95277 50100
95276 50100
0253 - 2316200
To operate as a world – class heart hospital, incorporating the latest technological advances and ethical practices to provide quality heart care at reasonable cost.
The hospital was started to set a benchmark in quality care, ethical practice, reasonable costs and training for those in the profession.
Meals, bedding and clothing, all rooms are provided with telephone facilities, patient counseling, 24 - hour pharmacy shop.

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Plot no. 3/5, Laxmi Nagar,
Patil Lane No. 1, Near K. B. H. Vidyalaya,
Opp. Vasant Market, Canada Corner,
Nashik-422005, (MH) India

Tel. : 0253 - 2316200 / 1 / 3 / 4
Fax. : 0253 - 2316203
Email : magnumheartinstitute@gmail.com

Non-Invasive Cardiology

Heart Rhythm Management

  • Overview
  • Heart Rhythm Disorder
  • Diagnostic Tests
  • Treatments
  • Specialized Pacing Therapy

Overview :

Heart rhythm disorder comprises of fast heart rhythm known as tachycardia and slow heart rhythm known as bradycardia. In USA, more than 300,000 sudden cardiac deaths occur every year. In India with a billion populations, the incidence of cardiac disease especially coronary artery disease is very high. The sudden cardiac death in India is estimated to be much higher due to increased prevalence of coronary artery disease. Apart from the heart rhythm problem associated with coronary artery disease, many patients also suffer from fast heart rate or slow heart rate not associated with any structural heart disease. This also may be life threatening in certain cases. Therefore there is an urgent need for specialty clinics to identify and treat these patients. Magnum heart institute is fully equipped to treat the cardiac rhythm disorder, which is the predominant cause for sudden cardiac deaths. Various diagnostic and management options for cardiac rhythm management are widely available in this centre.

Heart Rhythm Disorder :

Heart rate varies from 60 to 100 per minute at rest. If it becomes too fast it results in tachycardia and when it is too slow, it results in bradycardia. During both the occasions, the cardiac output becomes low and patient may develop various symptoms which may be mild to sudden cardiac death in extreme situations. Patient needs to immediately report to the doctor if such symptoms develop at any time and undergo a full cardiac check up by the experts.

Diagnostic tests :

Electrocardiogram (ECG):
This test shows the electrical activity of heart at rest. A persistent slow or fast cardiac rhythm problem can be detected by ECG and a proper diagnosis can be made in most of the patients.

Ambulatory ECG (24 hour Holter):
This is an extended recording of ECG over 24 hour period. ECG may not pick up a transient cardiac arrhythmia. The 24 hour ECG rhythm is recorded in a cassette or disc which is analyzed and reported. Ambulatory ECG picks up transient arrhythmias if it occurs during that 24 hour hook in period.

Electrophysiology study (EPS):
This test is done in the catheterization laboratory for which patient needs to be admitted. Procedure is performed usually under local anaesthesia. Multiple catheters are put via the major veins into the cardiac chambers and positioned at different regions and the natural electrical conduction pattern in the heart is studied. If required, various stimulation study is performed to determine the exact nature of heart rhythm abnormality.


A tracing during EP study

Treatments :

Radiofrequency ablation :
Radiofrequency (RF) ablation is a part of electrophysiology study and is often done at the same time. Once the nature of tachycardia is determined, a RF catheter is put in side the heart and RF is performed at an appropriate site. It destroys the underlying culprit tissue by means of the RF current which is an electromagnetic wave of around 500 KHz. It generally is a painless therapy. It often leads to permanent cure from tachycardia.

Pacemaker therapy :
If excessive bradycardia leads to symptoms in a patient, then a pacemaker may be necessary. Pacemaker is a device consisting of a long lasting battery; an electronic circuit encased in a can and is placed below the collarbone underneath the subcutaneous tissue. Lead/Leads are inserted to the cardiac chambers and the proximal end is connected to the pacemaker. Pacemaker does beat to beat monitoring and delivers pacing therapy when needed.


Dual chamber pacemaker: Leads placed at right upper chamber and right lower chamber. It senses the electrical activity in both the chambers and if required delivers pacing therapy

Specialized Pacing Therapy :

Cardiac resynchronization therapy (CRT) :
In some cases of heart failure drugs alone may be insufficient. Part of the heart failure due to severe depression of pumping function can be caused by the underlying dyssynchronus contraction of the heart muscles. This dyssynchrony can be corrected by simultaneous pacing of right ventricle (right lower chamber) and Left ventricle (Left lower chamber). This is a specialized pacing therapy and requires positioning of leads at right ventricle and left ventricle.


Fluoroscopy picture of CRT: One lead is placed at LV, another lead at RV and the third lead is placed at RA