Cardiac Resynchronization

Introduction

Cardiac Resynchronization Therapy (CRT) — also known as biventricular pacing — is an advanced heart device treatment that helps both sides of the heart beat in a coordinated way.
CRT is used for patients with heart failure, reduced pumping function, left bundle branch block (LBBB), and arrhythmias that prevent the heart from beating efficiently.
Türkiye is a top destination for CRT implantation due to its expert cardiologists, advanced heart rhythm technology, and internationally accredited hospitals.
Averia Health ensures your entire heart treatment journey is safe, coordinated, and fully supported.

Why Choose Türkiye for CRT

Türkiye is internationally recognized for cardiac device therapy because:

• Experienced electrophysiologists and heart failure specialists
• Modern EP labs and advanced device programming technology
• High-quality CRT-P and CRT-D devices from top brands (Medtronic, Abbott, Boston Scientific)
• Superior outcomes for heart failure patients with LBBB
• Internationally accredited cardiac centers
• Affordable treatment compared to Europe, UK, and US
• Strong follow-up and device monitoring programs

Türkiye provides world-class care for advanced heart failure and arrhythmias.

Why Choose Averia Health

Averia Health guides your CRT journey with clarity and confidence:

• Pre-arrival review of ECG, echocardiogram, Holter, and cardiology notes
• Referral to top cardiac device specialists in Türkiye
• Transparent explanation of CRT-P vs CRT-D options
• Full coordination of hospital care, logistics, and follow-ups
• Private transfers to all medical visits
• Interpreter assistance throughout your stay
• 24/7 support for peace of mind
• Long-term follow-up guidance after returning home

We provide professional, end-to-end heart care support.

What Cardiac Resynchronization Therapy Treats

CRT is recommended for patients with:

• Heart failure with reduced ejection fraction (HFrEF)
• Left bundle branch block (LBBB)
• QRS prolongation (>120–150 ms)
• Poor heart synchronization (dyssynchrony)
• Shortness of breath, fatigue, and reduced exercise tolerance
• Arrhythmias combined with heart failure
• Previous pacemaker-related dyssynchrony

CRT helps the heart pump more effectively by restoring coordination.

Types of CRT Devices

CRT-P (Biventricular Pacemaker)

Coordinates the pumping of both ventricles.
Ideal for patients without significant arrhythmia risk.

CRT-D (Biventricular Pacemaker with Defibrillator)

Provides resynchronization + shock therapy for ventricular tachycardia/fibrillation.
Recommended when arrhythmia risk is high.

MRI-Compatible CRT Devices

Allow future MRI scans safely.

Lead Positioning

Three leads are placed:

• Right atrium
• Right ventricle
• Left ventricle (via coronary sinus)

This ensures synchronized contraction of the heart.

How CRT Works

1. Local Anesthesia & Sedation

You remain comfortable throughout the procedure.

2. Small Chest Incision

Usually made below the collarbone.

3. Lead Placement

Three leads are guided through veins into the heart.

4. Device Implantation

The CRT generator is placed under the skin.

5. Device Programming

The cardiologist synchronizes heartbeats to improve pumping.

Duration

Typically 2–3 hours, depending on anatomy.

Treatment Journey in Türkiye

1. Pre-Arrival Consultation
   You share ECG, echo, Holter, and medical reports.
2. Specialist Evaluation
   A cardiologist confirms if CRT is the best therapy.
3. Travel Planning & Scheduling
   Averia Health organizes your hospital admission and procedure date.
4. Arrival in Türkiye
   Airport pickup and transfer to your hotel or hospital.
5. Pre-Procedure Tests
   Blood tests, ECG, chest X-ray, and any additional imaging.
6. CRT Device Implantation
   Performed under local anesthesia with sedation in an advanced EP lab.
7. Hospital Monitoring
   Patients typically stay 24–48 hours for rhythm checks.
8. Device Programming & Education
   Your cardiologist ensures the device is properly adjusted.
9. Follow-Up & Return Home
   You receive detailed instructions and remote support.

Expected Results & Benefits

• Improved heart pumping efficiency
• Reduced shortness of breath
• Less fatigue and better daily function
• Fewer hospitalizations for heart failure
• Stabilized heart rhythm
• Improved quality of life
• Increased survival in selected patients
• Long-term device reliability

Many patients experience major improvements within weeks.

Risks & Considerations

CRT implantation is safe but may include:

• Minor swelling or discomfort at incision site
• Lead displacement (rare and correctable)
• Rare infection at the device pocket
• Temporary arrhythmias
• Battery replacement needed after 6–10 years (depending on model)
• Very rare risk of vein or heart tissue irritation

Türkiye’s cardiac centers follow strict international safety protocols.
Your specialist will explain all risks clearly.

What’s Included in Your Medical Trip

• Airport pickup & drop-off
• Hotel or hospital accommodation support
• Private transfers
• Interpreter services
• Pre-procedure testing
• CRT implantation & device programming
• Post-operative monitoring
• Medication adjustments
• 24/7 support during your stay
• Long-term follow-up support

Averia Health ensures your CRT treatment is safe, smooth, and fully supported.

Frequently Asked Questions

How long do I need to stay in Türkiye?
Usually 5–7 days including follow-up.

Is CRT painful?
Only mild discomfort at the incision site.

How soon will I notice improvement?
Often within weeks, sometimes sooner.

Can I exercise with a CRT device?
Yes — after recovery and with your cardiologist’s guidance.

How long does a CRT battery last?
On average 6–10+ years.

Is the device visible under the skin?
It may be slightly noticeable in thin patients, but usually discreet.

Ready to Start Your Heart Health Journey?

Improve your heart function and quality of life with advanced CRT therapy in Türkiye.
Request a free quote or contact us on WhatsApp to plan your treatment today.