Jaipur: Life and life expectancy have always been termed as unpredictable but thanks to science and rigorous perseverance of healthcare experts, a lot of awareness has been created around it. We have recently seen how even young, fit celebrities succumbed to death due to heart problems. One such issue that demanded instant attention was Atrial Fibrillation: an irregular heart rhythm that affects the upper chambers of the heart. Eternal Hospital, which has always been first in the adoption of New technology and helped many patients with its TAVR services, is also making a mark in treating AF. In this era of Modern technology, Eternal Hospital is forging toward the ultimate aim of bringing world-class healthcare technologies to India
Dr Jitendra Singh Makkar Director & HOD Cardiology Eternal Hospital said, “Regular examination and checkups are important to keep the situation in check. Causes of Atrial Fibrillation (AF) include reversible and chronic factors, including one’s lifestyle choices. So it is important to be aware and cautious to avoid AF.”
Atrial fibrillation (AF) is an irregular heart rhythm that affects the upper chambers (atria) of the heart. This arrhythmia prevents blood from being pumped efficiently to the rest of the body. Prevalence: AF is common: Current estimates reveal that more than 33 million individuals worldwide have AF. In the United States alone, it is estimated that between 3 and 5 million people have AF and by 2050 this number will exceed 8 million.3
IHRS – AF Registry was conducted to capture epidemiological data type of AF that involved Clinical presentation, comorbidities, current treatment practices and 1-year follow–up. Dr Kush Kumar Bhagat Associate Director -Electrophysiology Eternal Hospital, after the study, concluded that AF Patients are younger and RHD is still the most frequent aetiology. Almost two-thirds of the patients have persistent/permanent AF. At one year follow-up, there is significant mortality and morbidity in AF patients in India
Radio Frequency Ablation (RFA) and Cryoballoon Ablation are two modalities to treat AF.
There are several reasons your doctor may be recommending ablation:
Cryoballoon ablation is a safe and effective alternative after medication to control your AF. It’s a minimally invasive procedure, with a short recovery time, that may make a big difference in the way you feel.
Cryoballoon ablation has many benefits when compared to radiofrequency ablation:
The goal of the cryoballoon ablation procedure is to stop unwanted electrical signals in the pulmonary veins that cause the majority of irregular heart rhythms. This procedure is performed by an Electrophysiologist (EP) who specializes in the treatment of irregular heart rhythms.
It is an inflatable balloon that uses cold energy to remove heat from the tissue and disable unwanted electrical signals by creating a circle of scar tissue (also known as a lesion) around the pulmonary veins.
Cryoballoon ablation is generally considered to be a safe and effective treatment for AF when medication isn’t sufficient. It is a minimally invasive procedure, meaning there is no need to open the chest or make large incisions. The most common problem is local irritation or bleeding at the site of the incision. The risk of more serious complications is small.
Cardiac ablation has been shown to effectively treat AF, improving symptoms and quality of life for many patients. Generally, after medication, the earlier your AF is treated with ablation, the more successful it may be. Of course, every patient’s experience is different. Sometimes after the procedure, you will continue to have AF episodes and may need a repeat procedure. It’s also possible that you may need to continue with some type of medication.
Atrial fibrillation can be a serious medical condition that should be treated no matter what level of symptoms you experience. Without effective treatment, AF may lead to a stroke, heart failure, or other health complications. If your AF does not improve after the use of medication, speak to your doctor about whether or not an ablation is a next step for you.
HOD & Director Cardiology - Cardiology
Eternal Hospital, Jaipur
Dr. Jitendra Singh Makkar is a Senior Interventional Cardiologist with special interest and expertise in the field of clinical electrophysiology, pacemaker & heart failure device management. He has 18 years of experience in the field of Cardiology and has worked with leading Cardiac Institutes across country. He has done fellowship in complex arrhythmia ablation from Korea University Medical Centre Seoul. He has performed thousands of coronary angioplasties, RF Ablations, Pacemaker & heart failure devices. He is pioneer in this field in the state of Rajasthan by establishing first EP Lab and Pacemaker clinic in this state and implanting many devices first in state like CRT-D, MRI compatible pacemaker and ICDs. He has been awarded best cardiologist of Rajasthan multiple times. Rajasthan First Leadless pacemaker implant goes to his credit.
Associate Director - Electrophysiology and Heart Failure - Cardiology
Eternal Hospital, Jaipur
He has been successfully performing all routine and complex coronary and peripheral heart disease interventional procedures such as coronary and peripheral angiograms, multivessel and primary PCI, IVUS imaging and FFR
He has special expertise in the management of rhythm related issues of the Heart. He has knowledge of performing interventional electrophysiology procedures for management of heart rhythm disorders which includes Electrophysiological studies and Radiofrequency ablations including RF ablations under 3D mapping (both CARTO and NAVX) for SVT, Atrial Fibrillation and life threatening arrhythmias like VT.
He is expert in doing all kinds of device therapies like Pacemakers and implantation of rhythm related devices like AICD and CRT including latest technology of physiological pacing like HIS bundle pacing and LBB pacing.
He regularly attends national as well as international conferences and is often invited as a Faculty and Guest Faculty to share his immense expertise.