ITANAGAR: For the first time in the history of Arunachal Pradesh, a 29-year-old female with DCMP (dilated cardiomyopathy) underwent successful implantation of CRT-D (cardiac resynchronization defibrillator) therapy in the cath lab of the cardiology department of Tomo Riba Institute of Health and Medical Science (TRIHMS). The woman was suffering from severe left ventricular dysfunction, with a complete left bundle branch block, and was not fully responding to optimum guideline-directed medical therapy. Even though more than 70 pacemakers have been implanted so far at TRIHMS, this is the first of its kind implantation due to the availability of the state-of-the-art Cath lab in the state’s lone medical college and hospital.
CRT-D helps to restore synchronisation of both the ventricles of the heart, which is lost in a certain subset of patients with chronic heart failure, and they succumb to heart failure. Successful CRT-D implantation improves the ejection fraction of the patient, improves quality of life, and decreases mortality. Also, the defibrillator component prevents cardiac arrest. The cardiology department of TRIHMS has performed more than three hundred cardiac interventional procedures since the cath lab was installed in August 2023, and more than 200 patients have availed of dedicated ICCU (intensive coronary care unit) services since its inception in September 2023. Procedures such as coronary angiography, coronary angioplasty, renal angioplasty, congenital heart disease device closures, pacemakers (temporary and permanent), AICD, etc. are performed routinely in the cardiology department of the medical college.