Cardiac Resynchronisation Therapy (CRT) Device Implantation - GO.CARE Blog
Cardiac Resynchronisation Therapy (CRT) Device Implantation
Author: Hào Nghiêm
Review Date: August 5, 2018 | Last Modified: January 13, 2019
Cardiac Resynchronisation Therapy (CRT) Device Implantation

Definition

1. What is Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Cardiac Resynchronisation Therapy (CRT) Device Implantation is a procedure to implant a device in your chest to make your heart’s chambers contract in a more organized and efficient way.

More specifically, Cardiac Resynchronisation Therapy uses a device called a biventricular pacemaker that delivers electrical signals to both of the lower chambers of your heart (ventricles). As a result, these signals tell your ventricles to contract at the same time, maximizing the amount of blood that’s pumped out of your heart.

Moreover, types of Cardiac Resynchronisation Therapy (CRT) Devices include:

  • Cardiac Resynchronisation Therapy with a pacemaker (CRT-P).

The device used for Cardiac Resynchronisation Therapy has three leads that connect the pacemaker to the right upper chamber of your heart (right atria) and both lower chambers (ventricles).

  • Cardiac Resynchronisation Therapy with a pacemaker and an ICD (CRT-D).

Generally, people with heart failure who also have a risk of sudden cardiac death may benefit from an ICD that can detect dangerous heart rhythms and deliver a stronger correcting shock of energy than a pacemaker can deliver.

In these cases, a Cardiac Resynchronisation Therapy (CRT) Device that works as both a pacemaker and an ICD may be recommended.

2. What is the purpose of Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Cardiac Resynchronisation Therapy delivers electrical signals that cause your heart to beat in a way that maximizes the amount of blood that’s pumped out of your heart. As a result, this treatment may reduce your symptoms of heart failure and reduce your risk of heart failure complications, including death.

Candidates

1. When is Cardiac Resynchronisation Therapy (CRT) Device Implantation needed?

You may need CRT Device Implantation if your heart failure is serious enough to affect the electrical activity of your heart and cause heart failure symptoms even if you take heart medications. Talk with your doctor to find out whether you are a candidate for CRT.

2. Who are eligible for Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Generally, CRT Device Implantation is not effective for everyone and is not for those with mild heart failure symptoms, diastolic heart failure or who do not have issues with the chambers not beating together.

Moreover, it is also not suitable for patients who have not fully explored correcting the condition through medication therapies. Currently, studies show CRT device implantation to be equally effective for both men and women.

In order to determine whether you are eligible for Cardiac Resynchronisation Therapy (CRT) Device Implantation, talk with your healthcare provider.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Cost

Typically in the US, for patients not covered by insurance, a pacemaker and heart-assist implant can cost $19,000-$96,000 or more, depending on the type of pacemaker, the location and length of the hospital stay.

For example, it is estimated that the total price is $19,651 for patients in the Columbus, OH, area, including placement of the pacemaker, surgery, anesthesia and a five-day hospital stay.

Averagely, a list price of $28,348 is estimated for the implant and procedure for patients in the western United States.

Preparation

1. What should I do before Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Before receiving a CRT Device Implantation, you’ll need several tests. These tests can ensure that the CRT devices are the right choice for you.

  • An echocardiogram uses sound waves to measure the size and thickness of your heart muscle.
  • For an electrocardiogram, a nurse or doctor places sensors on your skin that measure your heart’s electrical signals.
  • For Holter monitoring, you wear a device that tracks your heart rhythm for 24 hours.
  • A stress test monitors your heart rate while you exercise.

If the devices are right for you, you’ll need to plan for the surgery. Next, your doctor will give you complete instructions on how to prepare.

  • Don’t drink or eat anything after midnight the night before your surgery.
  • Follow your doctor’s instructions about which medicines to stop taking.
  • If your doctor prescribes medicines for you to take before the test, take them.
  • Shower and shampoo well. Your doctor may want you to use a special soap. This reduces your chances of developing a potentially serious infection.

2. What should I do after Cardiac Resynchronisation Therapy (CRT) Device Implantation?

If you have a CRT Device Implantation, you may need to avoid close and lengthy contact with devices that have magnetic fields. These include cellular phones, mp3 players, electrical generators, and appliances like microwaves.

That’s because these machines may interfere with the device’s function. However, most people with implantable cardiac devices can still enjoy physical activity, including sports and exercise.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Procedure

1. How long does Cardiac Resynchronisation Therapy (CRT) Device Implantation last?

Typically, the procedure takes a few hours.

2. How is the procedure of Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Generally, CRT Device Implantation requires a minor surgical procedure to implant a device in your chest.

Normally, you’ll be awake during the procedure, though the area where the pacemaker is implanted is numbed and you’ll receive medication to help you relax (conscious sedation).

During surgery, insulated wires (leads, or electrodes) are inserted into a major vein under or near your collarbone and guided to your heart with the help of X-ray images. One end of each wire is secured to the appropriate position in your heart, while the other end is attached to a pulse generator, which is usually implanted under the skin beneath your collarbone.

3. What happens after the procedure?

Afterwards, you’ll usually stay overnight in the hospital. Moreover, your doctor will test your device to make sure it’s programmed correctly before you leave the hospital. Typically, most people can return to their usual activities after a few days.

Normally, the outlook for most people with CRT device implantation is positive. As a result, people who received CRT device implantation are less likely to die from heart failure than people who have standard implantable heart defibrillators. Moreover, people with CRT devices also are less likely to have depression, a common condition among people with heart failure.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Complications & Side Effects

1. What complications could arise from Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Normally, every medical procedure has some risks. Mostly, risks associated with a pacemaker are from the surgical installation, including:

  • An allergic reaction to anesthesia
  • Bleeding
  • Bruising
  • Damaged nerves or blood vessels
  • An infection at the site of the incision
  • A collapsed lung, which is rare
  • A punctured heart, which is also rare

Generally, most complications are temporary. Life-altering complications are rare.

2. What are the possible side effects of Cardiac Resynchronisation Therapy (CRT) Device Implantation?

Oftentimes, CRT devices may be detected by airport security machines. However, the functioning of the device is rarely affected, so if you have a CRT device you should always inform the security personnel.

Need further information? Contact GO.CARE manage team to get more details from expert doctors and medical specialists.

Please choose the best hospitals and clinics that provide Cardiac Resynchronisation Theraoy (CRT)  in Asia to get the most suitable healthcare for your condition.

GO.CARE does not provide medical advice, diagnosis or treatment.

1. Cardiac resynchronization therapy https://www.mayoclinic.org/tests-procedures/cardiac-resynchronization-therapy/pyc-20385014. Accessed on 07/07/2018.

2. Cardiac Resynchronization Therapy https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/cardiovascular_diseases/cardiac_resynchronization_therapy_134,164. Accessed on 07/07/2018.

3. Pacemaker https://www.healthline.com/health/heart-pacemaker. Accessed on 07/07/2018.

4. Cardiac resynchronisation therapy (CRT) http://www.heartfailurematters.org/en_GB/What-can-your-doctor-do/Cardiac-Resynchronisation-Therapy-CRT. Accessed on 07/07/2018.

5. Cardiac Resynchronization Therapy (CRT) http://www.heart.org/HEARTORG/Conditions/HeartFailure/Cardiac-Resynchronization-Therapy_UCM_452920_Article.jsp#.WzG3JO0WvIU. Accessed on 07/07/2018.

6. Pacemaker Cost http://health.costhelper.com/pacemaker.html. Accessed on 07/07/2018.