What Causes Arrhythmia?

Introduction

Arrhythmia refers to an irregular heartbeat, which can be too fast (tachycardia), too slow (bradycardia), or simply irregular. The heart’s rhythm is controlled by electrical impulses, and any disruption in these signals can result in an arrhythmia.

Causes of Arrhythmia

1. Heart Conditions

  • Coronary artery disease (CAD): Reduced blood flow to the heart can damage its electrical system.
  • Heart failure: Weakening of the heart muscle affects its ability to pump efficiently.
  • Congenital heart defects: Structural abnormalities affect electrical conduction.
  • Heart valve disorders: Valvular issues can lead to disturbances in blood flow and electrical signaling.

2. Electrolyte Imbalances

  • Potassium, sodium, calcium, and magnesium levels impact heart rhythm. Imbalances can trigger arrhythmias.

3. Lifestyle and External Factors

  • Excessive caffeine or alcohol consumption
  • Smoking and drug use (especially stimulants like cocaine or amphetamines)
  • Excess stress and anxiety, leading to adrenaline surges
  • Lack of sleep, affecting autonomic control of the heart

4. Medications and Substances

  • Certain medications, including some antibiotics, antihistamines, and antidepressants, can trigger arrhythmias.

5. Medical Conditions

  • Thyroid disorders: Overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid impacts heart rate.
  • Diabetes: Increased risk due to effects on blood vessels and the heart.

Conclusion

Arrhythmias can arise from a variety of factors, including heart conditions, electrolyte imbalances, lifestyle choices, medications, and underlying diseases. Managing these risk factors through a healthy lifestyle and timely medical intervention is key to maintaining heart health.

Source recommendations

1. American Heart Association Guidelines on Arrhythmias

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  5. https://pubmed.ncbi.nlm.nih.gov/29084733/

2. European Society of Cardiology Guidelines on Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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