Comprehensive Care

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

Conditions We Treat

From common arrhythmias to the most complex rhythm disorders — we treat the full spectrum with advanced electrophysiology and heart failure expertise

  • 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.

Procedures & Technology

We invest in the technology our patients need — so that every procedure is performed with the precision, safety, and accuracy that modern electrophysiology and interventional cardiology demand.

Precision & Technology

The quality of the mapping system, ablation energy, and device technology directly influences procedural outcomes. HRHF Clinic spares no effort in adopting innovations that improve safety and efficacy for our patients. Dr. Rajesh Dhopeshwarkar personally performs all procedures, leveraging these technologies to achieve optimal outcomes.

  • Carto 3D Electroanatomic Mapping

    The global standard for complex ablation procedures. Creates a precise 3D model of the heart's electrical system, enabling accurate targeting of arrhythmia sources — especially for AF, VT, and re‑do cases. Now installed at our NM Wadia centre.

  • Pulsed Field Ablation (PFA)

    The most significant advance in ablation technology in a decade. Tissue‑selective, non‑thermal energy delivery with superior safety profile for AF ablation. HRHF Clinic is establishing PFA capability as it becomes available in India.

  • Radiofrequency & Cryoablation

    Established thermal ablation technologies with decades of safety data. We use both modalities depending on arrhythmia substrate, patient anatomy, and clinical indication — for AF, SVT, flutter, and VT.

  • Leadless Pacemaker (Medtronic Micra)

    Miniaturised pacemaker implanted directly inside the heart — no leads, no surgical pocket. Dr. Dhopeshwarkar is a certified Medtronic national proctor, training cardiologists across India in this advanced technique.

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  • Conduction System Pacing

    His‑bundle, left bundle branch, and Bachmann bundle pacing. The most physiological pacing approach, preserving natural electrical activation. Over 100 cases performed — the highest volume in western Maharashtra.

  • CRT & ICD Implantation

    Cardiac resynchronisation therapy (CRT‑P/D) for heart failure, and implantable cardioverter‑defibrillators (including S‑ICD) for sudden death prevention. Full device programme with intraoperative testing and optimisation.

  • Complex Coronary Intervention

    Rotational atherectomy (Rotablation), intravascular ultrasound (IVUS), intravascular lithotripsy (IVL), and Impella‑supported high‑risk PCI. Dr. Dhopeshwarkar has performed over 1,000 complex PCIs.

  • Implantable Loop Recorder (ILR)

    Reveal LINQ / equivalent devices for long‑term monitoring of cryptogenic stroke, unexplained syncope, and occult AF. Minimally invasive, office‑based implantation.

Full Spectrum of Procedures

  • Ablation Procedures

    • Atrial Fibrillation (RF + Cryoablation) with 3D mapping
    • Ventricular Tachycardia — scar‑based, idiopathic, VT storm
    • SVT: AVNRT, AVRT (WPW), atrial tachycardia, flutter
    • Complex re‑do ablation procedures
    • Pulsed Field Ablation (coming soon)

  • Device Implantation

    • Pacemakers (single/dual chamber, leadless Micra)
    • Conduction system pacing (His, LBB, Bachmann)
    • ICD (transvenous, subcutaneous S‑ICD)
    • CRT‑P & CRT‑D (cardiac resynchronisation therapy)
    • Implantable Loop Recorder (ILR)

  • Complex Coronary Interventions

    • Rotational atherectomy (Rotablation)
    • Intravascular ultrasound (IVUS)‑guided PCI
    • Intravascular lithotripsy (IVL)
    • Impella‑supported high‑risk PCI
    • Trans‑radial coronary interventions

  • Diagnostic & Other

    • Electrophysiology study (EPS)
    • 3D electroanatomic mapping (Carto)
    • Holter monitoring (24h, 48h, 7‑day)
    • External / implantable loop recorder
    • Tilt table test, 2D echo, TEE, stress echo

Innovation Through Experience

With over 2,000–3,000 EP procedures and 1,000+ complex coronary interventions, Dr. Dhopeshwarkar brings unparalleled experience to every case. His four‑year Toronto fellowship trained him in the latest techniques, and he continues to adopt new technologies as they become available — always with the goal of improving patient outcomes.

Experience the Difference

Whether you are a patient seeking advanced care or a referring doctor looking for a trusted partner, we welcome your enquiry.