Conditions we treat
Put your heart in the most experienced hands. These are general guides, not a diagnosis.
Condition
The upper chambers of your heart, the atria, beat in a disorganised way instead of a steady rhythm. Blood does not move through as smoothly, which is why AF raises stroke risk if left unmanaged.
Professor Gupta has treated atrial fibrillation for more than thirty years and performs over 300 ablation procedures a year. At your consultation he will explain what is happening in your heart, whether a procedure is right for you, and which technology suits your situation, in plain language.
Condition
In atrial flutter, the upper chambers of your heart do not beat chaotically as they do in AF. Instead, one electrical signal races round a fixed circuit, usually in the right atrium, in a fast, regular loop. This is why the pulse in atrial flutter often feels very steady, just very fast. Like AF, it can allow blood to pool and clot in the heart, so it carries a similar stroke risk and is assessed the same careful way.
Because the electrical circuit follows a predictable, mappable path, atrial flutter often responds very well to catheter ablation, a small procedure that interrupts the loop at one precise point. Professor Gupta will confirm the diagnosis with an ECG, explain how likely ablation is to work for your specific type of flutter, and discuss whether blood-thinning treatment is also needed.
Condition
SVT is a general term for fast rhythms that start above the heart’s main pumping chambers. Most often, it is caused by an extra electrical pathway, present since birth, that lets signals loop back on themselves and briefly take over the heartbeat. Episodes tend to begin and end suddenly, lasting anywhere from seconds to hours, and can happen at any age.
Most types of SVT can be located precisely with a heart rhythm test called an electrophysiology study, and treated in the same sitting with catheter ablation, often ending the problem for good. Professor Gupta will explain which type of SVT you have, how likely ablation is to succeed for it, and what the day of the procedure involves.
Symptom guide
A symptom, not a single diagnosis. Many possible causes.
Palpitations describe a noticeable heartbeat, they are a symptom, not a diagnosis in themselves. Often the cause is entirely harmless, caffeine, alcohol, anxiety, or hormonal changes can all bring them on. Sometimes, though, they are the first sign of an underlying rhythm problem such as AF, atrial flutter, SVT, or extra "ectopic" beats. Working out which it is starts with recording what your heart is actually doing while you feel the symptom.
Professor Gupta will take a careful history, then usually arrange an ECG and a period of heart rhythm monitoring, sometimes a few days, sometimes longer, to capture an episode as it happens. Once there is a clear diagnosis, he will explain in plain language exactly what is going on and which treatment, if any, fits your situation.
Symptom guide
A symptom, not a single diagnosis. Many possible causes.
A blackout happens when blood flow to the brain briefly falls, often because the heart beats too slowly, pauses, or occasionally too fast, to keep up with demand. Not every blackout is heart-related, simple faints and low blood pressure are common and usually harmless, but some are caused by significant rhythm problems that carry a real risk if they go unrecognised, which is why unexplained blackouts deserve a proper cardiac assessment.
Professor Gupta will look for a rhythm problem around the time your blackouts happen, using ECG monitoring and, where needed, a small implantable loop recorder that watches your heart continuously for months at a time. If a cause such as bradycardia or heart block is found, he will explain clearly whether a pacemaker or another treatment is the right next step.
Condition
Bradycardia means the heart’s natural pacemaker, or the electrical wiring that carries its signal onward, is firing too slowly or being partly blocked along the way. A slow heart rate is completely normal in fit, healthy people and during sleep, but a persistently slow or pausing rhythm can mean the heart is no longer pumping enough blood to meet the body’s needs.
Professor Gupta will establish whether your slow rhythm is a normal variant or something that needs treatment, usually with an ECG and a period of heart rate monitoring. Where a pacemaker is the right answer, he will explain in plain language how it works, what the procedure to fit one involves, and what daily life with one is like afterwards.
Procedure
A specialist procedure. Rarely available in India.
India's first combined PFA and LAAO, 14 August 2026 →The left atrial appendage is a small pouch on the upper left chamber of the heart. In AF, blood can pool there and form clots that may travel to the brain. Left atrial appendage occlusion, LAAO, closes that pouch with a small implanted device, most often an Amulet or a Watchman, so clots cannot leave it. The procedure is done through a thin tube from a vein in the leg, without opening the chest. It can be combined with AF ablation in the same sitting when that is the right plan.
Professor Gupta offers LAAO with both Amulet and Watchman devices, and can combine occlusion with AF ablation when both are needed. Combined AF ablation with LAAO is still rarely available in India. He is one of the only consultants in the country who can confirm that the procedure is appropriate for you and perform it, and he has published specifically on doing both in the same sitting. At your consultation he will explain whether closing the appendage, continuing blood-thinning, or both, fits your situation, in plain language.
Case report · 14 August 2026 · Lilavati Hospital, Mumbai
The patient, the procedure, and the press coverage, in one place.
14 August 2026 · Lilavati Hospital, Mumbai
A 77-year-old man from Juhu had lived for years with heart failure after bypass surgery, and then with recurrent atrial fibrillation. AF raised his risk of a stroke, but every attempt at blood thinners ended in serious bleeding from stomach ulcers, sometimes needing transfusions. Stop the tablets and risk a stroke. Continue them and risk a bleed.
On 14 August Professor Gupta and the Lilavati team answered both problems in one sitting. Pulsed field ablation treated the rhythm. Left atrial appendage occlusion sealed the pouch where the clots behind AF strokes form, so he no longer depends on blood thinners. Start to finish, the procedure took an hour and a half. At his review two weeks later the device was well seated and his heart was in normal rhythm.
The hospital reported it as the first time the two procedures had been combined in India. The Indian Express, Sakal and the ANI wire carried the story.
Our objective was to address both the issues in a single procedure. During the procedure, we eliminated the primary source of clot formation with LAAO and treated the abnormal heart rhythm with PFA.
“Simple activities became a source of everyday worry. Since undergoing the procedure, he has regained his confidence to get back to his routine and enjoy life without the same constant fear. It has given him and all of us a new sense of hope.”
77
years old
90
minutes, start to finish
2
weeks to a normal-rhythm review
Reported by 10 outlets
At 77, he couldn't take blood thinners: How docs treated his heart in a rare procedure
Read ↗AF रुग्णांसाठी मोठी आशा! PFA आणि LAAOची भारतातील पहिली संयुक्त प्रक्रिया यशस्वी
Read ↗India's first combined pulsed field ablation and LAAO procedure successfully treats 77-year-old AF patient at Lilavati Hospital and Research Centre
Read ↗Procedure
A specialist procedure. Rarely available in India.
Some faints happen because the nerves that slow the heart overreact, causing a sudden pause or a sharp drop in blood pressure. Dysautonomias are a related group of problems in that same automatic control of heart rate and blood pressure. Cardioneuroablation is a catheter procedure that carefully interrupts selected nerve fibres on the outside of the heart, so the heart is less likely to pause or slow to the point of fainting.
Cardioneuroablation is still a specialised procedure, and few operators in India currently offer it. Professor Gupta is one of the only consultants in the country who can confirm whether it is right for your syncope or dysautonomia, and perform it. He has published specifically on this procedure, including practical guidance on treating syncope and nerve-driven heart block. He will first establish that the problem is driven by the heart’s nerve supply, then explain in plain language what the day of the procedure involves and what to expect afterwards.
Every heart is different.
If something here sounds familiar, book a consultation. Professor Gupta will review your history and explain what is happening in plain language, in English, Hindi, or Punjabi.
Book a consultationInformation on this site is for general education and is not a substitute for individual medical advice. Always consult a doctor about your own condition.
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Or call +91 81695 23196 and email contact@mumbai-london-af.clinic.
