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World’s first successful CSP implantation performed at Medica, Kolkata

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New Delhi: Medica Group of Hospitals, the largest private healthcare network in Eastern India, announced a groundbreaking achievement in cardiology department, by performing the world’s first conduction system pacing (CSP) on a male patient with dextroposition or acquired dextrocardia (a condition where the heart, which is normally positioned on the left side of the chest, shifts to the right side due to external factors such as disease or surgery).

The procedure was performed on 27th May 2024 at Medica Superspecialty Hospital, Kolkata, by Dr. Dilip Kumar, Director of the Cardiac Cath Lab & Senior Consultant Interventional Cardiologist & Electrophysiologist, along with his team, including Dr. Asesh Halder, Consultant, Cardiologist & Electrophysiologist, Medica Superspecialty Hospital, Dr. Anand Kr Pandey, Associate Consultant, Cardiology, Medica Superspecialty Hospital and Dr. Subhro Sekhar Chakraborty, Associate Consultant, Cardiology, Medica Superspecialty Hospital under the Swasthya Sathi Scheme of the Government of West Bengal. At the press conference (Prof.) Dr. Rabin Chakraborty, Senior Consultant, Interventional Cardiologist & Electrophysiologist, Senior Vice Chairman-Head of Cardiology Services, Medica Institute of Cardiac Science (MICS) was also present with the patient and his family to discuss the critical nature of the rarest medical condition.

The patient, 66-year-old, Rejaul Karim hailing from Basirhat, North 24 Parganas, West Bengal had developed childhood tuberculosis, which caused extensive damage to the right lung. The lung parenchyma led to fibrosis, which pulled the heart from the left side to the right. As a result, the patient’s heart has been on the right side since childhood. This condition is quite rare. Unlike dextrocardia, which is a congenital anomaly (from birth), this patient exhibited dextroposition, an acquired form of dextrocardia, but Rejaul has over the years managed his condition well and has been an active person with interest in sports. Since childhood Rejaul had breathing issues which he ignored. As Rejaul’s age approached 60s, he developed a bifascicular block, which is a cardiac conduction disorder that delays or stops electrical signals between the left and right bundle branches. This problem was impacting Rejaul’s wellbeing, as the heart’s lower pumping of chambers (ventricles), was causing it to pump too slowly or out of rhythm (a condition called arrhythmia). ECG revealed above condition, after Rejaul started experiencing recurring episodes of syncope (losing consciousness & muscle strength), necessitating a pacemaker to prevent a complete heart block.

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