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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 ( 1 )

Manipal Hospitals Goa, Dona Paula

Panjim, India

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.

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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

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