Lisie Hospital - Doctor Profile

Dr. Ajit Thachil
Consultant Cardiac Electrophysiologist

General Details

Dr. Ajit Thachil has devoted his entire cardiology career to the understanding and management of cardiac arrhythmia. He started the electrophysiology division of Lisie Heart Institute in 2013. Since then he has played a major part in establishing what is now the largest volume cardiac electrophysiology service in the private sector in the state, and a much-sought-after EP fellowship program that teaches the finer nuances of complex electrophysiological problems. He combines his passion for precision medicine with a work ethos based on patient-centric care and spending time with every patient. He played a major role in unearthing new concepts in the management of ventricular arrhythmias in cardiac sarcoidosis and myocardial tuberculosis, and is considered an international expert in this field, as well as in troubleshooting implanted cardiac devices. Apart from teaching and research, his major interests include ablation of complex ventricular arrhythmia, and cardiac resynchronization using conventional as well as conduction system-based pacing, of which he has performed one of the largest numbers in the country.

Qualifications
- MBBS : St. John’s Medical College, Bangalore, India - 1990
- MD General Medicine :B J Medical College, Pune, India
- DM (Cardiology): All India Institute of Medical Sciences, New Delhi, India - 2005
- Post doctoral Fellow ( Cardiac Electrophysiology) :CARE Hospitals, Hyderabad, India -2009
- Certified Cardiac Device Specialist by the International Board of Heart Rhythm Examiners : 2013
Achievements
- Vice President, Kerala Heart Rhythm Society
- Member, test writing committee for the International Board of Heart Rhythm Examiners– CCDS exam
- Director, Cardiac electrophysiology fellowship program, Lisie Hospital
- Established the first dedicated electrophysiology set up with conventional and 3D mapping based ablations in the private sector in Kerala (2012)
- Started the first remote monitoring of pacemakers and other cardiovascular implantable electronic devices program in the state (2012)
- Started the first epicardial ablation program in the state (2012)
- Faculty at the annual Indian Heart Rhythm Society Scientific Sessions every year since 2012
- Faculty at the annual Asia Pacific Heart Rhythm Society Scientific Sessions every year since 2013
- Faculty at the annual European Heart Rhythm Association Scientific Sessions, 2020
- Faculty at the Asia Pacific Heart Rhythm Society Ventricular Tachycardia ablation course, Taipei, Taiwan, December 2019
- Faculty at the EP fellows graduation lecture at the University of Minnesota, Minneapolis, USA, 2011
- Faculty at numerous EP courses throughout India
- Numerous presentations at the annual scientific sessions of the Heart Rhythm Society (HRS), USA, Asia Pacific Heart Rhythm Society, and the Indian Heart Rhythm Society
- Best case award at the annual conference of the Indian Heart Rhythm Society, 2011
- Best case award at the annual conference of the Indian Heart Rhythm Society, 2020 for endo-epi ablation of an incessant ventricular tachycardia
Publications
- Sudden death in hypertrophic cardiomyopathy: risk stratification and management. Thachil A. Kerala Heart Journal. 2020
- Non communicable diseases awareness and control in a rural population in an epidemiologically advances state of transition (Kerala): results of the ENDIRA study: Menon J, ..ThachilA, .. et al. International Journal of Community Medicine and Public Health. 2020(7): 7
- Perinodal atrial tachycardia : a case-based discussion. Thachil A, Jose J, Mathew R, Abdullakutty J, Joseph J, George J. Kerala Heart Journal. 2019
- “Cardiac Sarcoidosis” - chapter in “ Essentials of post graduate cardiology: An Official publication of the Cardiological Society of India” : Goswamy K C (editor); Evangel Publishing, New Delhi, 2019 (ISBN: 978-81-936703-4-7)
- Management of arrhythmogenic inflammatory cardiomyopathy: a case based discussion. Thachil A, Mathew R, Jose J, Abdullakutty J, Joseph J, George J, Sundaram PS . Kerala Heart Journal. 2019: 8(1): 44-49.
- Trans-septal Access in the Electrophysiology Laboratory :Thachil A. Kerala Journal of Cardiology. 2018: 2(2): 11-18
- Shelke A, Thachil A, Saggu D, Jesuraj ML, Yalagudri S, Narasimhan C. Catheter ablation for electrical storm in Brugada syndrome: Results of substrate based ablation. Indian Heart J. 2018;70:296-302.
- Identifying High Risk Patients Post Myocardial Infarction with Reduced Left Ventricular Function using External Loop Recorders ( INSPIRE-ELR Study) . Singh B, Rao H, ThachilA et al.Journal of the American College of Cardiology 2018; 71 (11) (Supplement) A 432
- Programming an ICD: It’s time to change the defaults. Thachil A. Indian Pacing and Electrophysiology Journal 2018 March 15. doi: 10.1016/j.ipej.2018.03.004
- “Echocardiography in Cardiac Resynchronisation Therapy” - chapter in “ Textbook of Echocardiography: An Official Publication of the Indian Academy of Echocardiography” : Amuthan V, Satish K Parashar (editors); Jaypee Brothers, New Delhi, 2018 (ISBN: 978-93-5270-092-9)
- Tailored approach for management of ventricular tachycardia in cardiac sarcoidosis .Yalagudri S, Thu N Z, Devidutta S, Saggu D, Thachil A, Chennapragada S, Narasimhan C. Journal of Cardiovascular Electrophysiology 2017; 28 (8) : 893–902
- “Electrophysiology Study: Indications, Hardware and Set-up, Catheter Placement”- chapter in “ Practical Cardiac Electrophysiology” : Samuel J Asirvatham, Kartikeya Bhargava (editors); Jaypee Brothers, New Delhi, July 2016 (ISBN: 978-93-86056-79-5)
- Clinical presentation, management, and outcomes in the Indian Heart Rhythm Society-Atrial Fibrillation (IHRS-AF) registry. Vora A et al. Indian Heart J. (2016), http://dx.doi.org/10.1016/j.ihj.2016.06.006
- fQRS as a marker of granulomatous disease in patients presenting with ventricular tachycardia and normal left ventricular ejection fraction. Roukoz H, Shah M, Masilamani LJ, Thachil A, Jayakumar PK, Benditt DG, Narasimhan C. Indian Heart J. 2015 May-Jun;67(3):222-6.
- Ventricular Tachycardia and Tuberculous Lymphadenopathy: Sign of Myocardial Tuberculosis? Mohan A, Thachil A et al. Journal of the American College of Cardiology 2015; 65(2): 218-220
- Inappropriate Detection of a Supraventricular Tachycardia as Dual Tachycardia by the PR Logic™ Algorithm. Thachil A, Sridevi C, Narasimhan C. Indian Pacing and Electrophysiology Journal 2014; 14(3): 161-164
- Three dimensional epicardial mapping and ablation of recurrent non-ischaemic ventricular tachycardia. Makhija A et al. Indian Heart Journal 2012; 64(3): 324-8
- A Comparison of Lead Placement Through the Subclavian Vein Technique With Fluoroscopy-Guided Axillary Vein Technique for Permanent Pacemaker Insertion. Sharma G et al. Canadian Journal of Cardiology 2012; 28(5): 542-546
- Monomorphic ventricular tachycardia and mediastinal adenopathy due to granulomatous infiltration in patients with preserved ventricular function. Thachil A et al. Journal of the American College of Cardiology 2011; 58:48 -55
- Hormone Sensitive Idiopathic Ventricular Tachycardia Associated with Pregnancy: Successful Induction With Progesterone and Radiofrequency Ablation. Makhija A et al. Journal of Cardiovascular Electrophysiology 2011; 22(1):95-8
- What should an Intensivist Know about Pacemakers -Bhim Shankar PR, AjitThachil, Hygriv Rao B, Narasimhan C –Critical Care Update-2008 (Jaypee Brothers) 2009; Chapter 4. pp. 30 – 41
- Substrate Based Ablation of Ventricular Tachycardia Through An Epicardial Approach. Makhija A, et al. Indian Pacing and Electrophysiology Journal 2009; 9(6): 364-369
Experience
1. Has independently run a cardiac electrophysiology unit performing simple and complex radiofrequencyablations, and implants of all types of cardiac rhythm management devices since January 2012.
2. Has performed over 2000 implants and over 2000 ablations as the primary operator
3. Currently performs ~ 300 ablations per year, covering all arrhythmias ( re-entrant supraventricular tachycardias, atrial tachycardias, simple and complex atrial flutters, atrial fibrillation, ventricular arrhythmias in structurally normal and abnormal hearts, endocardial and epicardial ablations) using conventional and 3D mapping systems, high density mapping systems and intra cardiac echo guidance.
4. Currently performs ~ 300 implants including conventional and conduction system-based pacing, ICD s and CRTs per year
5. Oversees in-person interrogation and remote monitoring of ~ 50 implanted devices every week

Dr. Ajit Thachil
Consultant Cardiac Electrophysiologist

Cardiology

Dr. Ajit Thachil

General Details

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