About CRT-D
Key Highlights
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Improves heart pumping efficiency and symptoms of heart failure like fatigue and shortness of breath.Reduces hospitalizations due to worsening heart failure.Provides 24/7 monitoring and protection against sudden cardiac arrest from ventricular arrhythmias.Can significantly improve quality of life and exercise capacity.Combines two vital therapies (resynchronization and defibrillation) in one device.
Who is this surgery for?
- Moderate to severe heart failure (NYHA Class II-IV) with reduced ejection fraction (typically ≤35%).
- Evidence of electrical dyssynchrony, specifically a wide QRS complex (usually ≥150 ms) on an ECG.
- Patients who remain symptomatic despite optimal medical therapy.
- A high risk of sudden cardiac death due to prior ventricular arrhythmias or other risk factors.
- Specific criteria as outlined in major cardiology guidelines (e.g., from ACC/AHA/HRS).
How to prepare
- Comprehensive cardiac evaluation, including echocardiogram, ECG, and possibly a stress test.
- Review and optimization of heart failure medications.
- Blood tests to check kidney function and clotting parameters.
- Informed consent process discussing benefits, risks, and alternatives.
- Fasting for 6-8 hours before the procedure.
- Temporary discontinuation of certain blood-thinning medications as advised by the cardiologist.
Risks & possible complications
- Bleeding, bruising, or infection at the implant site in the upper chest.
- Pneumothorax (collapsed lung) from needle insertion near the lung.
- Lead dislodgement, requiring a second procedure to reposition.
- Damage to blood vessels or the heart during lead placement.
- Inappropriate shocks from the defibrillator.
- Device malfunction or pocket complications (e.g., erosion, pain).
- Rarely, cardiac perforation or tamponade.
Recovery & hospital stay
- Hospital stay for 1-2 days for monitoring of the device and the incision site.
- Avoid lifting the arm on the implant side above shoulder level or lifting heavy objects (>5-10 lbs) for 4-6 weeks.
- Keep the incision clean and dry; watch for signs of infection (redness, swelling, discharge).
- Follow-up appointments for device interrogation and wound check within 1-2 weeks.
- Gradual return to normal activities as tolerated, avoiding strenuous exercise initially.
- Carry your device ID card at all times and inform all medical/dental personnel about the device.
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Typical hospital stay: 1-2 days
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Expected recovery time: 4-6 weeks for full physical restrictions
Frequently Asked Questions
If you are considering crt-d in India, these questions and answers can help you make a confident, informed decision.
Popular choices for crt-d in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Dhakuria, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform crt-d. MediFyr helps you compare cardiologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for crt-d compare across other countries where we have data.
Top hospitals for CRT-D in India
These partner hospitals in India have dedicated cardiology teams and experience managing patients undergoing crt-d.
John Singh, a 58-year-old former construction...
John Singh, a 58-year-old former construction supervisor, had always been the strong, dependable pillar of his family. His health began to decline after a major heart attack two years prior, which left his heart muscle weakened. Recently, he started experiencing severe shortness of breath even while watching TV, persistent fatigue that made his beloved gardening impossible, and several frightening episodes of dizziness where he nearly blacked out. His cardiologist, after reviewing an echocardiogram that showed a very low ejection fraction of 25% and an ECG revealing a left bundle branch block, explained that John had developed heart failure with dyssynchrony. The doctor recommended a CRT-D (Cardiac Resynchronization Therapy Defibrillator) to help the lower chambers of his heart pump in unison and to protect him from sudden cardiac arrest from dangerous arrhythmias. The implantation procedure under local anesthesia was lengthy but painless. In the weeks that followed, John was frustrated by the activity restrictions and the constant awareness of the device under his skin. However, within three months, his energy slowly returned. He could walk to the end of his driveway without gasping, and the crushing fatigue lifted. Emotionally, he moved from a place of fear and feeling like a burden to his family to one of cautious optimism. The CRT-D gave him back a sense of security and allowed him to re-engage with small joys, like tending to his rose bushes, restoring his role as a gentle, present grandfather.
Cardiologists for CRT-D
Explore experienced cardiologists who regularly perform crt-d and provide pre- and post-operative care in India.
- 22 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Cardiologist
Miot Hospital Chennai, Chennai
- 29 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 7 Years Experience
- Cardiologist
Manipal Hospital Yeshwanthpur, Bangalore
- 12 Years Experience
- Cardiologist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiologist
- 20 Years Experience
- Cardiologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Cardiologist
Manipal Hospital Whitefield, Bangalore
- 20 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 22 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 18 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 33 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 55 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 35 Years Experience
- Cardiologist
Manipal Hospital Old Airport Road, Bangalore
- 11 Years Experience
- Cardiologist
Manipal Hospital Patiala, Patiala