Cardiac arrhythmias are irregular heartbeats that can range from occasional palpitations to life-threatening conditions. At Livasa Hospital, we provide comprehensive evaluation, diagnosis, and treatment of cardiac arrhythmias using advanced electrophysiology techniques and expert clinical care.

Understanding Cardiac Arrhythmias

A cardiac arrhythmia occurs when the heart's electrical system doesn't function properly, causing the heart to beat:

• Too fast (Tachycardia): Heart rate >100 beats per minute at rest

• Too slow (Bradycardia): Heart rate <60 beats per minute inappropriately

• Irregularly: Inconsistent spacing between beats

• Chaotically: Disorganized electrical activity

While some arrhythmias are benign and never cause problems, others require immediate medical attention to prevent serious complications like stroke, heart failure, or sudden cardiac death.

Types of Cardiac Arrhythmias We Treat

Supraventricular Arrhythmias (SVA):

Ventricular Arrhythmias (VA):

• Ventricular Tachycardia (VT): Rapid, life-threatening rhythm originating in ventricles

• Ventricular Fibrillation (VF): Chaotic, disorganized ventricular contractions (cardiac emergency)

• Premature Ventricular Contractions (PVCs): Early ventricular beats (usually benign)

• Long QT Syndrome: Electrical abnormality increasing sudden death risk

Bradyarrhythmias (Slow Rhythms):

• Heart Block (AV Block): Conduction delay between atria and ventricles

• Sick Sinus Syndrome: Inadequate sinoatrial node function

• Sinus Bradycardia: Intrinsically slow heart rate

• Requires pacemaker implantation for symptomatic patients

Expert Electrophysiology Team at Livasa Hospital

Our electrophysiology specialists at Livasa Hospital have extensive expertise in:

The team is coordinated by cardiologists trained at premier institutions and works with Dr. Harinder K. Bali's team, ensuring world-class standards of care.

Diagnostic Procedures for Arrhythmias

Non-Invasive Testing:

Invasive Testing:

Electrophysiology Study (EPS) at Livasa Hospital

An Electrophysiology Study is a minimally invasive procedure where catheters are placed in the heart to:

Duration: 45-90 minutes
Anesthesia: Light sedation with local anesthesia
Hospital Stay: Usually overnight observation

Treatment Options at Livasa Hospital

Medical Management:

Interventional Procedures:

Catheter Ablation:

Device Implantation:

Cardioversion:

Catheter Ablation: Advanced Arrhythmia Treatment

Catheter ablation is a minimally invasive procedure where precise energy is delivered to eliminate abnormal electrical pathways causing arrhythmias:

How It Works:

1. • Arrhythmia diagnosis and classification

   • Electrophysiology studies (EPS)

   • Catheter ablation procedures

   • Device implantation (pacemakers, ICDs)

   • Complex arrhythmia management

   • Post-operative care and follow-up

   • Electrophysiology Study (EPS): Detailed mapping of electrical system

   • Signal-Averaged ECG: High-sensitivity rhythm assessment

   • Intracardiac Echocardiography: Real-time imaging during procedures

   1. Map the electrical system of the heart

   2. Identify the source of arrhythmias

   3. Assess conduction through different pathways

   4. Induce arrhythmias to understand their characteristics

   5. Guide treatment (ablation or pacing decision)

   • Antiarrhythmic Medications: Beta-blockers, calcium channel blockers, Class I/III agents

   • Anticoagulation: Warfarin or DOACs for stroke prevention in AFib

   • Rate Control: Medications to slow excessive heart rate

   • Symptom Management: Medications for specific symptoms

   • Minimally invasive procedure

   • Precise energy delivery (radiofrequency or cryotherapy)

   • Eliminates abnormal electrical pathways

   • Success rates: 70-95% depending on arrhythmia type

   • Most patients discharged next day

   • Pacemaker: For bradyarrhythmias (slow rhythms)

   • ICD (Implantable Cardioverter Defibrillator): For life-threatening ventricular arrhythmias

   • CRT (Cardiac Resynchronization Therapy): For heart failure with arrhythmias

   • Subcutaneous ICD: Minimally invasive alternative

   • Electrical cardioversion: For acute atrial fibrillation

   • Chemical cardioversion: Medication-based rhythm conversion

   • Rapid response: Available 24/7 for emergencies

   1. Diagnostic catheters map the heart's electrical system

   2. Ablation catheter is positioned at arrhythmia source

   3. Radiofrequency or cryothermal energy is delivered

   4. Abnormal tissue is eliminated or isolated

Success Rates by Arrhythmia Type:

Pacemaker and ICD Implantation

For patients with bradyarrhythmias or life-threatening ventricular arrhythmias, device implantation is often necessary:

Pacemaker Indications:

• Symptomatic bradycardia

• Heart block

• Sick sinus syndrome

• Syncope from conduction abnormalities

ICD Indications:

• Previous cardiac arrest

• Sustained ventricular tachycardia

• Severely reduced ejection fraction

• Genetic arrhythmia syndromes (Brugada, Long QT)

• Cardiomyopathy with high sudden death risk

Procedure Details:

• Duration: 30-60 minutes

• Anesthesia: Light sedation

• Recovery: Same-day discharge possible

• Incision: Small, below clavicle

• Hospitalization: Usually overnight observation

• Battery Life: 5-10 years

24/7 Emergency Arrhythmia Management

Livasa Hospital operates 24 hours, 7 days a week with:

• Immediate arrhythmia triage

• ECG interpretation within 5 minutes

• Rapid medication administration

• Emergency cardioversion capability

• ICU admission and monitoring

• On-call electrophysiologist availability

Post-Ablation Care and Monitoring

After catheter ablation, comprehensive follow-up includes:

• Immediate: Recovery room monitoring

• 24 hours: Discharge assessment

• 1 week: Phone follow-up

• 4 weeks: First clinic visit

• 3 months: Repeat ECG or Holter

• Ongoing: Regular follow-up based on arrhythmia type

Lifestyle Modifications for Arrhythmia Management

Patients can reduce arrhythmia frequency through:

• Caffeine and alcohol avoidance: Common triggers

• Stress management: Relaxation techniques

• Regular exercise: Supervised programs

• Sleep optimization: Regular sleep schedule

• Smoking cessation: Eliminate completely

• Medication compliance: Take prescribed medications regularly

• Trigger avoidance: Identify and avoid personal triggers

Hospital USPs for Arrhythmia Care

Why Choose Livasa Hospital for Arrhythmia Treatment:

Schedule Your Arrhythmia Consultation

For specialized arrhythmia evaluation and treatment:

Livasa Hospital Mohali
Sector 71, Sahibzada Ajit Singh Nagar (SAS Nagar)
Mohali, Punjab – 160071
Phone: +91-80788 80788 (24/7 Emergency)
Website: www.livasahospitals.com

Don't ignore symptoms of arrhythmia. Contact Livasa Hospital today at +91-80788 80788 to schedule your electrophysiology consultation. Expert evaluation and treatment for your cardiac rhythm problems. Your heart's rhythm is our expertise.