Cardiac Resynchronization Therapy (CRT)

Overview

Cardiac Resynchronization Therapy (CRT) is a groundbreaking medical procedure aimed at improving the heart's efficiency and functionality in patients with heart failure. Often referred to as heart resynchronization therapy, CRT uses a special device called a CRT pacemaker or biventricular pacemaker to restore the synchronized beating of the heart's chambers.

The treatment can involve two types of devices:

CRT-P (Cardiac Resynchronization Therapy Pacemaker)

CRT-D (Cardiac Resynchronization Therapy Defibrillator), which includes a defibrillation function.

By coordinating the heart’s electrical signals, CRT significantly enhances quality of life for those with severe heart conditions.

Why Cardiac Resynchronization Therapy (CRT) Treatment is Required?

CRT treatment is recommended for individuals with:

Heart failure due to improper synchronization of the heart's chambers.

Low ejection fraction, indicating the heart is not pumping blood efficiently.

Symptoms like fatigue, shortness of breath, and swelling that persist despite medication.

Specific conditions requiring a biventricular pacing solution.

Key Advantages of Cardiac Resynchronization Therapy (CRT) Treatment

1. Enhanced Heart Function: Synchronizes the heart chambers to pump blood more effectively.

2. Symptom Relief: Reduces fatigue, breathlessness, and swelling.

3. Better Quality of Life: Patients often feel more energetic and active post-treatment.

4. Fewer Hospitalizations: Reduces the risk of complications requiring emergency care.

5. Advanced Options: Devices like CRT-D (including defibrillation) and biventricular AICD ensure comprehensive heart care.

How Should You Prepare Yourself Before Taking CRT Treatment?

Before undergoing a CRT device implantation:

Consult your doctor to understand the CRT full form medical details.

Share your medical history, including medications and allergies.

Avoid eating or drinking for several hours before the procedure.

Discuss the CRT-D device price or CRT-P pacemaker price in India, including options like Medtronic ICD price in India.

How Cardiac Resynchronization Therapy (CRT) is Performed?

The CRT-D implantation or CRT-P procedure typically involves:

• Preparation: A local anesthetic is applied to numb the area.
• Device Placement: A CRT pacemaker or biventricular ICD is implanted under the skin near the collarbone.
• Lead Placement: Leads are threaded through veins to the heart's chambers to deliver electrical impulses.
• Testing: The device is tested to ensure proper functioning.

The procedure usually takes a few hours and is minimally invasive.

What You Can Expect Before, During, and After the Procedure?

• Before Procedure: Routine tests like ECG and blood work are performed. You may need to stop certain medications.
• During Procedure: The surgery is painless due to anesthesia, and the implantation is done through small incisions.
• After Procedure: Recovery is quick, though you will need to avoid strenuous activities for a few weeks. Regular follow-ups ensure the CRT device works as intended.

Risk and Potential Complications

While generally safe, CRT treatment may involve some risks, including:

Infection at the implantation site.

Discomfort or swelling in the area where the CRT pacemaker is placed.

Rare complications like lead displacement or device malfunction.

Your doctor will take all precautions to minimize these risks.

Results/Outcomes

Most patients experience significant improvements in their symptoms and overall health after the CRT-D procedure or CRT-P implantation. The biventricular pacing restores efficient heart function, reducing hospitalizations and enhancing longevity.