N.M Wadia Institute of Cardiology performs Rare Procedure to Save Patient’s Life

Miracles are rare but for this female patient aged 60, diagnosed with severe heart failure, had a rare miracle in literal sense that has saved her life.

She got admitted with progressive symptoms, not responding to medical management, under Dr. Pramod Narkhede, Consultant Cardiologist at NMWIC.Dr. Narkhede said that “the patient had severe Left Ventricle dysfunction with enlarged heart chambers, the cause of which was not known which in medical terms is called idiopathic dilated cardiomyopathy (DCM). The patient’s heart was having Ejection Fraction of 13% which means that the heart was pumping less blood with each heartbeat.”

“We discussed that the best way forward was to do Cardiac Resynchronization therapy (CRT) which is treatment to help your heart beat with the right rhythm. A pacemaker is implanted to restore the normal timing pattern of the heartbeat.

The CRT pacemaker coordinates how timing of the upper heart chambers (atria) and the lower heart chambers (ventricles). It also works on the timing between the left and right sides of the heart. However, patient was too fragile and high-risk case to tolerate the conventional prolonged CRT implantation procedure” said Dr Narkhede.He further added “with explained risk, this complex procedure was performed with newer tolerable safer technique.

Left Bundle Branch Pacing is a feasible innovative strategy for Cardiac Resynchronization Therapy (CRT) for critically sick patient which was done for the First time at NMWIC. Device was implanted with technique of deep screw fixation of left bundle branch pacing (LBBP) lead into the interventricular septum. This procedure was done under the guidance of eminent senior cardiologist Dr. J. S. Duggal and Senior Cardiac Surgeon Dr Ashish Khanijo. Considering the poor tolerance of the patient for the prolonged procedure, all precautions were taken”.

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