Hospital Room at Atrius Cardiac Care

Overview

Arrhythmia refers to irregular heart rhythms that can cause the heart to beat too fast (tachycardia), too slow (bradycardia), or irregularly. It can stem from various factors like heart disease, high blood pressure, and lifestyle choices. Visible symptoms range from palpitations to fainting. After diagnosis through monitoring these symptoms and various tests, the patient is treated by either medications or any interventional procedure needed. Managing arrhythmia is essential for heart health and overall well-being.

Causes

Arrhythmias have diverse causes including:

  1. Underlying heart conditions like coronary artery disease and structural heart defects.
  2. High blood pressure straining the heart, and disrupting its rhythm.
  3. Electrolyte imbalances, such as abnormal mineral levels, may interfere with electrical signals.
  4. Lifestyle factors like smoking, and excessive alcohol or caffeine intake may provoke arrhythmias.
  5. Certain medications, even for unrelated conditions, can impact the heart’s electrical system.
  6. In some cases, arrhythmias are idiopathic, lacking an identifiable cause, posing diagnostic and treatment challenges due to the absence of clear underlying factors.

Symptoms and Diagnosis

The symptoms of arrhythmia can vary widely, from palpitations and chest pain to dizziness, fainting, shortness of breath, and fatigue. Identifying and understanding these symptoms is essential for diagnosis and treatment planning.

Diagnosis is typically achieved through various tests –

1. Electrocardiograms (ECG):

Electrodes placed on the chest and limbs record the heart's electrical activity, detecting irregular rhythms and identifying arrhythmia types.

2. Holter Monitoring:

A Holter Monitor is worn for extended periods to capture intermittent arrhythmias not seen during a standard ECG.

3. Stress Tests:

Induces and monitors arrhythmias triggered by physical activity, aiding diagnosis.

4. Echocardiograms:

Uses ultrasound to assess heart structure and function, revealing potential causes of arrhythmias.

5. Electrophysiological Studies (EPS):

Involves catheters and electrodes to map the heart's electrical system, aiding in complex arrhythmia diagnosis and treatment planning.

Treatment

Treatment for Arrhythmia might include –

1. Medication

Medications like antiarrhythmics, beta-blockers, and calcium channel blockers are prescribed to control heart rhythm and rate. They can be effective in managing certain types of arrhythmias.

2. Cardioversion

Cardioversion involves applying an electric shock (electrical cardioversion) or using medication (chemical cardioversion) to restore a normal heart rhythm. It is often used for atrial fibrillation or atrial flutter.

3. Catheter Ablation

In this procedure, a catheter with an electrode at its tip is inserted into the heart through blood vessels. The electrode targets and destroys the tissue causing the arrhythmia. Catheter ablation is effective for various types of arrhythmias.

4. Implantable Devices:

Implantable devices like pacemakers and implantable cardioverter-defibrillators (ICDs) are used to regulate heart rhythm and provide emergency treatment if a life-threatening arrhythmia occurs. Pacemakers are primarily used for bradycardia (slow heart rhythms), while ICDs are for ventricular arrhythmias.

Follow-up

Regular follow-up appointments with healthcare providers are essential in the ongoing management of arrhythmias. These appointments serve as opportunities to monitor the effectiveness of the chosen treatment plan and make necessary adjustments if required. Continuous assessment ensures that the arrhythmia remains under control, minimising the risk of complications, and contributes to the long-term maintenance of overall heart health.

Future of Arrhythmia Treatment

Advancements in ablation techniques, wearable monitoring technology, and personalised therapies will enhance arrhythmia treatment outcomes, offering patients more tailored and effective options.

Why Choose Atrius?

Our cardiologists prioritise patients, offering empathetic, expert care. They attentively listen to patients, leading to precise diagnoses. Supported by state-of-the-art facilities, advanced techniques are employed to effectively address the condition.

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