Bentall Procedure

Cardiac tumors, although rare, present unique challenges in the realm of cardiovascular medicine. These tumors can arise within the heart itself (primary cardiac tumors) or originate from other parts of the body and spread to the heart (secondary cardiac tumors). Regardless of their origin, the presence of a cardiac tumor can disrupt normal heart function and pose serious risks to a patient’s health. In this article, we explore the complexities of cardiac tumor treatment, including diagnostic approaches, therapeutic strategies, and emerging advancements in the field.

Common symptoms of heart failure include shortness of breath, fatigue, swelling of the legs and ankles, and reduced exercise tolerance. Despite advances in medical therapy, heart failure remains a leading cause of morbidity and mortality worldwide.

The Role of Biventricular Pacing:

Biventricular pacing, also known as cardiac resynchronization therapy (CRT), is a specialized form of cardiac pacing designed to improve the coordination and efficiency of heart muscle contraction. Unlike traditional pacemakers, which stimulate only one chamber of the heart (either the right atrium or right ventricle), biventricular pacing involves the simultaneous pacing of both the right and left ventricles, as well as the right atrium when necessary.

Indications for Biventricular Pacing:

Biventricular pacing is indicated in select patients with heart failure who meet specific criteria, including:

  1. Reduced Ejection Fraction: Patients with heart failure and reduced left ventricular ejection fraction (typically ≤35%) despite optimal medical therapy.

  2. Electrical Dyssynchrony: Evidence of electrical dyssynchrony, characterized by delayed activation of the ventricles as seen on electrocardiogram (ECG) or echocardiography.

  3. Symptoms of Heart Failure: Persistent symptoms of heart failure, such as shortness of breath, fatigue, and reduced exercise tolerance, despite medical therapy.

  4. NYHA Functional Class: Patients classified as NYHA Class II, III, or ambulatory Class IV heart failure symptoms.

Benefits of Biventricular Pacing:

Biventricular pacing offers several potential benefits for patients with heart failure, including:

  1. Improved Cardiac Function: By synchronizing ventricular contraction, biventricular pacing enhances cardiac output and improves overall heart function.

  2. Symptom Relief: Biventricular pacing can alleviate symptoms of heart failure, such as shortness of breath, fatigue, and exercise intolerance, leading to enhanced quality of life.

  3. Reduced Hospitalizations: Studies have shown that biventricular pacing reduces the risk of heart failure exacerbations and hospitalizations, thereby lowering healthcare costs and improving patient outcomes.

  4. Mortality Reduction: Biventricular pacing has been associated with reduced mortality rates in select patients with heart failure, particularly those with evidence of electrical dyssynchrony.

Doctors at Fortis Group of Hospitals

Dr. Vivek Vij

Chairman – Liver transplant


Dr. Sandeep Vaishya

HOD & Director – Neurosurgery

Dr. Rajesh Sharma Director – Paediatric Cardiac Surgery, Marengo Asia Hospital

Dr. Rajesh Sharma

Director – Paediatric Cardiac Surgery

Dr. Hemant Sharma Director in Orthopedics, Marengo Asia Hospitals

Dr. Hemant Sharma

Chairman – Trauma & Orthopedics

Dr. Rana Patir, HOD Neurosurgery, Fortis, Gurgaon

Dr. Rana Patir

Chairman – Neuro Surgery

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