Overview
Arrhythmia Treatment in Hyderabad
Arrhythmias are irregular heartbeats that result due to abnormal electrical activity of heart cells. The reasons include – coronary heart disease, electrolyte imbalance, cardiomyopathy, scarring from trauma or surgery, valvular disorders and others.
Arrhythmias can be treated with medications, ablations, defibrillators, pacemakers or even surgeries
Medications for Treating Arrhythmia
Medications with different mechanism of action and categories can control arrhythmias and associated symptoms of particular nature, origin and severity such as
- Symptomatic tachycardia
- Atrial premature beats (APB) / Premature atrial contractions (PACs) / Atrial premature complexes (APC)
- Ventricular premature complexes (VPCs)
- Ventricular tachycardia (VT)
- ventricular fibrillation (VF)
- Severe bradycardia
- Supraventricular tachycardia (VT)
- Atrial fibrillation
- Atrial flutter
- Bigeminy
- Ventricular fibrillation
- Ectopic Rhythm
- 2nd/ Second-degree atrioventricular (AV) block
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Implantable Devices for Treating Arrhythmia / Management of Ventricular Tachycardia
However, life-threatening ventricular tachycardia with or without syncope events in combination with low ejection fraction less than 40 or inherited conditions such as Brugada syndrome, Long QT syndrome or Cardiomyopathy may prompt the Interventional cardiologists, Arrhythmia surgeons or the Electrophysiologists to perform a simple defibrillation using ACLS protocols or implant pacemakers or defibrillators such as
- Cardiac Resynchronization Therapy (CRT) Devices
- Implantable Cardioverter Defibrillator (ICD) Devices
These devices are also recommended to individuals who may have conditions predisposing them to suffer heart attack in the future or who already had suffered a heart attack due to arrhythmia. And the other arrhythmia commonly treated using cardioversion is atrial flutter.
Ablations for Treating Arrhythmia
Over the years, the efficacy of catheter ablation for treating arrhythmias and maintain sinus rhythm has been found to be superior to pharmacological antiarrhythmic therapy in providing freedom from fibrillation and associated symptoms while improving quality of life. It is typically recommended after weighing the benefits over risks and complications for patients suffering from –
- Symptomatic & long standing atrial fibrillation
- Symptomatic supraventricular tachycardia (SVT)
- Symptomatic ventricular tachycardia (VT)
- Symptomatic junctional ectopic tachycardia
- Symptomatic drug-refractory idiopathic sinus tachycardia
- Atrial flutter (AF)
- Atrial Tachycardia (AT)
- Unifocal Atrial Tachycardia (UAT)
- Wolff-Parkinson-White syndrome (WPWS)
- Lifestyle-impairing ectopic beats
- Ventricular premature complexes (VPCs)
- Bigeminy
- 1st / First-Degree Atrioventricular Block
- 2nd/ Second-degree atrioventricular (AV) block
Before performing ablation of the Arrhythmia, our experienced electrophysiologists thoroughly evaluate the target sites using technologically advanced electrophysiology studies with high signal to noise ratio with typical ablation success rates greater than 90%.
Surgery for Treating Arrhythmia
Invasive surgery is the last option when other non-invasive treatments such as medications, defibrillators, pacemakers and ablation methods either fail or ineffective in maintaining the sinus rhythm. Typically maze procedures, Coronary bypass grafting (CABG) and reconstructive or revascularization techniques are employed in combination with or without valve replacements. Our Arrhythmia surgery doctors are highly experienced and trained in precisely excising the target site with the help of sensitive and selective electrophysiology and imaging diagnostics such as Magnetic Resonance Imaging. For many Virinchi has been the primary choice among the many arrhythmia surgery hospitals in Hyderabad.
Surgical treatment for Arrhythmia includes;
- Maze procedure with RF ablation
- Implantation of epicardial Pacemaker
- VATS epicardial leads for AICD (automatic implantable cardioverter defibrillator)
Alternative Treatments for Treating Arrhythmias
Relaxation techniques, recommended dietary practices, vagal manoeuvres, acupuncture have been found to reduce irregular heartbeats, but further research needs to be done to implement the same clinically.