Advanced Rhythm Care & Arrhythmia ManagementRestoring Electrical Cadence · AFib, SVT & Stroke Prevention

A racing or fluttering heart is far more than an annoying sensation or an anxiety trigger; it is often a sign of underlying electrical disarray. Cardiac arrhythmias (such as Atrial Fibrillation, SVT, and frequent ventricular ectopy) disrupt the mechanical efficiency of the heart.

When the heart beats erratically or at 150+ beats per minute, the chambers cannot fill properly between strokes. Over time, persistent arrhythmias cause chronic cardiac exhaustion, leading to arrhythmia-induced cardiomyopathy, irreversible chamber enlargement, and heart failure.

At Yashoda Medicity, Indirapuram, Dr. Manish Aggarwal provides an integrated rhythm management program. Combining high-resolution continuous telemetry, electrophysiological evaluation, and structural interventions, our goal is to pinpoint and neutralize electrical instability before permanent heart damage occurs.

Atrial Fibrillation is the most common serious arrhythmia worldwide. Instead of contracting smoothly, the upper chambers quiver chaoticly at up to 400 to 600 electrical impulses per minute. In addition to severe fatigue and exercise intolerance, AFib allows blood to stagnate and pool in the left atrium, multiplying the risk of ischemic stroke by 500%.

Dr. Aggarwal advocates for aggressive early rhythm control. The longer a heart remains in AFib, the more the atrial tissue fibroses and stretches, a phenomenon known as 'AFib begets AFib'. By deploying pharmacological therapy, synchronized electrical cardioversion, and coordinated catheter ablation referral pathways early, we restore natural sinus cadence, preserving the heart's natural pumping power.

In patients with non-valvular AFib, more than 90% of stroke-causing blood clots form in a small, finger-like pouch off the left atrium known as the Left Atrial Appendage (LAA). While oral anticoagulants (blood thinners like Eliquis, Xarelto, or Warfarin) effectively reduce stroke risk, they carry a lifelong penalty of major bleeding complications, gastrointestinal ulcers, and brain hemorrhage risks.

Dr. Manish Aggarwal performs percutaneous Left Atrial Appendage (LAA) Closure using advanced devices such as the Watchman and Abbott Amulet. Through a single femoral vein puncture under echocardiographic guidance, a self-expanding nitinol barrier is implanted across the neck of the appendage, permanently sealing it off.

Within 45 days, the body's natural endothelial cells grow over the device, permanently walling off the clot-forming pouch. Most patients can safely stop oral anticoagulants forever while maintaining world-class protection against debilitating strokes.