Dr. Aparna Jaswal

Cardiologist, Fortis Escorts Heart Institute

MBBS, MD - Medicine, DNB - Cardiology, Certified Cardiac Device Specialist, IBHRE, USA. An acknowledged expert in the field of cardiac pacing and electrophysiology including catheter RF ablation of complex arrhythmias, ICD implantation, and biventricular pacing. Currently, Senior Consultant in the Department of Cardiac Pacing and Electrophysiology, Escorts Heart Institute & Research Centre, New Delhi. Received training in Cardiac Electrophysiology at St. Luke’s Hospital, Milwaukee, USA. Has many research projects and has been actively participating in National and International Research Trials. Has to her credit for having been the first electrophysiologist to start an EP program in Mauritius in November 2010. Dr. Jaswal has advanced as a Fellow of the Heart Rhythm Society, USA in March 2011. Actively involved in teaching DNB and PGDCC candidates, and residents at the Escorts Heart Institute and Research Centre.

Contributions

  • What is the life of a pacemaker?
    This video talks about the life of a pacemaker by Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute. She discusses that pacemakers longevity depends on the type of pacemaker and also on the usage of an individual patient.

    The Types Of Pacemakers Are:

    1. Single-Chamber Pacemaker
    2. Dual-Chamber Pacemaker
    3. Biventricular Pacemaker

    Biventricular Pacemakers Lasts Little Less Than Single And Dual Chamber Pacemakers Because Their Current Utilization Is More And Their Battery Usage Is Also More Than The Other Pacemakers.

    Pacemakers Have A Longevity Of Approximately 7 – 12 Years.
  • What are the different types of pacemakers and when are they necessary?
    In this video, Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute describes the different types of pacemakers and when is the necessity for a pacemaker.  Pacemakers are given whenever a patient cannot maintain his heart rate corresponding to his age. They are life saving devices. Pacemakers are given to patients with either sick sinus syndrome or complete heart block. 


    Dr. Aparna also talks when and how the pacemakers are situated depending upon the age of the patient. Also depending upon the disease process, the patient needs a pacemaker.
  • What are the reasons for pacemaker failure?
    Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute talks about various reasons of pacemaker failure in this video. The pacemaker failure can be due to several reasons but most commonly due to end of service.

    In India, Patients Generally Don’t Come For Follow Up Every Six Months Which Is Necessary. They Come Back When The Pacemaker Stops Functioning Due To Its Battery Is Completely Drained. Pacemaker Failure Can Also Occur Due To Lead Failure.
  • How can a physician check a pacemaker?

    In this video, Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute will discuss about how a physician can check a pacemaker. A physician can check the working of a pacemaker by taking a 12 lead ECG. In a patient with pacemaker, the ECG will show spikes preceding the QRS or preceding the P wave. This is the simplest form of test to check the pacemaker. The physician can also check the battery life of the pacemaker by placing a magnet on the top of the device. She will also explain about the magnet rate and how to check using it.

  • Are all cardiac devices battery operated?
    In this video, Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute tells us that the cardiac devices used are all battery operated.

    Types of cardiac devices:

    • Pacemakers
    • Biventricular Pacemaker
    • Implantable Cardioverter Defibrillator (ICD)

    Currently, new technologies are still ongoing with respect to heart contractions can recharge the pacemakers.
  • What is the difference between one lead, two lead and three lead pacemakers?
    The video talks about the difference between one lead, two leads and three leads pacemakers by Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute. Pacemakers are generally are implanted in the right atrium and right ventricle. A bi-ventricular pacemaker has one lead in the right atrium and tow leads in both the ventricles. She will also talk about lead-less pacemakers which are a recent technology and are US FDA approved and have a battery life of 9 – 12 years.
  • What are life threatening arrhythmias?
    Life threatening arrhythmias are those arrhythmias which arise from the lower chambers of the heart.

    Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute will talk about these life threatening arrhythmias. She talks about ventricular tachychardia when associated with structural heart disease or ventricular fibrillation can be life threatening.

    Ventricular arrhythmias are potentially life threatening and needs immediate treatment in ICU with the electrolyte correction and external defibrillator.
  • What does a pacemaker look like?
    Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute, will discuss the features of a pacemaker in this video. She will talk about the CRT-P and CRT-D. CRT-P is little smaller in size and has an ability to pace whereas the CRT-D has an ability to pace and defibrillate. The CRT-D pacemaker has a capacitor and a battery hence, it is larger in size.
  • Can you show us all types of pacemakers?
    In this video, Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute, will talk on different types of pacemakers. She will show two-wired and three wired pacemaker device. She will further explain how the wires goes into right atrium, right ventricle and left ventricle. The whole unit of pacemaker is implanted under the collar bone and the wires goes to the heart. She will also explain the implantable cardioverter defibrillator (ICD) device.
  • What are the Non- pharmacological methods for supraventricular arrhythmias?
    In this video, Dr. Aparna Jaswal, Cardiologist, Fortis Escorts Heart Institute talks about the non- pharmacological methods for supraventricular arrhythmias. She describes the vagal maneuvers methods for the treatment of supraventricular arrhythmias.