We provide diagnosis and treatment for all types of cardiac arrhythmias and patients who need ECG tests. Our cardiac arrhythmia center has doctors who focus on the heart's electrical system. The ECG lab has advanced medical tools and technology.
The CARTO mapping system helps doctors study the heart's electrical path. It shows a virtual image of the heart, helps find the cause of an abnormal rhythm, and improves arrhythmia diagnosis and treatment.
Cardiac electrical diagnosis checks the heart's signals and electrical path. It helps doctors find the cause and site of an abnormal rhythm. The results appear on 2D graphs, which makes treatment choices easier. If the doctor considers an EP study and radiofrequency ablation, treatment can start soon after the test.
An electrophysiology study, or EP study, and radiofrequency ablation treat abnormal heartbeats with high-frequency radio waves. A catheter is passed through the blood vessels and into the heart chambers. At the end of the catheter is an electrode that sends radio energy to the problem area and destroys the abnormal conduction.
Radiofrequency ablation for arrhythmia uses the CARTO system to guide care. It helps doctors find the source of the problem and see ECG issues in real time with 3D images.
This method can help with atrial fibrillation ablation and other rhythm problems, including atrial tachycardia, ventricular tachycardia, and supraventricular tachycardia treatment.
A pacemaker is a small electronic device that helps regulate heart rhythm. Pacemaker implantation places the device under the skin near the collarbone, with a lead that extends to the heart. The lead lets the device control and raise the heart rate. It is used to treat a slow heart rate.
An implantable cardioverter defibrillator (ICD) is similar to a pacemaker. The ICD is placed under the skin with a lead that extends to the heart. If the device detects a rhythm that is too slow, it can stimulate the heartbeat. When the heart beats too fast and the patient's life is at risk, the ICD can restore a normal heart rhythm.
Cardiac resynchronization therapy (CRT) is similar to pacemaker or ICD implantation. A CRT device is placed under the skin to treat chronic heart failure when drug treatment has not worked. The device helps the heart muscle work in better sync.
The Cardiac Arrhythmia Center at Ramkhamhaeng Hospital has advanced medical equipment for arrhythmia diagnosis and treatment, including:
Answer: The center provides arrhythmia diagnosis and treatment for irregular heartbeats caused by problems in the heart's electrical system. Examples include atrial tachycardia, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.
Answer: The CARTO mapping system creates real-time 3D images of the heart's structures and electrical signals. This helps doctors find the exact area of abnormal electrical activity and apply radiofrequency treatment with more accuracy.
Answer: Radiofrequency ablation is used to treat abnormal heartbeats. It sends high-frequency radio energy through a catheter to the abnormal electrical path in the heart and destroys the abnormal conduction that causes the arrhythmia.
Answer: A pacemaker helps regulate a slow heart rate by stimulating the heartbeat when needed. An implantable cardioverter defibrillator (ICD) is similar in placement, but it can also respond to dangerous rhythm problems and restore a normal rhythm when needed.
Answer: Cardiac resynchronization therapy may be used for chronic heart failure when drug treatment has not worked. The implanted device helps the heart muscle work more smoothly and in sync.
Arrhythmia Patient
“My heart would beat rapidly for almost 2 hours and then stop. Lying down helped. Over 2 months after receiving treatment, I experienced a slight chest tightness, but after that, everything returned to normal. I feel relieved, happy, and at ease.”
“My heart would beat rapidly for almost 2 hours and then stop. Lying down helped. This happened on and off for about 5 years. It wasn't frequent at first, but it got progressively worse later on. It could happen at any time, so I decided to see a doctor. The doctor diagnosed me with cardiac arrhythmia and said medication wouldn't cure it completely; I would have to take it for the rest of my life. The doctor suggested that cardiac ablation was the only way to be fully cured. I consulted another hospital, but they didn't have a direct ablation service and would have to bring in an external team, which made me hesitate. However, Ramkhamhaeng Hospital has specialized doctors and the technology for direct cardiac ablation. Over two months after the treatment, I had a slight chest tightness, but after that, everything was normal. I feel relieved, happy, and at ease.”
Aortic Valve Stenosis with Cardiac Arrhythmia
“A 97-year-old patient treated with Transcatheter Aortic Valve Implantation (TAVI), without open-heart surgery.”
“…During the period when COVID-19 began to spread more severely, ‘Khun Yai Kimki’ told her children and grandchildren to postpone doctor visits for the time being. However, after being away from medical care for about 7–8 months, she began to experience fainting episodes 3–4 times a week.
Her children and grandchildren, who were caring for her, took her to a nearby hospital as they felt it was an emergency and should not be delayed. Out of trust in Ramkhamhaeng Hospital, they contacted the hospital to seek treatment with Dr. Vichai Srimanus.
Upon arrival, she underwent a step-by-step diagnostic process, leading urgently to cardiac catheterization with contrast injection. This allowed the cause to be identified and continuous treatment to begin. It was determined that the underlying problems were aortic valve stenosis and cardiac arrhythmia.
Her daughter, Khun Phosri Indi
Patient with Arrhythmia
Experienced fainting 30 years ago due to abnormal heart rhythm; treated via telemedicine.
"...It happened when I was about 30. Initially, I just felt numbness at the base of my tongue and jaw. My heart would flutter, and I'd faint. I first went to Ramkhamhaeng Hospital, but they found nothing because I had no symptoms at the time, and the doctor thought it was just a regular faint. Then one day, I was riding on the back of a motorcycle in the village when I fainted and fell off. A neighbor saw it and took me to Ramkhamhaeng Hospital, where I met Dr. Wichai. He was suspicious because I was so young to have such symptoms. After a heart check-up, he had me wear a Holter monitor, which showed an abnormal heart rhythm. The doctor immediately called me back to the hospital for medication. After that, I improved and was told to take the medication daily. The doctor had initially said I might need to take medication for life to control my heart rate. After that, I fainted two or three more times, went back to the doctor, and received intravenous medication. I wondered what caused it, and the doctor explained that stress could be a factor. I thought that was probably it, as I had work problems and many other issues simultaneously. So, I decided to change my lifestyle, trying to eliminate all problems to avoid dwelling on them, and started exercising until I felt better. When I had no more fainting spells, I tried stopping the medication... I stopped for over 20 years and was fine, so I never saw a doctor again. I lived a normal life with no warning signs whatsoever. Then, suddenly, on February 28th, in the afternoon, I was walking in my room and just collapsed without any warning. Luckily, it was only for a moment. When I got up, I remembered my old symptoms. But after sitting all day, nothing else happened. Then, in the early evening, while leaning back watching TV, I felt faint and my heart pounded, and then I fainted repeatedly. I knew this was very unusual, much worse than before – I felt exhausted from the repeated fainting. So, I called an ambulance to take me to Ramkhamhaeng Hospital, knowing Dr. Wichai was still there, even after all these years. Although my medical records weren't there anymore, the doctor remembered me fainting and falling off the motorcycle. Dr. Wichai, along with Dr. Buncha, worked together to examine and treat me from that day on. They put a Holter monitor on me, but I didn't experience any symptoms..."
“After I had defibrillation implant surgery two years ago, I thought the severe symptoms from arrhythmia would be over. Able to travel abroad normally without worrying that symptoms will recur and possibly death at any time. But suddenly, an unexpected incident happened. When I have a heart disease that has arisen without knowing the cause !!
.
So I decided to come here. Upon examination, the heart was found to lack potassium. At first, the doctor prescribed potassium supplements. But it was never cured. Finally, the doctor recommends the treatment of electrolysis technology. Listening to it should help things get better. So I decided to do it."
Doctors have to tell you that this method is quite complex and can take a long time. The doctor doing the treatment must have great expertise, and the equipment must be ready. Because if an error occurs, the patient's heart can be damaged and die. For Mr. Piya, it takes up to 7 hours for the surgery by electrocautery. It can be treated in 2 large areas. And there are still 2 small points that cannot be operated on by electrocautery immediately. The doctor then considered the treatment for 2 points later.
After the surgery, Mr. Piya was able to live the same life. Because he follows the instructions strictly. With medication regularly. Reduce your stress from work. Get enough exercise and rest. Severe arrhythmias do not recur. Even if you have to travel abroad for 15 hours, symptoms will still be fine. We are glad to be a part of Piya's recovery from the symptoms. Make his life safer and more comfortable.
Former Arrhythmia Patient: Srisawat Kalaya's Story
Srisawat Kalaya visited the doctor experiencing "cardiac arrhythmia," or an abnormally fast heartbeat. He described the initial phase of his condition, which involved chest pain and easy fatigue. He sought medical attention, received medication, and felt better for a while. However, his symptoms would return intermittently, eventually becoming more frequent and prolonged, significantly impacting his daily life. There were times his heart would pound continuously from 8 AM to 2 PM. This led him to revisit his previous hospital, where doctors recommended radiofrequency ablation to treat the heart muscle.
Choosing Ramkhamhaeng Hospital for Treatment
When serious treatment became necessary, Srisawat and his family decided to transfer to Ramkhamhaeng Hospital. They were confident in the medical team's expertise and the hospital's advanced equipment. After a thorough re-diagnosis, the doctor recommended a treatment plan, and Srisawat chose to undergo catheter ablation to target the abnormal electrical impulses in his heart.
Swift Recovery and Normal Heart Rhythm
Srisawat's recovery was remarkably quick; he stayed at the hospital for only one night and was discharged the following morning. A week later, he had a follow-up appointment, and tests confirmed his heartbeat had returned to normal.
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Arrhythmia Patient
“My heart would beat rapidly for almost 2 hours and then stop. Lying down helped. Over 2 months after receiving treatment, I experienced a slight chest tightness, but after that, everything returned to normal. I feel relieved, happy, and at ease.”
“My heart would beat rapidly for almost 2 hours and then stop. Lying down helped. This happened on and off for about 5 years. It wasn't frequent at first, but it got progressively worse later on. It could happen at any time, so I decided to see a doctor. The doctor diagnosed me with cardiac arrhythmia and said medication wouldn't cure it completely; I would have to take it for the rest of my life. The doctor suggested that cardiac ablation was the only way to be fully cured. I consulted another hospital, but they didn't have a direct ablation service and would have to bring in an external team, which made me hesitate. However, Ramkhamhaeng Hospital has specialized doctors and the technology for direct cardiac ablation. Over two months after the treatment, I had a slight chest tightness, but after that, everything was normal. I feel relieved, happy, and at ease.”
Aortic Valve Stenosis with Cardiac Arrhythmia
“A 97-year-old patient treated with Transcatheter Aortic Valve Implantation (TAVI), without open-heart surgery.”
“…During the period when COVID-19 began to spread more severely, ‘Khun Yai Kimki’ told her children and grandchildren to postpone doctor visits for the time being. However, after being away from medical care for about 7–8 months, she began to experience fainting episodes 3–4 times a week.
Her children and grandchildren, who were caring for her, took her to a nearby hospital as they felt it was an emergency and should not be delayed. Out of trust in Ramkhamhaeng Hospital, they contacted the hospital to seek treatment with Dr. Vichai Srimanus.
Upon arrival, she underwent a step-by-step diagnostic process, leading urgently to cardiac catheterization with contrast injection. This allowed the cause to be identified and continuous treatment to begin. It was determined that the underlying problems were aortic valve stenosis and cardiac arrhythmia.
Her daughter, Khun Phosri Indi
Patient with Arrhythmia
Experienced fainting 30 years ago due to abnormal heart rhythm; treated via telemedicine.
"...It happened when I was about 30. Initially, I just felt numbness at the base of my tongue and jaw. My heart would flutter, and I'd faint. I first went to Ramkhamhaeng Hospital, but they found nothing because I had no symptoms at the time, and the doctor thought it was just a regular faint. Then one day, I was riding on the back of a motorcycle in the village when I fainted and fell off. A neighbor saw it and took me to Ramkhamhaeng Hospital, where I met Dr. Wichai. He was suspicious because I was so young to have such symptoms. After a heart check-up, he had me wear a Holter monitor, which showed an abnormal heart rhythm. The doctor immediately called me back to the hospital for medication. After that, I improved and was told to take the medication daily. The doctor had initially said I might need to take medication for life to control my heart rate. After that, I fainted two or three more times, went back to the doctor, and received intravenous medication. I wondered what caused it, and the doctor explained that stress could be a factor. I thought that was probably it, as I had work problems and many other issues simultaneously. So, I decided to change my lifestyle, trying to eliminate all problems to avoid dwelling on them, and started exercising until I felt better. When I had no more fainting spells, I tried stopping the medication... I stopped for over 20 years and was fine, so I never saw a doctor again. I lived a normal life with no warning signs whatsoever. Then, suddenly, on February 28th, in the afternoon, I was walking in my room and just collapsed without any warning. Luckily, it was only for a moment. When I got up, I remembered my old symptoms. But after sitting all day, nothing else happened. Then, in the early evening, while leaning back watching TV, I felt faint and my heart pounded, and then I fainted repeatedly. I knew this was very unusual, much worse than before – I felt exhausted from the repeated fainting. So, I called an ambulance to take me to Ramkhamhaeng Hospital, knowing Dr. Wichai was still there, even after all these years. Although my medical records weren't there anymore, the doctor remembered me fainting and falling off the motorcycle. Dr. Wichai, along with Dr. Buncha, worked together to examine and treat me from that day on. They put a Holter monitor on me, but I didn't experience any symptoms..."
“After I had defibrillation implant surgery two years ago, I thought the severe symptoms from arrhythmia would be over. Able to travel abroad normally without worrying that symptoms will recur and possibly death at any time. But suddenly, an unexpected incident happened. When I have a heart disease that has arisen without knowing the cause !!
.
So I decided to come here. Upon examination, the heart was found to lack potassium. At first, the doctor prescribed potassium supplements. But it was never cured. Finally, the doctor recommends the treatment of electrolysis technology. Listening to it should help things get better. So I decided to do it."
Doctors have to tell you that this method is quite complex and can take a long time. The doctor doing the treatment must have great expertise, and the equipment must be ready. Because if an error occurs, the patient's heart can be damaged and die. For Mr. Piya, it takes up to 7 hours for the surgery by electrocautery. It can be treated in 2 large areas. And there are still 2 small points that cannot be operated on by electrocautery immediately. The doctor then considered the treatment for 2 points later.
After the surgery, Mr. Piya was able to live the same life. Because he follows the instructions strictly. With medication regularly. Reduce your stress from work. Get enough exercise and rest. Severe arrhythmias do not recur. Even if you have to travel abroad for 15 hours, symptoms will still be fine. We are glad to be a part of Piya's recovery from the symptoms. Make his life safer and more comfortable.
Former Arrhythmia Patient: Srisawat Kalaya's Story
Srisawat Kalaya visited the doctor experiencing "cardiac arrhythmia," or an abnormally fast heartbeat. He described the initial phase of his condition, which involved chest pain and easy fatigue. He sought medical attention, received medication, and felt better for a while. However, his symptoms would return intermittently, eventually becoming more frequent and prolonged, significantly impacting his daily life. There were times his heart would pound continuously from 8 AM to 2 PM. This led him to revisit his previous hospital, where doctors recommended radiofrequency ablation to treat the heart muscle.
Choosing Ramkhamhaeng Hospital for Treatment
When serious treatment became necessary, Srisawat and his family decided to transfer to Ramkhamhaeng Hospital. They were confident in the medical team's expertise and the hospital's advanced equipment. After a thorough re-diagnosis, the doctor recommended a treatment plan, and Srisawat chose to undergo catheter ablation to target the abnormal electrical impulses in his heart.
Swift Recovery and Normal Heart Rhythm
Srisawat's recovery was remarkably quick; he stayed at the hospital for only one night and was discharged the following morning. A week later, he had a follow-up appointment, and tests confirmed his heartbeat had returned to normal.