Best Hospitals for Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery in Hyderabad

Advanced Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery

Heart failure impacts millions of people worldwide. Cardiac resynchronisation therapy can change the lives of patients who struggle with reduced left ventricular ejection fraction and intraventricular conduction delays.

Cardiac resynchronisation therapy devices work differently from standard pacemakers. These devices send timed electrical impulses to both ventricles through specialised pacing leads. This synchronised heart contraction boosts cardiac output and optimises the heart's mechanical efficiency. Patients with left bundle branch block (LBBB) benefit most from this therapy because LBBB causes delayed left ventricular contraction.

This article explains cardiac resynchronisation therapy pacemakers, their function, patient eligibility, and expected outcomes during and after the procedure at CARE Group Hospitals.

Why CARE Hospitals is Your Top Choice for Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery in Hyderabad

You can trust CARE Hospitals for your heart health. Key highlights include:

We have expert cardiologists and electrophysiologists with deep experience in advanced heart rhythm therapies like CRT-P.
We have state-of-the-art cath labs designed for precision and safety during all cardiac procedures.
Our holistic care approach supports you at each step, from pre-surgery education to post-op cardiac rehab.
Round-the-clock CARE ensures immediate attention to your needs.

Best Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery Doctors in India

Dr. Bipin Bihari Mohanty

Clinical Director & HOD

Cardiothoracic Surgery & Vascular Surgery
Dr. G Rama Subramanyam

Clinical Director & Sr. Consultant - Cardiothoracic Surgery

Cardiothoracic Surgery
Dr. G. Usha Rani

Consultant

Cardiothoracic Surgery
Dr. M Sanjeeva Rao

Consultant Cardiothoracic Surgeon

Cardiothoracic Surgery
Dr. Manoranjan Misra

Clinical Director

CTVS
Dr. Suvakanta Biswal

Asso. Clinical Director

CTVS
Dr. Vinod Ahuja

Consultant Cardiothoracic Surgeon

Cardiothoracic Surgery
Dr. Manish Porwal

Clinical Director & Head of Department

Cardio Vascular and Thoracic Surgeon
Dr. Anand Deodhar

Sr. Consultant Cardiovascular & Transplant Surgeon

Cardiac Surgery
Dr. Revanth Maramreddy

Sr. Consultant

Cardiothoracic and Vascular Surgery
Dr. Nagireddi Nageswara Rao

Clinical Director & Sr. Consultant – CTVS, MICS & Heart Transplant Surgeon

Cardio-Thoracic Surgery
Dr. Ravi Raju Chigullapally

Sr. Consultant Cardio Thoracic Vascular, Minimally Invasive & Endoscopic Cardiac Surgeon

Cardiology
Dr. Aparna Pilla

DrNB Resident

CTVS
Dr. Syed Nasheed Ali

Sr. Consultant Cardio Thoracic Surgeon

Cardiothoracic Surgery

Cutting-edge Surgical Innovations at Care Hospital

At CARE Hospitals, our expert cardiologists use advanced diagnostic and imaging tools like high-end imaging and 3D mapping technologies for accurate device placement and personalised treatment. Doctors perform CRT-P procedures using precise, minimally invasive techniques that reduce pain & speed up recovery.

We have real-time monitoring systems that track heart function throughout the procedure, making adjustments in real time. Our expert cardiologists customise and fine-tune CRT-P devices for each patient.

Indications for Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery

Doctors recommend CRT-P surgery for patients who have:

Heart failure with left ventricular ejection fraction ≤35%
QRS duration ≥120 ms (suggesting electrical delays in the heart)
Symptoms that persist despite medication (NYHA class III and ambulatory IV)
Left bundle branch block (LBBB)

CRT-P can also benefit patients with atrial fibrillation who meet these criteria. Studies reveal that some of the heart failure patients' ventricles don't contract together.

Types of Cardiac Resynchronisation Therapy Pacemaker (CRT-P) procedures

Patients can receive two main types of cardiac resynchronisation therapy devices:

CRT-P (Pacemaker only): This device sends electrical signals that synchronise ventricular beats. Patients with heart failure and conduction problems benefit from this option.
CRT-D (Pacemaker with Defibrillator): This advanced device has both pacing and defibrillation capabilities. Heart failure patients at risk of sudden cardiac death often need this option.

Pre-CRT-P Surgery Preparation

Getting ready for cardiac resynchronisation therapy requires several steps that ensure the best results.

Patients need complete testing like heart MRIs or transthoracic echocardiograms before surgery. Doctors check medication schedules, especially when you have blood thinners that might need adjusting. A special antimicrobial wash helps reduce infection risk. Patients should remember to:

Fast for at least 6 hours before the procedure
Take the prescribed medications as directed
Following the pre-surgical instructions as per the surgeon and surgical team's advice.

CRT-P Surgical Procedure

Surgery usually takes 2-4 hours.

The surgeon starts by numbing the chest area with a local anaesthetic.
A small incision goes beneath the collarbone.
Three wire leads go through veins and reach specific heart locations with X-ray guidance.
The pacemaker device connects to these leads and sits under the skin.

Post-CRT-P Surgery Recovery

Patients stay in the hospital for 24-48 hours after surgery for monitoring. The left arm must remain still for about 12 hours to keep the leads in place. Device function checks happen during regular follow-up appointments. Recovery includes:

Limited arm movement for 4-6 weeks
Keeping the incision site clean and dry
Taking prescribed medications as directed

Risks and Complications

The procedure is generally safe but comes with some possible risks. These include:

Infection
Bleeding or bruising at the implant site
Lead dislodgement
Pneumothorax (collapsed lung) in rare cases
Phrenic nerve stimulation causing diaphragmatic twitching
Pocket hematoma (blood collection at the implant site)
Coronary sinus perforation during lead placement.

Benefits of CRT-P Surgery

This therapy substantially improves heart function by helping the ventricles beat together properly. Patients then experience better blood flow, reduced shortness of breath, fewer hospital visits, and improved quality of life.

Insurance Assistance for Cardiac Resynchronisation Therapy Pacemaker Surgery

Most health insurance providers cover CRT procedures for suitable candidates. CARE Hospitals gives complete insurance guidance and works with Third-Party Administrators to make claims easier.

Second Opinion for Cardiac Resynchronisation Therapy Pacemaker Surgery

The procedure's complexity makes getting a second opinion from another specialist valuable. Different cardiac electrophysiologists might suggest various approaches based on their expertise and your specific condition.

Conclusion

CRT-P marks a breakthrough for heart failure patients who face specific electrical conduction problems. This life-changing treatment helps patients with reduced left ventricular ejection fraction and bundle branch block. The therapy works by bringing back synchronised heart contractions through carefully timed electrical impulses to both ventricles.

CRT-P therapy has, without doubt, changed treatment options for heart failure patients. People who couldn't shake off fatigue and breathlessness despite medication now see major improvements in their heart function and overall health. Better synchronised heart contractions pump blood more effectively and tackle the root cause instead of just managing symptoms.