As of 2023, the number of arrhythmia heart specialists in Indonesia is still relatively low, with fewer than 50 doctors available. However, arrhythmia is one of the most common heart disorders. Without proper treatment, this condition can lead to cardiac arrest and even death. The good news is that there is now an arrhythmia heart specialist in Jakarta who can be found at Mandaya Royal Hospital Puri—Dr. Sebastian Andy Manurung, Sp. JP, Subsp. Ar(K), FIHA.
Meet Dr. Sebastian, Arrhythmia Heart Specialist at Mandaya Royal Hospital Puri
To become a consultant cardiologist specializing in arrhythmia, Dr. Sebastian had to pursue advanced education in electrophysiology—a field that studies the heart’s electrical system in detail. He is one of the few consultant cardiologists for arrhythmia in Indonesia.
Dr. Sebastian, who practices at Mandaya Royal Hospital Puri, is also actively involved in both local and international seminars, training, and courses, such as:
- Oral Presentation at the 10th Annual Scientific Meeting (ASM) Indonesian Heart Rhythm Society (InaHRS), August 17–19, 2023, in Jakarta: “Successful Ablation of Scar-related Ventricular Tachycardia using Decremental Evoke Potential Mapping in Patient with Ischemic Cardiomyopathy.”
- Oral Presentation at the 16th APHRS & CardioRhythm 2023, September 1–3, 2023, in Hong Kong: “Left Bundle Area Pacing with Manual Approach in Pediatric Patients: Case Series.” and “Successful Ablation of Scar-related Ventricular Tachycardia using Decremental Evoke Potential Mapping in Patient with Ischemic Cardiomyopathy.”
- Poster Presentation at the same event: “Detrimental Effect of Oral Anticoagulation Cessation During LAA Closure.”
- Poster Presentation at the 10th Asia Pacific Congress of Hypertension 2014, Cebu, Philippines: “Factors Affecting Uncontrolled Hypertension in Chronic Kidney Disease Patients.”
With his experience and expertise in arrhythmia, Dr. Sebastian is a great asset for arrhythmia patients in Indonesia.
Procedures Performed by Dr. Sebastian at Mandaya Royal Hospital Puri
As a consultant cardiologist for arrhythmia, Dr. Sebastian can perform a wide range of treatments for irregular heart rhythm disorders, including:
1. 2D & 3D Heart Ablation
Heart ablation is a procedure used to stop or prevent irregular heartbeats (arrhythmias). Arrhythmias occur when the heart’s electrical signals do not function properly, causing the heart to beat too fast, too slow, or irregularly.
Symptoms of arrhythmia may include:
- Heart palpitations
- Dizziness or lightheadedness
- Frequent fainting
- Shortness of breath
- Chest discomfort
- Fatigue or weakness
To treat arrhythmia, Dr. Sebastian can perform both 2D and 3D heart ablation at Mandaya Royal Hospital Puri. This procedure uses heat or cold energy to create scar tissue in the heart that blocks faulty electrical signals. Once these signals are blocked, the heart can return to a normal rhythm.
2. PFA (Pulse Field Ablation) Heart Ablation
Dr. Sebastian is also able to perform Pulse Field Ablation (PFA), a method used specifically to treat atrial fibrillation (AFib)—a type of arrhythmia that causes a fast and irregular heartbeat. AFib can lead to blood clots in the heart, increasing the risk of stroke, heart failure, and other heart-related complications.
Symptoms of AFib include:
- A racing or fluttering heartbeat
- Chest pain
- Dizziness
- Fatigue
- Decreased exercise ability
- Shortness of breath
- Weakness
PFA begins similarly to 2D/3D ablation, where a catheter is inserted through the groin to reach the heart. However, PFA uses a multipoint or multipolar catheter that delivers electrical energy instead of heat or cold.
Advantages of PFA include:
- Shorter procedure time (around 2 hours)
- Less anesthesia required
- Safer for surrounding tissue
- Faster recovery
- Longer-lasting results
In the United States, PFA is already being used at major hospitals such as UCHealth, MedStar Washington Hospital Center, Saint Luke’s Health System, Cleveland Clinic, Mayo Clinic, and more.
3. Implantation of the World’s Smallest Pacemaker
In addition to ablation, Dr. Sebastian also performs pacemaker implantation—a device used to help regulate the heartbeat, especially in cases of bradycardia (slow heart rhythm) or other irregular rhythms.
Dr. Sebastian recently successfully implanted the smallest pacemaker in the world, the Micra, at the Mandaya Royal Hospital Puri’s Arrhythmia Center. The Micra weighs only 2 grams and measures 2.59 mm in height and 6.7 mm in width.
Mandaya Royal Hospital Puri also offers pacemakers from various brands, including Medtronic, Biotronik, Boston Scientific, and St. Jude Medical.
4. Pacemaker Checkups and Reprogramming
Dr. Sebastian is also skilled in checking and reprogramming pacemakers, a crucial aspect of device maintenance to ensure optimal function.
Pacemakers typically last 5–10 years. However, regular follow-ups are needed to verify their performance. Undetected issues can cause the heart to beat abnormally again, potentially leading to serious complications.
If you would like to consult with Dr. Sebastian regarding arrhythmia, heart ablation, or pacemaker procedures, you can visit Mandaya Royal Hospital Puri. Use the WhatsApp chat, Book Appointment feature, or the Care Dokter app, available on Google Play and App Store, to simplify your visit, check queue numbers, and access more detailed information.