Arrhythmia Care In India - Poised For The Big Leap

Till the late 1980s, there was precious little one could do to permanently cure arrhythmias. Cardiac surgery did not live up to its promise for ventricular tachycardia. For WPW syndrome, surgery was too invasive a procedure, with a significant chance of major complications. Electrophysiologists spen...

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Main Author: Yash Lokhandwala
Format: Article
Language:English
Published: Elsevier 2002-01-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.ipej.org/0201/yash.htm
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author Yash Lokhandwala
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author_sort Yash Lokhandwala
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description Till the late 1980s, there was precious little one could do to permanently cure arrhythmias. Cardiac surgery did not live up to its promise for ventricular tachycardia. For WPW syndrome, surgery was too invasive a procedure, with a significant chance of major complications. Electrophysiologists spent hours trying to unravel tachycardia mechanisms, and were often referred to as "electrophilosophers". Since the advent of RF ablation, this scenario underwent a sea change. Suddenly one was able to get rid of many arrhythmias with a much less invasive procedure. Electrophysiology centers mushroomed and got upgraded in the developed world. In India, there were only a couple of centers which had tried intracardiac DC shock ablation, with varying results. In 1995, RF ablation was being performed in a handful of centers, notably AIIMS, Delhi and KEM Hospital, Mumbai. Within the next year a few more centers such as Medicity, Hyderabad, GB Pant Hospital, Delhi and Escorts Institute, Delhi also started RF ablation programmes. Today there are over 20 hospitals in various parts of the country with well-established RF ablation programmes. It is estimated that over 15,000 RF ablation procedures have been performed so far in India. This is against a backdrop of around 2 million patients with curable tachycardias in our country. Thus, there is a need for around 100 active EP centers spread all over the country. It is expected that this growth will occur over the next decade. Thus we are now past the "critical mass" and are well poised for the big leap forward.
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spelling doaj.art-b42b02280d8044938a6ba75e70be3a0b2022-12-21T23:30:41ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922002-01-01211Arrhythmia Care In India - Poised For The Big LeapYash LokhandwalaTill the late 1980s, there was precious little one could do to permanently cure arrhythmias. Cardiac surgery did not live up to its promise for ventricular tachycardia. For WPW syndrome, surgery was too invasive a procedure, with a significant chance of major complications. Electrophysiologists spent hours trying to unravel tachycardia mechanisms, and were often referred to as "electrophilosophers". Since the advent of RF ablation, this scenario underwent a sea change. Suddenly one was able to get rid of many arrhythmias with a much less invasive procedure. Electrophysiology centers mushroomed and got upgraded in the developed world. In India, there were only a couple of centers which had tried intracardiac DC shock ablation, with varying results. In 1995, RF ablation was being performed in a handful of centers, notably AIIMS, Delhi and KEM Hospital, Mumbai. Within the next year a few more centers such as Medicity, Hyderabad, GB Pant Hospital, Delhi and Escorts Institute, Delhi also started RF ablation programmes. Today there are over 20 hospitals in various parts of the country with well-established RF ablation programmes. It is estimated that over 15,000 RF ablation procedures have been performed so far in India. This is against a backdrop of around 2 million patients with curable tachycardias in our country. Thus, there is a need for around 100 active EP centers spread all over the country. It is expected that this growth will occur over the next decade. Thus we are now past the "critical mass" and are well poised for the big leap forward.http://www.ipej.org/0201/yash.htmarrhythmia careindia
spellingShingle Yash Lokhandwala
Arrhythmia Care In India - Poised For The Big Leap
Indian Pacing and Electrophysiology Journal
arrhythmia care
india
title Arrhythmia Care In India - Poised For The Big Leap
title_full Arrhythmia Care In India - Poised For The Big Leap
title_fullStr Arrhythmia Care In India - Poised For The Big Leap
title_full_unstemmed Arrhythmia Care In India - Poised For The Big Leap
title_short Arrhythmia Care In India - Poised For The Big Leap
title_sort arrhythmia care in india poised for the big leap
topic arrhythmia care
india
url http://www.ipej.org/0201/yash.htm
work_keys_str_mv AT yashlokhandwala arrhythmiacareinindiapoisedforthebigleap