The price varies across the cities. Tier 1 Cities are usualy more expencive thane tier 2 cities. The price for Biventricular Pacemakers in different cities in India is approximately in the range of:
| Cities | Min. Cost | Max Cost |
|---|---|---|
| New Delhi | Rs.187590 | Rs.293410 |
| Gurgaon | Rs.192400 | Rs.288600 |
| Noida | Rs.180375 | Rs.300625 |
| Chennai | Rs.192400 | Rs.276575 |
| Mumbai | Rs.197210 | Rs.293410 |
| Bangalore | Rs.187590 | Rs.283790 |
| Kolkata | Rs.180375 | Rs.271765 |
| Jaipur | Rs.168350 | Rs.269360 |
| Mohali | Rs.173160 | Rs.408850 |
| Ahmedabad | Rs.161135 | Rs.266955 |
| Hyderabad | Rs.185185 | Rs.281385 |
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For patients planning to travel abroad it is useful to know the price in destinations popular with medical travellers. The price for Biventricular Pacemakers in different countries is approximately:
| Countries | Min. Cost | Max. Cost |
|---|---|---|
| Turkey | USD 4000 | USD 6000 |
| Malaysia | USD 8000 | USD 12000 |
The package typically includes the cost of the tests too. The common ones conducted before bile duct cancer treatment includes some blood tests such as glucose level tests, blood clotting tests, blood chemistry, and blood count test. One of the tests being conducted for bile duct cancer treatment is computed tomography scan.
All medicines in the time frame that the patient is at the hospital are covered in the package. Medicines taken for recovery are usually not covered in the package price.
The procedure usually takes about an hour, but it may take longer if you're having a biventricular pacemaker with 3 leads fitted or other heart surgery at the same time. An incision is being made through the collar bone, pacemaker is placed through it which leads through the cut, into a large blood vessel, then into the heart. The post surgery expense of the procedure is being included in the package.
You may feel a hard ridge along the incision. This usually gets softer in the months after surgery. You may be able to see or feel the outline of the pacemaker under your skin. You will probably be able to go back to work or your usual routine 1 to 2 weeks after surgery. You have to stay in hospital for one day or more depending on your recovery.
As per the norm the treatment will only be covered if it is under if the treatment is surgical or if the patient needs treatment for long term.
Some of the other options for Biventricular pacing are catheter ablation, pacemaker, implantable cardioverter-defibrillator (ICD), Maze procedure and Coronary bypass surgery.
Baby Fathima Jabbi
After discovering that our baby had a heart defect, we reached out to Marengo Asia Hospital. The surgery was successful, and our baby is recovering well. My baby was diagnosed with a heart defect when she was just six months old. We came to India and consulted Dr. Rajesh Sharma. He performed a successful surgery. She is recovering well now.
Ms. Fortune Harusekwi
My sister had mitral valve replacement surgery at Fortis Hospital, and it went very well. I am so happy with the service. They really took care of us. A big Thanks to them.
Mr. Samir Mohammed Abdo
Dr. Rohit Goel and Dr. Mukul Bhargava are very good doctors from Fortis hospital, Gurgaon. My heart surgery was done within three days. I am thankful to them.
Suresh Chandra
My father underwent heart bypass surgery at Artemis Hospital under the guidance of Dr. Murtaza Ahmed Chisti. He has recovered completely, thanks to them.
Salesh Raman
I was able to walk a few steps on the 3rd day after my surgery. I count my blessings every day, and I am thankful Dr. Murtaza Ahmed Chishti did my heart surgery. My husband underwent a heart Bypass surgery in India at Artemis Hospital, and we are very grateful for that.
Mr. Sohaneshwar Lal Padarath
I am glad that Dr. Ramji Mehrotra did the treatment for my friend, who was diagnosed with heart disease. His family and I thank him very much. My friend was diagnosed with heart disease, and we came to India for his treatment. I thank BLK Super Specialty Hospital for such good care.
Biventricular pacemaker is an implantable device which is being used in those people who are having advance heart failure because of abnormal rhythm and function of heart. Biventricular pacing system consists of three wire leads and a pulse generator which has a battery and a small computer.
Biventricular system works to deliver electrical stimulus to prevent the heart rate from becoming slow and the third wire should stimulate both the left and right ventricles of heart to co-ordinate with beating of heart.
For proper functioning of healthy heart the electrical signals will help your left and right chamber of heart to pump together. When heart failure occurs the abnormal signals causes contraction of ventricle to fall out of synch which can also be due to lack of coordination with atria. This reduced the number of effective contraction and the amount of oxygen rich blood pumped out the body will make you feel sick.
When there will be an abnormal rhythm the painless electrical impulses will be generated which will pass through the leads to the heart chamber and help them in pumping together. Lead tips are advanced until they make contact with your right atrium, right ventricle and left ventricle. The pulse generator is inserted through the chest incision and held in place by a pocket of nearby tissue. You will not feel pacing of your heart.
Biventricular pacemaker is usually needed for those people who have abnormally large left ventricle, poor ejection fraction, life threatening arrhythmia and severe or moderately heart failure symptoms such as fatigue and shortness of breath.
It will take around two to five hour to implant biventricular pacemaker.
Biventricular pacemaker is being done under general anaesthesia. First a cut is made below the collarbone and then the doctor puts the pacemaker which grows through the cut and into the large blood vessel and then in the heart.
Few surgical approaches to implant biventricular devices are:
Once the leads are in place, your healthcare provider performs lead function testing. This is also known as pacing which confirms that where the device should be, they should function properly and they are capable of synchronizing left and right ventricle activity. Further adjustment is made by adjusting the device which is made by placing a programmer over the site of generator.
A biventricular pacemaker improves symptoms of heart failure in about 50% of people who receive the device. Better quality of life and ability to live an active, independent lifestyle, Fewer heart-related hospitalizations and improves heart functioning and improves survival rate.
Some of the risks associated with biventricular pacemaker are bleeding, filling of the space near the heart with blood, collapsed lung, infection, dislodgement of lead and mechanical failure.
The stay in hospital depends on the recovery, you can go home within one day to five days after the procedure.
Recovery can take a few months. You should rest and avoid strenuous activity involving your upper body during this time.
If treatment is successful, you may experience gradual improvement in symptoms to most daily activities, Improved ejection fraction, normal or near-normal sized left ventricle and lower risk of cardiac arrest.
If you experience some symptoms such as abnormal bleeding from incision site, pain which become worse and do not respond to medications, redness, warmth or swelling at incision site, pericardial effusion , severe bruising and symptoms of infection such as fever or chills.
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