Dr. Nikhil Mahajan along with his team successfully performed rare implantation of LOT – CRTD (Cardiac Resynchronization Therapy with Defibrillator) device in a post open heart patient at Shri Mata Vaishno Devi Narayana Hospital, Kakryal.
The patient was admitted to the hospital with reduced heart functioning and was having symptoms of heart failure, shortness of breath, and fatigue. He had underwent CRTD in the past which had failed. However, he has fully recovered after performance of the surgery.
Explaining the whole procedure Dr. Nikhil Mahajan said “Cardiac resynchronization therapy (CRT) has widely been used in patients of symptomatic chronic heart failure (HF) with wide QRS complex, refractory to optimal medical therapy and having left ventricular ejection fraction”. He further added that “However, one third of the patients are non-responders and do not respond to this therapy. Physiological pacing, i.e., His bundle pacing (HBP)/left bundle branch pacing (LBBP) is proving a promising alternative to biventricular pacing (BiVP) for some of these challenging patients, as 4th lead provide better co-ordination and results. Putting 4th lead makes the procedure much more testing and complex”.
Heart Failure and reduced heart functioning in India affects not only the elderly but younger age group as well. The important risk factors for heart failure include coronary artery disease, hypertension, diabetes mellitus, cardiotoxic drugs, valvular heart disease and obesity. In India coronary artery disease, diabetes, hypertension, valvular heart diseases and primary muscle diseases are the leading causes for heart failure and patients with these indications should take special care.
Mr M M Mathawan, Facility Director at Shri Mata Vaishno Devi Narayana Super Specialty Hospital said that “One of the rarest of the rare surgeries has been performed at our hospital and it is now a myth that people have to travel to Metro cities in India to avail world class treatment. SMVDNH is equipped with state of the art medical equipments and well qualified expert doctors to deal with any kind of medical emergency. He said that SMVDNSH has emerged as a preferred tertiary healthcare centre in North India”.
