NIMS doctors perform heart procedures on two teenagers using advanced 3D mapping

The Nizam's Institute of Medical Sciences (NIMS), Hyderabad has successfully performed complex radiofrequency ablation (RFA) procedures to treat supraventricular arrhythmias in two young boys.
Radiofrequency Ablation (RFA) is a procedure that treats abnormal heart rhythms by using heat to destroy small areas of faulty heart tissue. Doctors insert thin wires into the heart to find and fix the spot causing the problem.
Under a team led by cardiologist Dr. Oruganti Sai Satish, who specialises in electrophysiology, the institute treated a 15-year-old from Khammam and a 14-year-old from Hyderabad, both of whom were battling life-disrupting heart rhythm disorders, the hospital said.
The first case involved a teenager from Khammam who had suffered recurrent palpitations, chest discomfort, and sweating since early childhood. Despite long-term medication, his symptoms persisted. Investigations revealed that he had a rare condition, right-sided heart orientation and reversed positions of internal organs, along with Wolff-Parkinson-White (WPW) syndrome, an abnormal electrical pathway in the heart. The complex nature of his cardiac anatomy posed significant challenges for catheter placement and mapping. However, using advanced 3D mapping technology, the team was able to accurately identify and eliminate the abnormal pathways responsible for the palpitations through targeted radiofrequency energy, said a release.
The second patient, a 14-year-old from Hyderabad, had experienced over 25 episodes of palpitations in just four months, frequently requiring emergency care and intravenous medication. His condition impacted his schooling and daily life. After consultations at multiple hospitals, he arrived at NIMS, where tests revealed an extremely rare electrical focus near the mitral valve on the left side of his heart. This too was successfully ablated using 3D mapping and RF energy.
Both procedures were carried out free of cost under the Telangana government's Aarogyasri and Chief Minister's Relief Fund (CMRF) schemes.

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