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Best Hospital for Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery in Hyderabad
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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
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.
Cardiac Resynchronisation Therapy Pacemaker (CRT-P) Surgery Hospitals in India
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CARE Hospitals, Banjara Hills, Hyderabad
CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad
CARE Hospitals, HITEC City, Hyderabad
CARE Hospitals Outpatient Centre, HITEC City, Hyderabad
Gurunanak CARE Hospitals, Musheerabad, Hyderabad
CARE Hospitals, Nampally, Hyderabad
CARE Hospitals, Malakpet, Hyderabad
CARE Hospitals, Bhubaneswar
Ramkrishna CARE Hospitals, Raipur
CARE Hospitals, Ramnagar, Visakhapatnam
CARE Hospitals, Health City, Arilova
Frequently Asked Questions
CRT-P surgery places a special pacemaker that helps both ventricles of the heart beat together. The device has these components:
- A small metal titanium case with a battery-powered generator
- Insulated wires (leads) that carry signals between the heart and the device
- Programming software that runs the device
Doctors recommend CRT-P mainly for:
- Patients whose heart failure doesn't respond to medication and lifestyle changes
- People whose ventricles contract at different times
- Cases where QRS duration measures ≥120 ms that indicate electrical delays
The candidates with:
- Left ventricular ejection fraction (LVEF) ≤35%
- Left bundle branch block (LBBB)
- Heart failure symptoms (NYHA class II, III, or ambulatory IV)
- No improvement from optimal medical therapy
CRT-P surgery is generally safe with minimal post-procedure complication risks.
Patients experience minimal pain because:
- The chest area receives local anaesthetic
- Doctors use conscious sedation or general anaesthesia
- The incision causes little discomfort after surgery
The procedure lasts 2-3 hours. Doctors:
- Prepare the implant site
- Insert and position three leads through the veins to the heart
- Connect leads to the generator
- Test the system
CRT-P qualifies as a minor surgical procedure. The process requires:
- A small incision near the collarbone
- Lead placement through veins with minimal invasion
- A brief hospital stay—usually same day or overnight
Possible complications include:
- Lead dislodgement
- Infection
- Pneumothorax
- Coronary vein dissection
Most people start feeling better just a few days after getting their CRT pacemaker. While you can slowly return to daily routines, your doctor will guide you on when to resume heavier activities.
Patients typically start feeling well after a few days of CRT-P surgery. The following are some of the expected long-term effects of the procedure:
- Gradual improvement of the heart function
- Many patients experience more energy, better breathing, and increased daily activity levels
- Apart from the above, one might need the battery replacement after 5-10 years
- Sometimes, leads may dislodge and need correction
For CRT-P surgery, doctors typically use local anaesthesia along with light sedation.
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