Best ICD/AICD Implantation Doctors in India

Profile Highlights:

  • Dr. Prakash Chand Jain is a renowned name among cardiology experts.
  • Dr. Jain specializes in Transesophageal Echocardiogram, Atrial Fibrillation, Permanent Pacemaker, and Angioplasty.
  • With his 25+ years of experience, he benefitted patients from counseling, diagnosis, and treatment. Some services he offers include TMT, Ambulatory BP Monitoring, MPI Test, PET scan, Valve Repair Replacement, ASD closure, etc.

Profile Highlights:

  • Dr. Sai Satish is an internationally celebrated young cardiologist from Tamil Nadu with expertise in the management of heart-related problems.
  • With 15+ years of experience, he assisted patients with symptomatic Aortic stenosis, blood vessel blockages, and heart failure.
  • He started a series of structural heart programs for those who are executing structural heart therapies and need to advance them with the best practices. The summit drew over 300 heart surgeons and 350 cardiologists.

Profile Highlights:

  • Dr. G Sengottuvelu is an accomplished Interventional Cardiologist in Chennai.
  • He is an expert at managing complex PCI & stenting surgeries and structural heart interventions, including percutaneous heart valve replacement & repair (TAVI / TAVR, mitral clip, etc.).
  • Dr. Sengottuvelu carried out around 20000 procedures in his 25 years career. He was a pioneer of the transcatheter valve program in the Apollo Group of Hospitals in 2015, performing the first TAVR.

Profile Highlights:

  • Dr. Dillip Kumar Mishra is a well-known and experienced Cardiothoracic Surgeon in Chennai who has completed 35 years of specialized experience.
  • The doctor gained experience working overseas in countries like Italy, Saudi Arabia, Bangladesh-Dhaka, and India.
  • The doctor offers the best services to the patients, some of the prominent services include Intra – Arterial Thrombolysis, Mitral/Heart Valve Replacement, Cardio-Thoracic Surgery, bypass surgery, Radial Approach Angiography Balloon Mitral Valvuloplasty, etc.

Profile Highlights:

  • Dr. Pramod Kumar is a leading Cardiologist in Chennai with over 23 years of expertise.
  • Dr. Pramod has completed his CT coronary angio-procedures training at UCLA in Los Angeles.
  • To date, Dr. Pramod Kumar has completed over 1500 TEE & 7500+ interventional cardiology surgeries with a high success rate.
  • His core areas of interest include interventional cardiology echocardiography and heart failure treatment.

Profile Highlights:

  • Dr. Robert Mao is a renowned cardiac surgeon in Chennai having managed heart diseases for more than 35 years.
  • He provides consultation and various diagnostic tests. Some procedures and tests he performs include Angiogram, Open Heart Surgery, TMT, Color Doppler ECG, Vascular Surgery, Mitral/Heart Valve Replacement Aortic Aneurysm Surgery, etc.

Profile Highlights:

  • Dr. Vijay Shankar S is a senior cardio-thoracic Surgeon in Chennai having experience of more than 30 years in Cardiac Surgery.
  • Dr. Vijay Shankar was a fellow Coronary Artery Surgery and Congenital Heart Surgery at the University of Wisconsin, USA.
  • He provides consultation and diagnostic services for Mitral/Heart Valve Replacement, Cardiac Pacing, Invasive Cardiology, ABPM, Balloon Mitral Valvuloplasty, CT Angiography, etc.

Profile Highlights:

  • Dr. Anurag Passi is a young cardiologist in Gurugram and is well-known for his meticulousness, precise diagnosis, and compassionate care of patients.
  • He is proficient in performing procedures like Primary Angioplasty, Transradial Intervention, Pacemaker, ICD and CRT implantation, and Complex coronary interventions (Unprotected Left Main, Bifurcation, and CTO).
  • Presently, he is practicing as a Senior Consultant of Cardiology at Max Hospital in Gurugram.

Profile Highlights:

  • Dr. (Col) B Kalra is one of the best cardiologists in Gurugram, with nearly two decades of experience in Cardiology.
  • Due to different pieces of training, Dr. Balbir Kalra has accomplished expertise in Clinical, Invasive, and Non-Invasive Cardiology.

Profile Highlights:

  • Dr. Ashish Gupta is a renowned cardiologist in Gurugram with expertise in noninvasive and interventional cardiac procedures.
  • He performed several life-saving primary angioplasties in acute heart attacks, complex heart interventions, and ICD/ CRT/ pacemaker implantations with a high success rate.
  • Some of the services available with the doctor include PET scan, Nuclear Thallium Test, TMT, Holter monitoring, echocardiography, etc.

Best ICD / AICD Implantation Hospitals in India

AICD Implantation

Automated Implantable Cardioverter-Defibrillator (AICD) or an implantable cardioverter-defibrillator (ICD) is a device that is placed in the chest & monitors the heart rate & rhythm. In case, a fast abnormal heart rhythm is detected, the device provides energy to the heart muscle which normalize the heart rhythm.

The ICD comprises of two parts:

First part is the Lead(s) which are made up of wires and sensors that monitors the heart rhythm and delivers energy used for pacing.

The second part is the Pulse Generator which has a battery that houses energy, & a tiny computer that receives information from the leads to determine how the heart is beating.

Types of ICDs

Single-chamber ICD

A lead is attached in the right ventricle that provides energy to the ventricle to restore a normal heart rhythm.

Dual-chamber ICD.

Leads are attached in the right atrium and the right ventricle which provides energy to the right atrium and then to the right ventricle that helps the heart to pace in a normal sequence.

Biventricular ICD

Leads are attached in the right atrium, the right ventricle and the coronary sinus that lies adjacent to the left ventricle and helps the heart beat in a more efficient way. It is specifically used for patients suffering with heart failure.

Functions of ICD

  • When the heart beat is too fast, a chain of small electrical impulses are delivered to the heart muscle which restores heart rate and rhythm. This is known as Antitachycardia Pacing (ATP)
  • A low-energy shock is delivered which restores heart rhythm. This is known as Cardioversion.
  • When the heart is beating too fast, a high-energy shock is delivered to the heart muscle which restores heart rhythm. This is known as Defibrillation.
  • When the heart beat is too slow, a small electrical impulses is delivered to the heart which stimulates the heart muscle to maintain a suitable heart rate. This is known as Bradycardia pacing.

Conditions in which ICD is implanted

  • Episode of sudden cardiac arrest (ventricular fibrillation).
  • People who are at high risk for sudden cardiac arrest.
  • Hypertrophic cardiomyopathy.
  • Dilated cardiomyopathy.
  • Ventricular tachycardia.

ICD Implant Procedure

The ICD may be implanted in two ways:

1. Endocardial (transvenous) Approach

The first way is the endocardial (transvenous) approach. It the most approach in which ICD is implanted. In this approach, a small incision is made under the collar bone. The lead is inserted into the heart, through a vein. The generator is placed in the upper chest, under the skin & attached to the lead(s).

2. Epicardial Approach

The second way is epicardial approach. This requires open-heart surgery. The lead is sewn onto the heart instead of placing the lead through a vein.

The morning after the implant, the patient will undergo a chest X-ray to make sure the ICD leads are in the proper position and the ICD will be programmed to ensure it is functioning properly.

Precautions after ICD Implantation

Short-term precautions

  • Avoid vigorous exercises, including golf, tennis, swimming, bicycling, bowling or vacuuming
  • Don’t lift anything weighing more than 5 pounds
  • Avoid strenuous exercise programs

Long-term precautions

  • It is safe to talk on a cellphone, but avoid placing the cellphone within 6 inches of the ICD implantation site when the phone is turned on.
  • After surgery, the patient will receive a card that stating he/she have an ICD. Show this card to airport personnel because the ICD may set off airport security alarms.
  • Avoid scanning with a hand-held detector to less than 30 seconds over the site of the ICD or make a request for a manual search.
  • Some procedures, such as magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), and radiofrequency or microwave ablation are not recommended after ICD implant.
  • Stand at least 2 feet (0.6 meters) from welding equipment, high-voltage transformers or motor-generator systems.
  • Keep magnets at least 6 inches (15 centimeters) from the ICD site.

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