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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 ( 165 )
CRT - P in Guven Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients
CRT - P in Piyavate Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI
  • ISO 9001

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

  • Medicine Centre: Piyavate Hospital provides advanced holistic treatment for their patients. They offer a complete range of services and physicians that specialize in various fields like the endocrine system, the nervous system, kidney function, cardiovascular care, respiratory and digestive system. They pride themselves for the familial care that they provide to their patients.

  • Fertility and In-Vitro Fertilization Centre: Helping the couples who walk into the Piyavate Hospital to achieve their dream of having a family. They have a medical team that specializes in male and female fertility. They offer consultation services, fertility check-up for both men and women and complete IVF services. They have advanced IVF cycle treatment facilities that offer a high rate of success.

  • Bone and Joint Institute: Piyavate Hospital houses one of the frontrunners in Orthopaedic health care in all of SouthEast Asia. They offer a wide range of services and surgeries in their bone and joint institute that include hand surgery, hip and knee replacement surgery, spinal cord surgery, upper extremity surgery, arthroscopic surgery and sports medicine.

  • Eye and Lasik Centre: Piyavate Hospital is fully equipped with the latest and most advanced technology for eye care and houses highly skilled ophthalmologists, sub-specialists and qualified nurses.

  • Physical Therapy and Rehabilitation Centre: One of the first hospitals to be equipped with the Hybrid Assistive Limb technology that will help a neurologically challenged patient to control the rehabilitation robot limb with a signal from their brain. The Physical Therapy and Rehabilitation Centre at Piyavate Hospital uses this system encourage patients to regain muscle memory to walk and function normally.

Amenities for Patient’s Family:

Piyavate Hospital also offers additional apartment facilities to house the kin of the patients who come to visit them from distant places. A restaurant, a flower shop and a café are a few of the other amenities provided by the hospital.

These are the most popular services offered by the Piyavate Hospital in Bangkok, Thailand. They also provide a plethora of other medical services that are listed below:

  • Diabetic Foot Centre

  • Check-up centre

  • Urology Centre 

  • Heart Institute

  • Paediatric Centre 

  • Obstetrics and Gynaecology Centre

  • Surgery Centre

  • Ear Nose Throat Centre

  • Haemodialysis Centre 

  • Dental Centre

  • X-Ray Centre

  • Gastroenterology Centre

  • Cancer Centre

  • Neonatal Intensive Care Unit (NICU)

  • Emergency Services and Centre

  • Tele-medicine

CRT - P in Dr. Rela Institute and Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

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

The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.

Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).

Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.

Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.

Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.

Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.

Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:

  • Orthopaedics
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Hepatology
  • Cardiology
  • Internal Medicine and Diabetology
  • Advanced Paediatrics
  • Ear Nose and Throat 
  • Emergency Medicine
  • Interventional Radiology and Imaging Services
  • Neonatology
  • Neurology
  • Liver Disease and Transplantation
  • Gastroenterology
  • Medical Oncology
  • Nephrology
  • Neonatology
  • Pathology
  • Ophthalmology
  • Plastic and Reconstructive Surgery
  • Radiation Oncology
  • Pulmonary Medicine
  • Urology
  • Surgical Oncology
  • Transfusion Medicine

Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients. 

Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.

CRT - P in Vinmec Times City: Costs, Top Doctors, and Reviews

Ha noi, Vietnam

  • Joint Commission International, or JCI
  • Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
  • It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
  • The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
  • It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
  • The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
  • Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
  • The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
  • It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
  • The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
  • On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
  • With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
CRT - P in Vinmec Phu Quoc Hospital: Costs, Top Doctors, and Reviews

Phu Quoc, Vietnam

  • Joint Commission International, or JCI
  • Phu Quoc Island lacked access to modern, high-quality healthcare infrastructure suitable for both its residents and the growing number of tourists.
  • The local healthcare system faced challenges in meeting international standards for emergency, diagnostic, and speciality care.
  • There was a strong demand for a facility that could offer comprehensive and reliable medical services across a wide range of specialities.
  • Vinmec Phu Quoc General Hospital was launched in June 2015 as part of the Vinmec Healthcare System to close this healthcare gap.
  • Spanning over 10,000 square meters, the hospital comprises six stories and features nearly 150 patient beds to cater to a diverse range of medical needs.
  • Operates in line with internationally recognised standards, such as those outlined by the Joint Commission International (JCI), to ensure patient safety and service excellence.
  • Outfitted with advanced diagnostic and treatment technologies, including MRI, CT scanners, digital X-rays, and more to support high-precision care.
  • Maintains 24/7 emergency response capabilities to address critical cases at any time.
  • Engages highly qualified healthcare providers, including doctors and specialists who have trained and worked at prestigious hospitals both within Vietnam and internationally.
  • The hospital’s design emphasises eco-friendliness and natural lighting, fostering a therapeutic environment for patients.
  • To offer premium healthcare services on Phu Quoc Island, aligned with international benchmarks and suitable for both domestic and global patients.
  • To contribute to Vinmec’s vision of becoming a leader in academic medicine through research, education, and clinical excellence.
  • To ensure that every patient receives compassionate, ethical, and highly skilled care tailored to their unique health needs.
  • To position Vinmec Phu Quoc as a trusted medical destination that combines advanced technology, modern infrastructure, and exceptional patient service.
CRT - P in Casa di Cura La Madonnina: Costs, Top Doctors, and Reviews

milan, Italy

  • Italian National Healthcare System
  • Casa di Cura La Madonnina is a renowned multidisciplinary private clinic in Milan, Italy. It provides premium healthcare services with a focus on advanced diagnostics, personalised care, and surgical excellence. The clinic offers state-of-the-art operating rooms, luxury patient rooms, and an exclusive patient experience for both Italian and international patients. It is recognised for its expertise in fields such as fertility and IVF, cardiology, plastic surgery, and digestive endoscopy.
  • It integrates clinical excellence with a high standard of comfort and privacy, making it one of the most prestigious private healthcare institutions in Italy.
CRT - P in Apollo Hospital: Costs, Top Doctors, and Reviews

Chennai, India

  • Joint Commission International, or JCI

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

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery
CRT - P in Apollo Multispecialty Hospitals: Costs, Top Doctors, and Reviews

Kolkata, India

  • Joint Commission International, or JCI
  • ISO 9001

Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)
CRT - P in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

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

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
CRT - P in Fortis Hospital: Costs, Top Doctors, and Reviews

Noida, India

3.0 ( 1 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Fortis Healthcare Limited is one of India’s prominent providers of integrated healthcare services, offering comprehensive medical care across multiple specialities. The company’s operations span hospitals, diagnostic centres, and day-care speciality facilities, ensuring a wide range of healthcare solutions under one umbrella. Fortis has established a strong presence across the country, managing 33 healthcare facilities, which include joint ventures and operational & management (O&M) setups, across 11 states.

The company’s hospital network comprises more than 5,700 operational beds, including O&M beds, catering to patients with varied healthcare needs. In addition to inpatient services, Fortis operates around 400 diagnostic laboratories, providing reliable and timely diagnostic support for accurate medical care. This extensive network enables Fortis to deliver high-quality healthcare services consistently and efficiently, from routine diagnostics to specialised treatments and complex procedures.

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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