Arrhythmia (Irregular Heartbeat)

Our Approach to Managing Arrhythmia (Irregular Heartbeat)

Rhythm restored. Risk reduced. Life reclaimed.

Not every abnormal heart rhythm is life-threatening, but every one deserves a thorough evaluation. Some arrhythmias are benign and manageable with medication; others,  like ventricular fibrillation or high-risk atrial fibrillation,  can lead to stroke,  cardiac arrest,  or sudden death if left untreated. At Shree Hospitals,  our approach to advanced irregular heartbeat diagnosis and care in Mumbai begins with listening, understanding how your symptoms affect your daily life, before building a precise,  personalised treatment plan.

We do not take a generic approach to rhythm disorders. Our electrophysiology specialists assess each case independently,  guided by detailed diagnostic data and years of hands-on experience in cardiac rhythm disorder management and intervention.

1. Detailed Electrophysiological Assessment

• Resting 12-lead ECG to capture baseline rhythm abnormalities
• 24–72 hour Holter monitoring to detect intermittent abnormal heart rhythm episodes
• Event recorder and implantable loop recorder for long-term rhythm surveillance
• Electrophysiology (EP) study, an in-depth invasive mapping of the heart's electrical system

2. Risk Stratification & Stroke Prevention

   Many arrhythmias, especially atrial fibrillation, significantly elevate stroke risk. Our protocol includes:
    

• CHA₂DS₂-VASc scoring to assess individual stroke risk in AF patients
• Anticoagulation therapy initiation and monitoring for high-risk patients
• Regular follow-up to adjust therapy based on rhythm response and bleeding risk

3. Catheter Ablation, Precision Rhythm Correction
    
   For patients where medications fail or are poorly tolerated,  catheter ablation offers a long-lasting solution:

• Radiofrequency ablation (RFA) to eliminate abnormal electrical pathways
• Cryoablation for pulmonary vein isolation in atrial fibrillation cases
• 3D electro-anatomical mapping for precise targeting with minimal tissue impact
• Part of our advanced irregular heartbeat diagnosis and care in Mumbai programme

4. Cardiac Device Implantation
    
   When the heart's natural pacemaker fails or dangerous rhythms persist,  devices restore stability:

• Permanent pacemaker implantation for bradycardia and heart block
• Implantable Cardioverter-Defibrillator (ICD) for life-threatening ventricular arrhythmias
• Cardiac Resynchronisation Therapy (CRT-D) for arrhythmia combined with heart failure
• Subcutaneous ICD (S-ICD), a lead-free option for younger,  active patients

5. 24/7 Electrophysiology-Ready Cardiac Lab
   
   Our cath lab supports both elective and emergency arrhythmia procedures around the clock. With real-time 3D mapping systems,  intracardiac echocardiography,  and a dedicated EP team,  cardiac rhythm disorder management and intervention at Shree Hospitals meets international standards. 

6. Long-Term Rhythm Monitoring & CareArrhythmia management is ongoing. Our structured follow-up programme includes:

• Remote device monitoring for pacemaker and ICD patients
• Periodic Holter reviews to track rhythm stability post-ablation
• Medication adjustments based on evolving rhythm patterns
• Patient education on triggers, caffeine,  sleep deprivation,  alcohol, that aggravate abnormal heart rhythm