Best Cardiac Electrophysiologist Doctors in India

Cardiac Electrophysiologist

A cardiac electrophysiologist is a cardiologist that specializes in the electrical system of heart and diagnosis and cure of heart rhythm complications, which are known as arrhythmias.

Some of the main functions of a cardiac electrophysiologist are as follows:

• Perform diagnoses for arrhythmias such as the atrial fibrillation, ventricular tachycardia, bradycardia, etc.
• Perform specialized procedures, such as:
• Electrophysiology (EP) studies – to trace-out the electrical function of heart.
• Catheter ablation – To cure an abnormal electrical pathway
• Implant pacemakers and defibrillators (ICDs)
• Monitor device function and optimise settings for maximum performance
• Write prescriptions for patients suffering from heart rhythm disorders.
• Treat genetic or inherited arrhythmia syndromes like the Long QT Syndrome.

Cardiac electrophysiologist’s consultation is necessary when:

• You have palpitations, dizziness, fainting or some irregular beating of the heart.
• You suffer from a disorder of the heart rhythm disorders.
• A pacemaker or ICD is required for you.
• Your cardiologist sends you for a more specialist arrhythmia care.

Best Electrophysiologist for Heart

Electrophysiologist Doctor:

Dr. Sameer Mehrotra

Dr. Sameer Mehrotra is a dynamic and highly skilled Interventional Cardiologist and Cardiac Electrophysiologist. Dr. Sameer has versatile experience in performing primary & elective angioplasties, electrophysiology (EP) & Ablation procedure like VT, AF, and Ablation. He is also a certified device specialist, performing PPI & CRT-D implantation.

Dr. Kartikeya Bhargava

Cardiac electrophysiologist of repute with expertise in all cases of RF ablations including complex ablations. Great experience in implantation and follow up of pacemaker and related devices (ICD, CRT etc.)

Dr. (Col) Manjinder Sandhu

Dr. (Col) Manjinder Sandhu is a renowned interventional cardiologist with more than 35+ years’ experience. He specializes in complex angioplasty (IVUS, OCT, Rotablation, Laser) and structural heart (TAVR, MitraClip) procedures. 

Dr. Balbir Singh

Dr Balbir Singh is Chairman of Cardiology Pan Max, he heads Cardiology and is responsible for development, quality, clinical governance, physician hiring, credentialing, research and training, including DNB program in Cardiology across all Max hospitals.  He joined Max HealthCare in November 2019 after a long and successful tenure as Chairman of Interventional Cardiology and Electrophysiology at Medanta Hospital. 

Dr. Vanita Arora

Dr Vanita Arora is known for her expertise in the field of cardiac pacing and electrophysiology including RF ablation of complex arrhythmias, ICD implantation, Biventricular Pacemakers, Leadless Pacemakers and His Bundle Pacing.She is currently working as Senior Consultant, Cardiac Electrophysiologist & Interventional Cardiologist at Apollo Hospital, New Delhi. She is pioneer in the country for 3D mapping for complex arrhythmias, Leadless Pacemaker, Cardiac Resynchronization therapy, His Bundle Pacing and Left Bundle Pacing.

How to Choose Heart Rhythm Specialist?

Selection of the right heart rhythm specialist (cardiac electrophysiologist) is significant in making accurate diagnosis and successful treating of people suffering from arrhythmias. In this practical guide you will learn how to choose the one:

• Check Qualifications & Certification
• Experience with Your Condition
• Hospital or Clinic Reputation
• Evaluate Communication Style
• Treatment Options Offered
• Check Reviews and Patient Feedback
• Insurance and Accessibility
• Multidisciplinary Team Approach

Electrophysiology Heart Treatment

Electrophysiology heart treatment is termed as procedures and therapies that are used for the diagnosis and treatment of the arrhythmias (heart rhythm disorders). These procedures are conducted by specialists of the electrical system of the heart called cardiac electrophysiologists.

What Is Electrophysiology (EP) Treatment?

EP treatment aims at correcting abnormal electrical impulses of the heart which causes the heart to be beating too fast, too slow or irregularly.

Main Electrophysiology Treatments

Electrophysiology (EP) Study

• A diagnostic method that is used to map the electrical activity of the heart.
• Catheters are introduced (through the groin) and carried to the heart, to stimulate and record electrical signals.
• Assists in locating the causes of arrhythmias.

Catheter Ablation

• A minimally invasive operation for arrhythmias treatment.

The impaired electrical tissue is eliminated with:

• Radiofrequency (heat)
• Cryoablation (freezing)

Commonly used for:

• Atrial fibrillation (AFib)
• Supraventricular tachycardia (SVT)
• Ventricular tachycardia (VT)

Pacemaker Implantation

• A small implant which is inserted into the skin to assist in regulating slow heart rhythms (bradycardia).
• Fires electrical impulses to trigger the heart to contract at a normal rate.

Implantable Cardioverter Defibrillator (ICD)

• Treats the life-threatening effect of arrhythmias such as ventricular fibrillation.
• Stimulates the heart in order to stop dangerous arrhythmias.

Cardiac Resynchronization Therapy (CRT)

• A mode of biventricular pacemaker for those individuals who suffer from defeating heart and irregular electrical conduction.
• Facilitates on both sides of the heart to beat in rhythm.

Left Atrial Appendage Closure (LAAC)

• In such AFib patients who are not able to take blood thinners, devices such as the Watchman can be used to prevent stroke that results from blockage at the location where the clot is formed in the heart.

Cardiac Arrhythmia Treatment

Cardiac arrhythmia is one of the diseases of cardiovascular system in which heart beats irregularly (too fast, too slow or erratically). It depends on the type and severity of the arrhythmia, the causes of the arrhythmia, and your overall heart health.

Common Types of Arrhythmias

• Atrial Fibrillation (AFib) – irregular and sometimes rapid heart beating
• Bradycardia – slow heart rate
• Tachycardia – fast heart rate
• Supraventricular Tachycardia (SVT)
• Ventricular Tachycardia (VT) / Ventricular Fibrillation (VF) – causes of possible death
• Premature Beats – pre mature or extra heartbeats

Treatment Options

Lifestyle & Risk Factor Management

• Reduce caffeine, alcohol, and smoking
• Manage high blood, diabetes, thyroid problems
• Manage stress and sleep apnea

Medications

• Antiarrhythmic drugs (e.g., amiodarone, flecainide)
• Beta-blockers (e.g. metoprolol) — slow the rate of the heart.
• Calcium channel blockers – regulate the rate; (e.g., diltiazem)
• Anticoagulants (including warfarin, DOACs) – prevents stroke in AFib
• Diuretics or ACE inhibitors – in case of a relationship to heart failure

Cardioversion

• Electrical cardioversion: defibrillation to re-establish normal rate (used in AFib or VT).
• Chemical cardioversion: uses medication to reset rhythm

Catheter Ablation

• A non-invasive operation that eliminates abnormal heart tissue responsible for resulting in the arrhythmia.

Highly effective for:

• Atrial fibrillation
• SVT
• Ventricular tachycardia

Pacemaker Implantation

• Used in bradycardia /heart block.
• A small device that is placed underneath the skin to transmit electrical impulses in order to keep the heart rate normal.

Implantable Cardioverter Defibrillator (ICD)

• Suitable for patients who are at risk for sudden cardiac arrest because of VT/VF.
• Locates and rectifies the dangerous rhythms through the provision of shock.

Left Atrial Appendage Closure (LAAC)

• For AFib patients that cannot take blood thinners.
• A device (such as the Watchman) plugs the left atrial appendage to avoid clotting and stroke.

Electrophysiology Test for Heart

An Electrophysiology (EP) test, also known as an EP study, is a non-intrusive testing device which is used for testing the heart’s electrical activity and the source of abnormal heartbeats (arrhythmias).

Purpose of the EP Test

It helps:

• Detect the type and the site of arrhythmias
• Assess such symptoms as palpitations, fainting, or dizziness.
• Find out whether or not you require the ablation, pacemaker or ICD.
• Assess the effectiveness of medications
• Sudden cardiac arrest testing receiving corporations.

Top Heart Rhythm Hospitals

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket
• Indraprastha Apollo Hospital, Delhi

Electrophysiology Heart Procedure

Preparation

• Conducted in an EP lab of a hospital.
• You’re going to be awake while sedated (local anesthesia + IV sedation).
• ECG leads are attached; IV line inserted

Catheter Insertion

• Thin, flexible wires, known as catheters are inserted into a vein (usually in the groin or neck) to the heart via X-ray imaging guiding.

Electrical Mapping

• Electrodes monitor the electrical stimuli coming from the heart.
• Doctors are able to stimulate the heart in order to attempt to replicate the arrhythmia.

Diagnosis and Optional Treatment

• They may as well do the catheter ablation to correct the abnormal rhythm found in case any is detected.