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Best Hospitals for Cardiac Resynchronisation Therapy (CRTD) Surgery in Hyderabad
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Advanced Cardiac Resynchronisation Therapy (CRTD) Surgery
Cardiac resynchronisation therapy (CRTD) is a heart surgery that helps by improving heart function for patients who face heart failure, reduced left ventricular function & intraventricular conduction delays - particularly left bundle branch block. Selected patients who receive this advanced device-based treatment show substantial improvements. Their mitral regurgitation decreases while their quality of life improves.
Left bundle branch block, which causes delayed left ventricular contraction, remains the primary reason doctors recommend cardiac resynchronisation therapy. Patients who undergo this specialised surgery often see remarkable improvements in their heart's pumping capability and overall performance. This article covers everything patients need to know about this breakthrough treatment - from preparation to recovery and beyond.
Why CARE Group Hospitals is the Top Choice for Cardiac Resynchronisation Therapy (CRTD) Surgery in Hyderabad
CARE Hospitals ranks among India's top performers in cardiothoracic surgery, matching global standards. Our board-certified cardiologists bring vast experience to diagnose and treat various cardiovascular conditions. These specialists show excellence in interventional cardiology, electrophysiology, cardiac imaging, and preventive cardiology. Each patient receives a personalized treatment plan that meets their specific needs.
Best Cardiac Resynchronisation Therapy (CRTD) Surgery Doctors in India
State-of-the-art Surgical Innovations at CARE Hospitals
CARE Hospitals gives patients access to advanced technologies and modern facilities for precise cardiac care. The hospital specialises in:
- Interventional Cardiology: Advanced catheter-based procedures including angioplasty and structural heart interventions
- Electrophysiology: State-of-the-art mapping systems and ablation techniques for treating arrhythmias
CARE's electrophysiology team performs all types of electrophysiology studies, radiofrequency ablation or pacemaker/device implantation including resynchronisation therapy.
Conditions that require Cardiac Resynchronisation Therapy Surgery
We recommend cardiac resynchronisation therapy for patients with:
- Heart failure with specific electrical conduction abnormalities
- Reduced left ventricular ejection fraction (typically less than 35%)
- Left bundle branch block (LBBB)
- Moderate to severe heart failure symptoms despite optimal medication
Types of Cardiac Resynchronisation Therapy Procedures
CARE offers two main types of cardiac resynchronisation therapy:
- CRT-P (Cardiac Resynchronisation Therapy with Pacemaker): This therapy uses a pacemaker to coordinate heart chamber activity and synchronise contractions. It works best for patients with heart failure and abnormal rhythms but without a high risk of arrhythmias.
- CRT-D (Cardiac Resynchronisation Therapy with Defibrillator): This advanced option combines CRT functions with an implantable cardioverter-defibrillator. The device monitors dangerous arrhythmias and delivers shocks when needed to restore normal rhythm.
Pre-surgery Preparation
Your doctor will prescribe imaging tests like echocardiography or heart MRI to assess your heart's condition. The healthcare team needs to know about all medications, including over-the-counter supplements and any known allergies. You will need to:
- Stop eating or drinking at least 6-8 hours before surgery
- Stop blood-thinning medications as directed by your doctor
- Use special wash kits if provided the day before and morning of surgery
Cardiac Resynchronisation Therapy Surgical Procedure
The procedure takes 2-4 hours. Your surgeon will:
- Create a small 2-3 inch incision below your collarbone.
- Three leads (thin, insulated wires) go through a vein into your heart using X-ray guidance.
- The doctor connects these leads to the CRT device, tests it and sets all programming.
- The device then goes under the skin beneath your collarbone.
- The surgeon tests the leads and device to make sure that the device is functioning properly.
- The surgeon closes the incision & applies a sterile dressing.
Post-surgery Recovery
You might need to stay in the hospital for 1-2 days. Your recovery requires you to:
- Keep the insertion site clean and dry until your doctor approves otherwise.
- The affected arm (usually left) needs limited movement for 4-6 weeks. Avoid lifting heavy objects and sweeping arm movements for some days.
- Pain medication helps manage the expected soreness at the incision site.
Risks and Complications
The potential complications include:
- Lead dislodgement
- Infection
- Pneumothorax
- Pocket hematoma
- Access site bleeding
- Coronary sinus perforation
- Diaphragmatic stimulation causes hiccup-like sensations.
The good news is that doctors can usually manage these complications with device adjustments or minor procedures.
Benefits of Cardiac Resynchronisation Therapy Surgery
Benefits are:
- Boosts heart-pumping efficiency
- Relief from symptoms like fatigue & shortness of breath
- Reduces the number of hospitalisations
- Lowers the risk of further complications
- Improves quality of life
Second Opinion for Cardiac Resynchronisation Therapy Surgery
Complex conditions like heart failure often benefit from second opinions. Treatment options change for nearly 50% of patients who go for second opinions. At our hospital, we offer second opinions with warmth, patience and clarity. Our doctors take the time to listen, carefully review your reports, and explain your options in a way that makes sense to you.
Conclusion
Cardiac resynchronisation therapy gives new hope to patients who struggle with heart failure and conduction abnormalities. This amazing procedure helps the heart's chambers work together and boosts pumping efficiency by a lot. Patients who couldn't do daily activities now see their symptoms reduce.
CARE Hospitals has built exceptional expertise in this specialised field. Their outstanding success rates, paired with innovative technology and a focus on patient care make them the go-to choice for CRT procedures in Hyderabad. The hospital's electrophysiology team delivers excellent results in both CRT-P and CRT-D procedures that match each patient's unique needs.
CRT has changed lives for countless heart patients who once felt limited by their condition. Through this advanced treatment at specialised centres like CARE Hospitals, patients can look forward to better heart function, improved quality of life and a more promising future.
Cardiac Resynchronisation Therapy (CRTD) 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
Cardiac resynchronisation therapy requires implanting a special pacemaker called a biventricular pacemaker. The device uses three leads (thin wires) that connect to different parts of your heart. Each ventricle receives one lead while another goes to the right atrium. Your heart's pumping efficiency improves because the pacemaker helps both ventricles contract simultaneously.
Doctors suggest this surgery if medication and lifestyle changes haven't helped patients with heart failure. The treatment works best if you have:
- Severe left ventricular dysfunction
- QRS duration of 130 ms or more
- Moderate to severe heart failure symptoms
- Heart rhythm problems that medicines can't fix
The best candidates are patients with:
- Heart failure with reduced ejection fraction (≤35%)
- Left bundle branch block or QRS ≥150 ms
- NYHA Class II to IV symptoms despite optimal medical therapy
- Patients who might need significant right ventricular pacing
- People with symptomatic heart failure in sinus rhythm
CRT has proven quite safe with higher success rates, although some risks are there.
The procedure usually lasts 2-4 hours. Patients stay in the hospital for 24-48 hours after surgery for monitoring.
CRT doesn't qualify as major surgery. Medical experts call it a minor invasive procedure. Most patients receive local anaesthesia, though some cases might need general anaesthesia based on the approach. Recovery happens faster than open-heart surgeries, and patients return to their normal activities within weeks.
Medical procedures come with certain risks. CRT patients should know about these potential complications:
- Left ventricular lead dislodgement
- Coronary sinus dissection
- Pocket hematomas
- Infection
- Pneumothorax
- Diaphragm stimulation
Patients usually spend 24-48 hours in the hospital after the procedure. The recovery process includes:
- You should keep your arm on the device side below shoulder level for 4-6 weeks. This helps the device settle and prevents the leads from moving.
- Your activities can return to normal within 6-8 weeks. Walking is good, but wait for your doctor's approval before starting any strenuous activities.
- Your first follow-up appointment will likely be about four weeks after the surgery.
The results look promising. Patients who receive CRT show:
- Improved heart pumping efficiency
- Better quality of life
- Reduction in heart failure symptoms
The device's battery typically lasts 5-10 years before it needs replacement.
Your doctor will use local anaesthesia to numb the area under your collarbone. You will stay awake during the procedure and receive IV sedation to help you relax. Some patients might need general anaesthesia, especially for more complex procedures.
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