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CRT-D cost in India

CRT-D implantation cost in India ranges from $7,000 to $12,000 US dollars, which is equivalent to 6,30,000 to 10,80,000 Indian Rupees,  depending on the device brand, hospital selection, patient’s heart condition, and complexity of the procedure. Despite the use of advanced device technology and specialized electrophysiology expertise, the cost remains significantly lower than in many Western countries. CRT-D devices are commonly recommended for patients with heart failure, reduced ejection fraction, and abnormal ventricular coordination, helping improve heart efficiency while also protecting against life-threatening arrhythmias.

The final cost may vary based on pre-implant diagnostics, ICU monitoring, device model, and duration of hospitalization.


Cost Range of CRT-D cost in India

Minimum Cost USD 7000
Maximum Cost USD 12000
Total Stay 15 Days
Hospital Stay 3 Days

What is CRT-D?

Cardiac Resynchronization Therapy with Defibrillator (CRT-D) is an implantable cardiac device designed for patients with heart failure and abnormal heart rhythm risk. It combines two important functions:

  1. Cardiac Resynchronization Therapy (CRT) – Improves the coordination of the heart’s ventricles by delivering precisely timed electrical impulses, helping the heart pump blood more efficiently.

  2. Defibrillator (ICD) Function – Detects and corrects life-threatening arrhythmias by delivering a controlled electric shock when needed.

CRT-D is typically recommended for patients with reduced ejection fraction, ventricular dyssynchrony, and a high risk of sudden cardiac arrest. The device helps relieve heart failure symptoms, improve quality of life, and provide protection against dangerous heart rhythms, offering both therapeutic and life-saving benefits in a single system.

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Who Requires CRT-D Implantation?

CRT-D implantation is typically recommended for patients with heart failure and a risk of serious arrhythmias. Common candidates include:

  • Patients with moderate to severe heart failure (HFrEF)

  • Reduced left ventricular ejection fraction (typically ≤ 35%)

  • Abnormal ventricular contraction / dyssynchrony (e.g., bundle branch block)

  • Persistent symptoms despite optimal medical therapy

  • Patients at high risk of sudden cardiac arrest

  • History of dangerous ventricular arrhythmias

  • Cardiomyopathy with electrical conduction delays

CRT-D helps improve heart pumping efficiency while also providing defibrillator protection against life-threatening heart rhythms, making it crucial for selected high-risk heart failure patients.

CRT-D Implantation Cost in India (USD)

CRT-D Device Type

Description

Standard CRT-D

Basic cardiac resynchronization system with defibrillator function

Advanced CRT-D (Premium Model)

Enhanced battery life and advanced sensing capabilities

High-End CRT-D with Remote Monitoring

Includes remote patient monitoring & advanced diagnostic features

MRI-Compatible CRT-D Device

Safe for MRI scans with specialized hardware

CRT-D Implantation Cost starts from $7000 US dollars

Factors Affecting the Cost of CRT-D Implantation in India

  • Type and model of CRT-D device (standard vs advanced / MRI-compatible)

  • Device brand and technology features

  • Patient’s heart condition and complexity of disease

  • Number and type of leads required

  • Choice of hospital and city

  • Length of hospital stay and ICU monitoring

  • Pre-implant diagnostic tests and evaluations

  • Post-implant programming and follow-up care

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Symptoms That May Indicate the Need for CRT-D

Patients who may benefit from CRT-D implantation often experience moderate to severe heart failure symptoms, such as:

  • Shortness of breath, especially during activity or while lying down

  • Persistent fatigue and weakness

  • Swelling in the legs, ankles, or abdomen

  • Irregular or rapid heartbeat (palpitations)

  • Reduced exercise tolerance

  • Frequent dizziness or near-fainting episodes

  • Difficulty performing daily activities

Risk Factors That Increase the Need for CRT-D

Certain medical conditions and clinical findings increase the likelihood of requiring CRT-D therapy:

  • Heart failure with reduced ejection fraction (≤ 35%)

  • Bundle branch block or electrical conduction delays

  • Dilated or ischemic cardiomyopathy

  • History of dangerous ventricular arrhythmias

  • Previous heart attack with heart muscle damage

  • Enlarged or weakened heart chambers

  • Symptoms not controlled by medications alone

CRT-D vs ICD vs CRT-P – Comparison 

Feature

CRT-D

ICD (AICD)

CRT-P

Full Form

Cardiac Resynchronization Therapy with Defibrillator

Implantable Cardioverter Defibrillator

Cardiac Resynchronization Therapy Pacemaker

Primary Purpose

Improves heart failure symptoms and prevents sudden cardiac arrest

Prevents sudden cardiac arrest from dangerous arrhythmias

Improves heart pumping efficiency in heart failure

Heart Failure Support

Yes

No

Yes

Defibrillator Protection

Yes

Yes

No

Pacing Function

Yes

Limited

Yes

Typical Candidates

Heart failure + low EF + arrhythmia risk

High arrhythmia / sudden death risk

Heart failure + ventricular dyssynchrony

Shock Delivery

Yes

Yes

No

Symptom Improvement

Significant

Limited

Significant

Device Complexity

High

Moderate

Moderate

Diagnostic Tests for CRT-D Implantation & Cost in India (USD)

Diagnostic Test

Purpose

Electrocardiogram (ECG)

Evaluates heart rhythm and electrical conduction abnormalities

Echocardiography (2D Echo)

Measures heart function and ejection fraction

Doppler Echocardiography

Assesses blood flow dynamics and ventricular function

Holter Monitoring (24–48 hrs)

Detects intermittent arrhythmias and conduction issues

Cardiac MRI (if required)

Provides detailed structural and functional heart assessment

CT Coronary Angiography (if required)

Evaluates coronary artery disease before implantation

Electrophysiology (EP) Study

Analyzes electrical pathways and arrhythmia risk

Blood Tests

Checks kidney function, electrolytes, infection risk, clotting profile

Chest X-ray

Assesses heart size and lung condition prior to implantation

The diagnostic cost  for CRT-D Implantation is - $800-$1000 US Dollars

Why Choose India for CRT-D Implantation?

  • Significant cost savings compared to the US, UK, and Europe

  • Access to advanced CRT-D devices with latest technology

  • Highly experienced cardiac electrophysiologists and heart specialists

  • Internationally accredited hospitals with modern cardiac ICUs

  • High success rates following globally accepted clinical protocols

  • Short waiting times for diagnosis and implantation

  • Comprehensive support for international patients, including visa assistance, travel coordination, and recovery care

Best Hospitals for CRT-D Implantation Treatment  in India

Best Doctor for CRT-D Implantation Treatment in India

Dr. Yatin Arora
Dr. Yatin Arora Senior Consultant Cardio Thoracic Vascular Surgery Book Online Consultation
Dr. Anil Saxena
Dr. Anil Saxena Executive Director - Cardiology Book Online Consultation
Dr. Kamal Gupta
Dr. Kamal Gupta Principal Consultant - Cardiology Consult Online @ USD 20
Dr. Anil Potdar
Dr. Anil Potdar Director and Head of Cardiology Department​ Book Online Consultation

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