Comprehensive Care for Every Cardiac Condition

At HRHF Clinic, our practice is focused exclusively on electrophysiology, conduction system pacing, heart failure devices, and complex coronary intervention. Every patient receives a thorough evaluation and a personalised treatment plan. Dr. Rajesh Dhopeshwarkar’s high‑volume experience ensures that even the most complex cases are managed with precision and confidence. Below is an overview of the conditions we routinely treat

  • Atrial Fibrillation (AF)

    The most common sustained cardiac arrhythmia, AF causes rapid and irregular beating of the atria. It increases the risk of stroke and heart failure.

    • Symptoms: palpitations, fatigue, shortness of breath, dizziness
    • Diagnostics: ECG, Holter monitor, echocardiogram
    • Treatments: rate/rhythm control, catheter ablation (RF or cryo), PFA (coming soon), left atrial appendage closure

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  • Ventricular Tachycardia (VT)

    A fast, abnormal heart rate originating from the ventricles. VT can be life‑threatening and often requires urgent intervention.

    • Symptoms: palpitations, chest pain, syncope, cardiac arrest
    • Diagnostics: ECG, electrophysiology study, cardiac MRI
    • Treatments: antiarrhythmic drugs, catheter ablation (3D mapping), ICD implantation

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  • Supraventricular Tachycardia (SVT)

    A group of arrhythmias originating above the ventricles, including AVNRT, AVRT (WPW), atrial tachycardia, and atrial flutter.

    • Symptoms: rapid palpitations, chest fluttering, anxiety, lightheadedness
    • Diagnostics: ECG, event monitor, EPS
    • Treatments: vagal manoeuvres, medication, radiofrequency ablation (curative in most cases)

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  • Bradyarrhythmias

    Slow heart rhythms due to sinus node dysfunction or heart block. Can cause fatigue, dizziness, and fainting.

    • Symptoms: fatigue, syncope, exercise intolerance
    • Diagnostics: ECG, Holter, loop recorder
    • Treatments: pacemaker implantation (conventional, leadless, or conduction system pacing)

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  • Heart Failure

    A condition where the heart cannot pump enough blood to meet the body's needs. Often associated with rhythm disorders.

    • Symptoms: Shortness of breath, swelling, fatigue
    • Diagnostics:Echo, BNP, Cardiac MRI, Coronary Angiogram
    • Treatments: Medical Therapy, CRT‑P/D, ICD, Device Optimisation

  • Sudden Cardiac Death Prevention

    Risk stratification and ICD implantation for patients with inherited channelopathies, cardiomyopathy, or low ejection fraction.

    • Symptoms: Previous Cardiac Arrest, VT, family history of SCD
    • Diagnostics: EPS, Genetic testing, imaging
    • Treatments: ICD (transvenous or subcutaneous), S‑ICD, lifestyle modification

  • Conduction System Disease

    Disorders affecting the His‑Purkinje system, causing left bundle branch block, wide QRS, and dyssynchrony

    • Symptoms: Heart Failure symptoms, Syncope
    • Diagnostics: ECG, echocardiography
    • Treatments: His‑bundle pacing, left bundle branch pacing, CRT

  • Inherited Arrhythmias

    Genetic conditions such as Long QT syndrome, Brugada syndrome, and ARVC that predispose to life‑threatening arrhythmias.

    • Symptoms: Syncope, family history of SCD
    • Diagnostics:ECG, Drug challenge, genetic testing
    • Treatments: Beta‑blockers, ICD, lifestyle advice

  • Unexplained Syncope & Palpitations

    Episodes of fainting or palpitations require thorough evaluation to rule out dangerous arrhythmias.

    • Symptoms: Fainting, near‑fainting, heart racing
    • Diagnostics: Tilt table test, ILR (implantable loop recorder), EP study
    • Treatments: Tailored to underlying cause

Advanced Diagnostics & Technology

  • Electrophysiology Study (EPS)

    An EPS precisely identifies the origin of arrhythmias. Performed in our state‑of‑the‑art lab at NM Wadia Institute.

  • 3D Electroanatomic Mapping (Carto)

    Creates a detailed 3D map of the heart's electrical activity, enabling targeted ablation with minimal radiation.

  • Implantable Loop Recorder (ILR)

    Long‑term monitoring for unexplained syncope or cryptogenic stroke. Reveal LINQ device implanted in minutes.

  • Pulsed Field Ablation (PFA)

    Next‑generation, tissue‑selective ablation technology — coming soon to HRHF Clinic.

Your Next Step

If you or your patient has been diagnosed with any of these conditions, we are here to help. Dr. Dhopeshwarkar offers direct consultation and expedited pathways for referring physicians.