs, Top Doctors, and Reviews

Delhi, India

4.5 ( 4 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Fortis Hospital, Shalimar Bagh, New Delhi, is a leading multi-super-speciality hospital established in 2010, known for advanced medical technology and compassionate patient care.
  • The hospital has 375 beds, including 166 ICU beds, and features 10 modular operating theatres along with specialised ICUs and Level III NICU/PICU. Fortis Shalimar Bagh offers care across Cardiology, Neurosciences, Oncology, Orthopaedics, Transplants, Urology, and Mother & Child Health, supported by NABH and NABL accreditation.
  • Equipped with cutting-edge technology like the Da Vinci Surgical Robot, PET-CT Scanner, and CORI Robotic System, the hospital is recognised for excellence in treatment outcomes, patient comfort, and multidisciplinary care, making it a trusted destination for both domestic and international patients.
CRT - P in Aakash Healthcare Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

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

Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • One of the biggest tertiary care hospitals in India
  • Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
  • 230 beds
  • 70 bedded medical and surgical and Critical Care Unit
  • Ward Bed Options- Twin, Deluxe, Sharing and Economy
  • Pneumatic Tube System
  • Ambulance Services 24x7
  • 15 Bedded dialysis unit
  • Advanced Neonatal ICU
  • Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
  • 8 modular OTs
  • Flat Panel Cath Labs
  • LASIK - SMILE Suite
  • Wellness Lounge
  • State-of-the-art diagnostic equipment
  • 15 Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic assisted surgeries
  • International Patients Lounge
  • Airport Pick-up and Drop
  • Accommodation and Food for Attendant
  • Language Interpreter Services
  • 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
  • Robotic knee replacement surgery
  • ATM
  • Lounge for visitors
  • Internet Access: The whole facility is Wi-Fi enabled
  • Travel Desk: Provides an all-round patient care.
  • 24x7 pharmacy
CRT - P in Max Super Specialty Hospital, Shalimar Bagh: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)
  • Max Super Speciality Hospital, Shalimar Bagh, is a 402-bed quaternary-care hospital in New Delhi, offering advanced treatment across 37+ specialities, including Cancer, Cardiac, Neurosciences, Gastroenterology, Orthopaedics, and Renal Transplant.
  • Equipped with state-of-the-art technology and a team of highly skilled doctors and nurses, the hospital provides complex procedures, minimally invasive surgeries, and targeted cancer treatments, making it one of India’s leading healthcare destinations.

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Author

Dr. Vijita Jayan

BPT, MPT (Neuro)

18 Years of Experience

With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.. View More

Reviewer

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