An irregular heartbeat, medically known as arrhythmia, is a condition in which the heart does not beat in a normal rhythm. This disorder can occur due to problems in certain parts of the heart, causing the heartbeat to become too fast, too slow, or completely irregular.
Under normal conditions, the heart beats regularly and in a coordinated manner to pump blood throughout the body. When there is a disturbance in the heart’s electrical system or the blood flow it pumps, the heart rhythm can be disrupted. A normal heart rhythm is crucial because the heart plays a vital role in delivering oxygen and nutrients to all parts of the body through the blood it circulates.
At RS Mandaya Royal Puri, this condition can be treated with cardiac ablation, including 2D ablation, 3D ablation, or Pulsed Field Ablation (PFA), depending on the type of arrhythmia experienced by the patient. Cardiac ablation procedures at RS Mandaya Royal Puri are performed by a cardiologist and arrhythmia consultant, dr. Sebastian Andy Manurung, Sp.JP, Subsp. Ar(K), FIHA.
Contents
Symptoms of Irregular Heartbeat (Arrhythmia)
An irregular heartbeat can cause various symptoms, including:
- Palpitations or a sensation of abnormal heartbeats
- Dizziness or lightheadedness
- Fainting or near-fainting episodes
- Shortness of breath
- Chest discomfort or pain
- Weakness and easy fatigue
In some individuals, an irregular heartbeat may occur without causing any symptoms, making it difficult to detect.
Causes of Irregular Heartbeat
Several conditions can cause an irregular heartbeat, including:
- Coronary artery disease
- Disorders of the heart tissue, either due to genetic factors or acquired conditions
- High blood pressure
- Changes in the heart muscle (cardiomyopathy)
- Heart valve disorders
- Electrolyte imbalances in the blood
- Heart damage due to a heart attack
- Recovery phase after heart surgery
- Other medical conditions that affect heart function
What Are the Complications of an Irregular Heartbeat?
If left untreated, an irregular heartbeat can lead to serious complications, such as:
- Weakening of the heart muscle (cardiomyopathy)
- Cardiac arrest
- Stroke
Cardiac Ablation Technology for Treating Irregular Heartbeat at RS Mandaya Puri
The following cardiac ablation technologies are available at RS Mandaya Royal Puri:
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2D & 3D Cardiac Ablation
Mandaya Royal Hospital Puri provides cardiac ablation services using conventional 2D technology as well as advanced 3D cardiac ablation to treat heart rhythm disorders. In both 2D and 3D ablation methods, the arrhythmia trigger areas are treated gradually because they still use a single-point catheter, meaning each abnormal point is corrected one by one over a duration of approximately 3–4 hours.
Both 2D and 3D cardiac ablation utilize heat energy known as radiofrequency ablation (RFA) or cold energy, also referred to as cryoablation. The choice of energy type is tailored to each patient’s condition and medical needs. The catheter is inserted through a blood vessel in the groin area and guided toward the heart. Once it reaches the target location, heat or cold energy is delivered to create small lesions that block abnormal electrical pathways in the heart.
“With 3D cardiac ablation, it greatly helps guide us as doctors and operators to locate (map) the source of abnormal heart rhythms more precisely and accurately,” said dr. Sebastian.
“This ablation catheter provides one of the answers in treating arrhythmia patients because it offers very promising outcomes. Around 93–95% of patients are completely cured, with no recurrence or relapse,” he added.
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Cardiac Ablation Using the PFA Method
Unlike 2D and 3D cardiac ablation, which use heat or cold energy, Mandaya Royal Hospital Puri also offers cardiac ablation using the PFA method, which is specifically designed to treat atrial fibrillation (AFib) arrhythmia with various advantages. In general, the initial stages of the PFA procedure are similar to conventional ablation, where the catheter is inserted through the groin and guided to the heart.
The main difference lies in the type of catheter and energy used. In the PFA method, doctors use a multipoint or multipolar catheter capable of delivering energy to multiple points simultaneously. The energy used is not heat or cold, but electrical energy, making the procedure significantly more efficient and shorter compared to 2D and 3D cardiac ablation.
“In PFA, the catheter used is a multipolar catheter, allowing energy to be delivered simultaneously,” explained dr. Sebastian.
“Because it delivers a greater amount of ablation energy, the procedure for atrial fibrillation ablation can be much shorter. With 3D RFA, the procedure can take 3–4 hours, whereas with PFA it can be completed in less than 2 hours,” he emphasized.
In addition to a shorter procedure duration, PFA cardiac ablation is also known to have a higher long-term success rate in treating atrial fibrillation arrhythmia compared to other cardiac ablation methods.
Profile and Practice Schedule of dr. Sebastian at RS Mandaya Puri
The Mandaya Cardiac Arrhythmia Center is supported by dr. Sebastian, a cardiologist and vascular specialist with a subspecialty in arrhythmia, who has extensive experience in managing various heart rhythm disorders, including atrial fibrillation (AFib). In his practice, he applies the latest cardiac ablation technology, Pulsed Field Ablation (PFA), and also provides 2D and 3D cardiac ablation procedures for other types of arrhythmias based on medical indications.
With specialized expertise in heart rhythm disorders, dr. Sebastian plays a strategic role in delivering comprehensive and integrated arrhythmia care at RS Mandaya Royal Puri. His educational background began with general medical training at the Faculty of Medicine, Universitas Padjadjaran, followed by specialist training in cardiology and vascular medicine at FKUI / National Cardiovascular Center Harapan Kita. His qualifications were further strengthened after earning the title of arrhythmia consultant from the Indonesian College of Cardiology and Vascular Medicine.
In addition to mastering PFA cardiac ablation as the latest technology, dr. Sebastian is also experienced in performing 3D-mapped cardiac ablation and pacemaker implantation. One of his notable achievements includes the successful implantation of Micra, the world’s smallest pacemaker, in a patient at RS Mandaya Royal Puri. To ensure optimal pacemaker performance, he also provides pacemaker reprogramming services, involving evaluation and adjustment of the device according to the patient’s clinical needs.
dr. Sebastian Andy Manurung, Sp.JP, Subsp. Ar(K), FIHA is available at RS Mandaya Royal Puri on:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Saturday: 13.00 – 17.00 WIB
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