Why Cardiologists Refer to HRHF Clinic ?

Electrophysiology is a subspecialty that demands both volume and technology. The outcomes your patients achieve depend directly on how many procedures a centre performs, what mapping systems are available, and whether the operating physician is a dedicated EP specialist or a general cardiologist covering multiple disciplines.

HRHF Clinic was built around a single commitment: to bring the highest standard of EP and Heart Failure care to patients across Western India — and to give referring cardiologists a partner they can trust completely. Dr. Rajesh Dhopeshwarkar has trained at AIIMS New Delhi, holds the FHRS credential, and has spent two decades building one of the highest-volume independent EP programmes in the country.

When you refer to HRHF Clinic, your patient is in the hands of a specialist whose entire practice is built around the condition you are referring for.

Three Commitments to Every Referring Physician

  • Direct Access to Dr. Dhopeshwarkar

    Contact Dr. Dhopeshwarkar directly for pre-referral case discussion — before you commit to a referral. We respond within the same working day. Complex cases welcome.

  • Complete Documentation, Every Time

    Every referred patient is returned to your care with full procedure notes, device implant records, post-procedure instructions, and a structured follow-up plan — without exception.

  • Your Patient Relationship Is Respected

    We are your EP partner. Your patients will receive excellent Arrhythmia care. We send all patients back to their primary Doctor after the treatment is complete

Referral Indications — Full Procedural Scope

We accept referrals for all EP and Heart Failure device indications. The following table summarises our procedural scope and available technology.

Procedure / IndicationWhat We OfferTechnology
Atrial Fibrillation – Paroxysmal & PersistentPulmonary vein isolation (PVI), wide area circumferential ablation, posterior wall isolation, touch-up proceduresCarto 3D mapping; PFA (coming soon)
Ventricular Tachycardia (VT) AblationScar-based VT, idiopathic VT, VT storm, epicardial access where requiredCarto 3D electroanatomic mapping
SVT AblationAVNRT, AVRT (including WPW), atrial tachycardia, cavotricuspid isthmus flutterRF ablation; 3D mapping for complex cases
Pacemaker ImplantationSingle, dual chamber, His bundle pacing, leadless pacing (Micra)Full device support
ICD ImplantationPrimary and secondary prevention of sudden cardiac death, S-ICDFull device support
Cardiac Resynchronisation Therapy (CRT)CRT-P and CRT-D for heart failure with LBBB / wide QRSCarto guidance available
Implantable Loop Recorder (ILR)Cryptogenic stroke, unexplained syncope, AF monitoringMedtronic Reveal LINQ / equivalent
Electrophysiology Study (EPS)Diagnostic EPS for unexplained syncope, palpitations, risk stratificationFull EP laboratory
Heart Failure Device AssessmentCRT upgrade, device optimisation, lead extraction consultationMultidisciplinary approach

How to Refer — Four Simple Steps

We have designed our referral pathway to be as frictionless as possible. Most referrals are confirmed and scheduled within 48 hours.

  1. Contact Us Directly

    Call +91 96571 38400 or use the referral form below. For complex cases, WhatsApp or call Dr. Dhopeshwarkar directly for a pre-referral case discussion. We do not require a formal letter before initial contact.

  2. Share Clinical Summary

    Send a brief clinical summary — diagnosis, relevant investigations (ECG, Holter, echo, prior procedure reports), and your clinical question. Email or WhatsApp accepted. We acknowledge all referrals within the same working day.

  3. Patient Appointment Confirmed

    We contact the patient directly to schedule the consultation or procedure. We keep you informed of the appointment date. For urgent cases, same-week scheduling is routinely available.

  4. Full Feedback Report Returned to You

    After every consultation and procedure, we send a complete report to the referring physician — including diagnosis, procedure performed, device details where applicable, discharge summary, and follow-up plan. Your patient returns to your ongoing care.

The Technology Behind Better Outcomes

In Electrophysiology, the quality of the mapping system directly influences procedural outcomes. Ablation performed without 3D electroanatomic guidance relies on fluoroscopy alone — increasing radiation exposure, reducing accuracy, and limiting the complexity of cases that can be safely addressed.  HRHF Clinic operates with the Carto 3D mapping system at NM Wadia Institute of Cardiology — the global standard for complex ablation. This allows us to take on cases that cannot be done safely without it, including scar-based VT, complex AF, and re-do ablation procedures.

  • Carto 3D Electroanatomic Mapping

    Precise 3D reconstruction of cardiac chambers. Real-time catheter visualisation. Lesion tagging and contact force monitoring. Essential for complex AF, VT, and re-do cases.

  • Pulsed Field Ablation (PFA)

    Next-generation ablation modality. Tissue-selective energy delivery with reduced risk of oesophageal, phrenic nerve, and pulmonary vein stenosis complications compared to thermal ablation. HRHF Clinic is establishing PFA capability as it becomes available in India.

A Teaching Centre Holds Itself to a Higher Standard

HRHF Clinic runs a structured one-year fellowship in clinical electrophysiology — one of the few dedicated EP training programmes in western India. The existence of this programme means our protocols, documentation standards, and procedural discipline are maintained at an academic benchmark. When you refer to a teaching centre, you refer to a centre that documents everything, follows evidence-based protocols, and is accountable for its outcomes in a way that general clinical practice rarely demands.

Where We Operate

  • Address: C2, Third Floor, Minar Apartments Law College Road, opp. Maruti Showroom Pune, Maharashtra 411004
  • +91 96571 38400
  • cardiologypune@gmail.com

NM Wadia Institute of Cardiology

NM Wadia Institute of Cardiology, Pune — Full EP procedural centre, Carto 3D mapping, AF / VT ablation, device implantation, PFA (coming soon).

+91 96571 38400
Referrals & procedure bookings via Law College Road clinic.

Refer a Patient

Complete the form below and we will contact you within one working day to confirm the referral and schedule the patient's appointment. For urgent cases, please call directly: +91 96571 38400.

    Our Approach to Collaboration

    HRHF Clinic actively assesses your patient and subsequently delivers effective treatment. That enhances patient trust in the primary Doctor. Our relationship is built on clinical outcomes, communication and trust. We believe that is the only foundation to build on. Please contact Dr. Dhopeshwarkar directly for any queries

    Fellowship in Clinical Cardiac Electrophysiology & Pacing

    Internationally Recognised Programme

    The HRHF Clinic Fellowship in Clinical Cardiac Electrophysiology & Pacing is listed in the Heart Rhythm Society's global fellowship training repository — one of a very small number of programmes in India to carry this recognition. The Heart Rhythm Society is the world's leading professional organisation for cardiac electrophysiology, and its fellowship registry is the international benchmark for EP training programme standards.

    Where Our Fellows Come From

    The calibre of a training programme is reflected in the doctors it attracts. Every fellow who has trained at HRHF Clinic has been a qualified DM or DNB Cardiologist from a nationally recognised institution — and three of our five fellows have been AIIMS New Delhi graduates.

    YearFellowQualificationTraining Institution
    2022Dr. Sampath KumarDM CardiologyAIIMS, New Delhi
    2023Dr. Sumit KumarDM CardiologyAIIMS, New Delhi
    2024Dr. Chinmay ParaleDM CardiologyJIPMER, Pondicherry
    2025Dr. Avishkar AgrawalDM CardiologyAIIMS, New Delhi
    2026 (Current)Dr. Anuja GadreDM CardiologyPGIMER, Chandigarh

    What You Will Train In — Minimum Procedural Numbers

    Over the course of twelve months, each fellow assists and progressively performs the following procedures under direct supervision. These are minimum numbers — in practice, fellows at HRHF Clinic routinely exceed them given the centre's procedural volume.

    Procedure CategoryMinimum Cases
    Conventional Electrophysiologic Studies (EPS) & Radiofrequency Ablation250
    3D Electroanatomic Mapping & Complex Arrhythmia Ablation (Carto)100
    Device Implantation — Pacemakers, ICDs, CRT-P/D, Left Bundle Pacing100
    Total Minimum Procedures350+

    What You Will Train In — Minimum Procedural Numbers

    Over the course of twelve months, each fellow assists and progressively performs the following procedures under direct supervision. These are minimum numbers — in practice, fellows at HRHF Clinic routinely exceed them given the centre's procedural volume.

    Procedure CategoryMinimum Cases
    Conventional Electrophysiologic Studies (EPS) & Radiofrequency Ablation250
    3D Electroanatomic Mapping & Complex Arrhythmia Ablation (Carto system)100
    Device Implantation — Pacemakers, ICDs, CRT-P/D, Left Bundle Pacing100
    Total Minimum Procedures350+
    • Minimum 350+ unique procedures (actual volumes significantly higher due to centre’s high throughput).

    How to Refer — Four Simple Steps

    We have designed our referral pathway to be as frictionless as possible. Most referrals are confirmed and scheduled within 48 hours.

    1. Contact Us Directly

      Call +91 96571 38400 or use the referral form below. For complex cases, WhatsApp or call Dr. Dhopeshwarkar directly for a pre-referral case discussion. We do not require a formal letter before initial contact.

    2. Share Clinical Summary

      Send a brief clinical summary — diagnosis, relevant investigations (ECG, Holter, echo, prior procedure reports), and your clinical question. Email or WhatsApp accepted. We acknowledge all referrals within the same working day.

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    3. Patient Appointment Confirmed

      We contact the patient directly to schedule the consultation or procedure. We keep you informed of the appointment date. For urgent cases, same-week scheduling is routinely available.

    4. Full Feedback Report Returned to You

      After every consultation and procedure, we send a complete report to the referring physician — including diagnosis, procedure performed, device details where applicable, discharge summary, and follow-up plan. Your patient returns to your ongoing care.

    How the Year Is Structured

    • Outpatient & Ward

      Fellows are integrated into the full clinical workflow: outpatient arrhythmia service, device clinic, pre‑procedure evaluation, patient counselling, post‑procedure assessment, and support to cardiology residents managing arrhythmias in emergencies and inpatients.

    • Cath Lab & Procedural

      Progressive supervised training: conventional EPS and ablation, 3D mapping (Carto), pacemaker/ICD/CRT implantation. EP and device procedures at satellite centres across western India give exposure to a diverse patient population.

    • Academic Duties

      Weekly presentation of a clinical EP topic — systematic coverage of the full curriculum over twelve months. Research study completion and abstract submission to a national/international meeting. All conference expenses borne by the programme.

    • Logbook & Certification

      Formal procedural logbook documenting every case. Certification awarded after competency assessment — not automatically. The certificate is a statement of demonstrated competence, not merely programme completion.

    The Fellowship Year — January to December

    PeriodFocus & Milestones
    Jan – MarFoundation & Orientation
    Clinical integration — outpatient clinic, device clinic, ward support. Procedural observation and first assistantships. Weekly academic presentations begin. Logbook initiated.
    Apr – JunBuilding Procedural Volume
    Progressive transition to supervised independent procedure performance in conventional EPS and ablation. 3D mapping cases introduced under close supervision. Research project identified and begun.
    Jul – SepComplex Case Exposure
    3D mapping and complex ablation — AF, VT, re-do procedures. Device implantation volume builds. Satellite centre visits. Research study data collection.
    Oct – NovConsolidation & Independence
    Fellow performing procedures with increasing independence. Research study completed and abstract submitted. Competency assessment preparation.
    DecemberCompetency Assessment & Certification
    Formal procedural and clinical competency review by programme director. Logbook audit. Fellowship Certificate awarded if competency standards met. Conference presentation if accepted.

    Programme Terms & Support

    TermDetails
    DurationOne year — 1st January to 31st December
    IntakeOne fellow per year. Candidates who do not meet the required standard are not admitted — maintaining programme quality.
    Monthly Stipend₹75,000 per month
    AccommodationResidence provided in a reasonable locality — or ₹15,000 per month rent allowance where applicable
    Performance IncentivesAdditional work‑based incentives may be available
    Conference SupportExpenses for national or international conference presentation of research project borne by the programme
    LogbookMandatory procedural logbook maintained throughout the year
    CertificationFellowship certificate awarded upon successful competency assessment — not automatic on programme completion

    Who Should Apply

    Eligibility Criteria

    The HRHF Fellowship is open to cardiologists who hold a DM or DNB in Cardiology from an MCI/NMC‑recognised institution. Applicants must be proficient in the fundamentals of cardiology and catheterisation procedures. We are looking for candidates who are serious about building a career in electrophysiology — not those seeking a credential to supplement a general cardiology practice. The programme is intensive, the case exposure is high, and the expectations are those of a future subspecialist.

    Selection Process

    Selection is based on a written MCQ examination and a personal interview with Dr. Dhopeshwarkar. Candidates are assessed on clinical knowledge, procedural aptitude, and — critically — patient care ethic and professional conduct. If no applicant meets the required standard in a given cycle, no fellow is appointed. This is not a formality: it has been applied.

    Dr. Rajesh Dhopeshwakar

    Your Supervisor — Dr. Rajesh Dhopeshwarkar

    Dr. Rajesh Dhopeshwarkar is the Programme Director and primary supervising physician for all HRHF fellows. He completed his DM in Cardiology at AIIMS New Delhi and subsequently trained in Clinical Cardiac Electrophysiology, Heart Failure Device Implants, and Coronary Interventions at the University of Toronto, Canada. He holds the FHRS (Fellow of the Heart Rhythm Society) and CEPS credentials — the latter recognising certified competence in cardiac electrophysiology pacing — and has practised as a dedicated electrophysiologist in Pune for over two decades. Fellows train directly alongside Dr. Dhopeshwarkar. There are no intermediary supervisors, no delegation to junior staff, and no ambiguity about who is responsible for your training.

    MD DM Cardiology (AIIMS, New Delhi) FHRS CEPS Fellowship — University of Toronto (EP, Heart Failure Devices, Coronary Interventions)

    Apply for the 2027 Fellowship

    Applications for the 2027 intake (commencing 1st January 2027) are now open. Complete the form below — shortlisted candidates will be contacted for the written examination and interview.

    Questions About the Programme?

    For informal enquiries about the fellowship — programme structure, case volumes, or the selection process — contact Dr. Dhopeshwarkar directly.

    • cardiologypune@gmail.com
    • +91 96571 38400