Dr. Aditya Dhawale

Cardiac Resynchronization Therapy

Cardiac resynchronization therapy (CRT) is a medical procedure used in cardiology services to treat heart failure by regulating the heart's rhythm. This therapy involves the implantation of a small electronic device, known as a biventricular pacemaker, which delivers electrical impulses to both ventricles of the heart to help them beat together in a more coordinated manner.
CRT is typically used to treat patients with heart failure and a slow or irregular heartbeat. Heart failure is a condition in which the heart is unable to pump blood effectively to the rest of the body. By regulating the heart's rhythm, CRT can improve the heart's ability to pump blood and reduce symptoms of heart failure.

The procedure is performed in a hospital or cardiac catheterization laboratory and is typically done under local anesthesia. During the procedure, a small incision is made in the chest and three leads are inserted through veins and guided to the heart. One lead is placed in the right atrium, one in the right ventricle, and the third is placed on the outside of the left ventricle. The leads are then connected to the biventricular pacemaker device, which is placed under the skin, usually below the collarbone.
After the procedure, patients will need to avoid certain activities for a short period of time while the pacemaker is healing. However, most patients are able to return to their normal activities within a few days.
CRT has been shown to improve symptoms of heart failure, including shortness of breath, fatigue, and swelling in the legs. It has also been shown to reduce hospitalizations and improve survival rates in patients with heart failure.
While CRT is generally a safe procedure, there are some risks associated with it, including bleeding, infection, and damage to the heart or blood vessels. However, these risks are typically rare and can be managed by experienced healthcare professionals.
Overall, cardiac resynchronization therapy is a valuable tool in cardiology services for regulating the heart's rhythm and improving the symptoms of heart failure. If you are experiencing symptoms such as shortness of breath, fatigue, or swelling in the legs, your healthcare provider may recommend CRT to help regulate your heart rate and improve your quality of life. While the procedure may seem intimidating, it is a safe and effective way to improve the heart's ability to pump blood and prevent complications associated with heart failure. Be sure to discuss any questions or concerns you may have about the procedure with your healthcare provider to ensure you understand the benefits and risks.
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