Dr. Ajay Naik has established a fully equipped CARDIAC ARRHYTHMIA MANAGEMENT CENTER at Ahmedabad. The facility is first of its kind in the state of Gujarat and offers:

1. Electrophysiology studies (EPS)
Electrophysiology (EP) studies are performed in patients with rhythm disturbances of their hearts.

The purpose of this procedure is to study the electrical function of your heart to determine its susceptibility to very fast or very slow rhythms which may need specific treatment. Cardiac ablation may then be performed to prevent recurrence of the rhythm abnormality.

2. Radiofrequency ablation (RFA) of complex cardiac arrhythmias.

Radio Frequency Ablation (RFA) is a procedure in which areas causing stray electrical impulses are burned, creating new pathways for the impulses. By scarring this and other affected areas, a new pathway for the electrical impulses is created, thus curing arrhythmia.

3. Pacemaker Implantation therapy (single, dual chamber and multi-site pacing).
A pacemaker is implanted to treat bradycardia (an abnormally slow heart rate). Pacemakers can also adjust the heart rate to meet the body's needs, whether during exercise or rest. Implantation of a pacemaker involves positioning leads (thin, insulated wires) in the heart and placing the device in a pocket of skin, usually in the shoulder area. Typically the implant procedure involves only local anaesthetics and a sedative, rather than general anaesthesia. Most people have a fairly quick recovery after a pacemaker implant.

4. (Cardiac Resynchronization Therapy) for heart failure.
A heart failure device also called a CRT device, stands for cardiac resynchronization therapy. It gets its name because the device helps "resynchronize," or re-coordinate, the pumping of

the ventricles. In this way the device can help relieve some symptoms of heart failure, such as fatigue and shortness of breath.

Sometimes a heart failure device is also called a biventricular pacemaker, since it delivers low-energy "pacing" to both of the ventricles.

5. Automatic Implantable Cardioverter Defibrillator (AICD) for VT.
An implantable cardioverter defibrillator (ICD) is an electronic device that prevents your heart from beating too quickly as a result of an abnormal heart rhythm known as a tachyarrhythmia. The ICD consists of two parts: a generator containing the battery, capacitors and electronic circuits, and one or more insulated electrodes.

The ICD monitors your heart rhythm continuously and can detect abnormal fast heart rhythms and deliver a rapid burst of impulses to your heart or a shock to bring the heart rhythm back to normal. There is also provision for stimulation of your heart to prevent abnormally slow heart rhythms as well, thus acting like a standard pacemaker.

6. Comprehensive Device Follow up Clinic (Pacemaker, CRT, AICD)

Pacemakers, Implantable Cardiac Defibrillators, etc need to be tested frequently. 6 to 12 weeks after implantation you will come back for your first check-up. During this visit the area where the pacemaker was implanted will be checked for infection. Depending on the type of device that you received you will be followed-up every 3, 6 or 12 months.

7. Computerized ECG processing for electronic ECG data storage for a lifetime.

8. Signal Averaged ECG for late potential evaluation

Signal Averaged ECG evaluates the heart's functioning by viewing its electrical activity. It is similar to a standard Electrocardiogram (EKG), but provides greater in-depth information by collecting many heart beats and analyzing them together

9. Tilt Table Test (TTT) for diagnosis in pre-syncope and syncope.

10. Holter study

Holter Monitoring involves a continuous ECG recording of cardiac rhythm for 24 hours or longer during the patient's activities of daily living. Multi-channel analysis of heart rate and rhythm allows the physician to correlate patient symptoms with objective evidence of any underlying cardiac rhythm abnormality.

The investigation is widely used to determine the origin of palpitations, investigate the causes of dizziness and blackouts, assess heart rate control with underlying atrial fibrillation and determine the need for pacemaker treatment or anti-arrhythmic therapy.

11. Event recorder for evaluation of infrequent symptoms
An Event Recorder is a small device, no larger than a mobile phone, which is worn for between 1 and 3 weeks to record heart rhythms when activated by the patient.

You may be requested this test if you suffer palpitations (where your heart beats excessively or abnormally), to determine if your heart goes "too fast" or "too slow", to investigate dizziness, light-headedness or blackouts, to test the effects of some cardiac medications or if you have a known cardiac condition.

12. Treadmill test (TMT) for arrhythmias and ischemia during exercise.

This is the most widely used screening test for cardiac disease, and is an important and accurate way of assessing how the heart works when placed under a 'load'. Abnormalities of the heart are frequently recognised in this way.

13. Non-invasive EP testing (NIEPS) for evaluation of AICD function.

14. Clinical management of complex cardiac arrhythmias.