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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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Sterling Wockhardt Hospital
Mumbai, India
Sterling Wockhardt Hospital located in Mumbai, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- The bed capacity of Sterling Wockhardt Hospital is 50.
- Critical care and complex cases resolution is done with excellent results.
- Emergency departments with 3 beds capacity and Intensive Care Unit with 10 beds capacity.
- The healthcare delivery focus of the hospital is both on prevention as well curing the conditions.
- Diagnostics are well developed with the latest technological developments.
- Pharmacy, operating rooms, lab services are at par with the best in the country.
- 24/7 ambulance services to cover healthcare requirements in Panvel and Vashi.
- Accommodation, airport transfers, flight bookings and translation services are all available for international patients.
Fortis Hospital, Mulund
Mumbai, India
Fortis Hospital Mulund, located in Mulund West, Mumbai, is a premier healthcare facility providing excellence in multi-speciality healthcare for over 20 years. The global leader in advancing medical technology and clinical expertise, the hospital offers specialities including Cardiology, Neurosciences, Oncology, Transplants, and Orthopaedics. The hospital is well-known for being the largest transplant center in Maharashtra and offers advanced treatment options, including Transcatheter Aortic Valve Implantation (TAVI) and stereotactic precision radiotherapy for cancer. Fortis Mulund is equipped with a 24/7 Emergency Department and International Patient Unit to provide world-class patient-centric care.
Fortis Hiranandani Hospital
Mumbai, India
- Fortis Hiranandani Hospital, Vashi, Navi Mumbai, is a leading NABH-accredited multi-super speciality hospital offering advanced tertiary care with over 150 beds.
- The hospital is known for clinical excellence in Cardiac Sciences, Oncology, Neurology, Orthopaedics, Organ Transplants, Urology, Gastroenterology, and Critical Care.
- With a strong team of experienced doctors, modern medical technology, and international patient services, the hospital provides comprehensive and patient-focused treatment.
- It maintains high standards of safety, hygiene, and quality care, making it a trusted healthcare destination in the Mumbai Metropolitan Region.
Seven Hills Hospital
Mumbai, India
Seven Hills Hospital located in Mumbai, India is accredited by JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- It is spread over an area of 17 acres.
- There is also an academic institute with research facilities.
- SevenHills Hospital has excellent diagnostic services including a laboratory and a provision for various tests.
- Given that their are specific departments for various kinds of diagnostsic. Tests like PET Scan, MRI, CT scan and biopsies are completed regularly.
- Biochemistry, Hematology, Microbiology are some of the important diagnostic departments.
- Endoscopies as well as non-invasive procedures are done through their respective departments.
- Day care specialty services are available for those kinds of requirements.
- Health Check up packages are also present as are the collaborations with many insurance organisations.
- There are professionally managed in-patient and out-patient facilities.
- There are more than 30 super specialties in Seven Hills Hospital Mumbai.
- There are also Centres of Excellence in Cardiac Care, Neurosciences, Bone & Joint Care, Cancer Care, Nephrology and Cosmetic Dermatology.
- International patient care services are also implemented for the best assistance to overseas patients.
Jaslok Hospital & Research Center
Mumbai, India
- Jaslok Hospital & Research Centre, Mumbai, is a 350-bed super-speciality tertiary care hospital, established in 1973 and among India’s most respected private trust hospitals.
- Located on Peddar Road in South Mumbai, overlooking the Arabian Sea, it serves as a major referral centre for Mumbai, Maharashtra, and patients from across India and abroad.
- The hospital offers comprehensive care across 50+ specialities and nearly 20 multidisciplinary speciality clinics, addressing complex and advanced medical conditions.
- Supported by 300+ senior consultants and 200 resident doctors, ensuring high standards of expertise and round-the-clock patient care.
- Equipped with 75 ICU beds, advanced critical care units, modular operation theatres, and state-of-the-art diagnostic and imaging facilities.
- Recognised as a leading centre of excellence in Critical Care, Cardiac Sciences, Neurosciences, Oncosciences, Renal Sciences, Gastroenterology, and Assisted Reproduction.
- A prominent research and academic institution, conducting clinical trials and recognised by the National Board of Examinations (NBE) in 22 specialities.
- Strong emphasis on quality, patient safety, and evidence-based care, with continuous monitoring of clinical and operational outcomes to meet international healthcare standards.
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