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First ever CRT-D implantation conducted at TRIHMS

Naharlagun: In a historic first for Arunachal, a 29-year-old female diagnosed with Dilated Cardiomyopathy (DCMP), Severe Left Ventricular Dysfunction and complete left bundle branch block, unresponsive to optimal guideline-directed medical therapy, underwent a successful implantation of Cardiac Resynchronization Therapy with Defibrillator (CRT-D) at the cath lab of the department of cardiology at TRIHMS.

Dilated cardiomyopathy, a form of heart muscle ailment, results in the thinning and stretching of the heart chambers (ventricles), causing them to enlarge. Primarily originating in the heart’s principal pumping chamber, the left ventricle, this condition hinders the heart’s ability to efficiently pump blood throughout the body.

This significant achievement is notable as the first of its kind in the region, made possible by the state-of-the-art cath lab facilities at the Tomo Riba Institute of Health and Medical Sciences (TRIHMS).

CRT-D is pivotal in restoring synchronization between the heart’s ventricles, a condition lost in certain subsets of patients with chronic heart failure, increasing susceptibility to heart failure-related complications.

The successful CRT-D implantation not only enhances the patient’s ejection fraction but also improves the quality of life and reduces mortality.

The integrated defibrillator component acts as a preventive measure against cardiac arrest.

The department of cardiology at TRIHMS has been a pioneer in cardiac interventions, performing over three hundred procedures since the installation of the cath lab in August 2023.

Additionally, more than 200 patients have benefited from dedicated Intensive Coronary Care Unit (ICCU) services since its inception in September 2023.

Routine procedures, including coronary angiography, coronary angioplasty, renal angioplasty, congenital heart disease device closures, and both temporary and permanent pacemaker implantations, are carried out with expertise in the department.

Looking forward, the department envisions expanding its repertoire of life-saving procedures as advancements in medical technology continue to evolve.

Also read: Hearty Victory: TRIHMS team paves way with first-ever PDA closure on 8-year-old