Understanding Arrhythmia

Introduction

Arrhythmia is a condition in which the heart beats irregularly. This means that the heart may beat too fast (tachycardia), too slow (bradycardia), or with an irregular rhythm. Arrhythmias disrupt the normal electrical impulses that coordinate heartbeats, which can lead to complications if untreated.

Causes of Arrhythmia

Several factors can cause arrhythmia, including:

  • Heart diseases (such as coronary artery disease, heart failure, or valve disorders)
  • High blood pressure
  • Electrolyte imbalances (low levels of potassium or magnesium)
  • Excessive caffeine or alcohol consumption
  • Stress or anxiety
  • Medical conditions such as diabetes or thyroid disorders

Symptoms of Arrhythmia

Arrhythmias can be silent or produce noticeable symptoms. Common symptoms include:

  • Palpitations (feeling like your heart is skipping beats)
  • Dizziness or lightheadedness
  • Shortness of breath
  • Chest pain or discomfort
  • Fatigue
  • Fainting (syncope)

Types of Arrhythmia

There are different types of arrhythmias, including:

  • Atrial Fibrillation (AFib) – The most common type, characterized by rapid and irregular beats in the atria.
  • Bradycardia – A slow heart rate, often due to problems with the heart's electrical system.
  • Tachycardia – A fast heart rate, which can originate from the atria (supraventricular tachycardia) or the ventricles (ventricular tachycardia).
  • Premature Beats – Extra heartbeats that may feel like skipped beats.

Diagnosis and Treatment

Doctors diagnose arrhythmia using tests such as an electrocardiogram (ECG) , Holter monitor , stress test , or electrophysiology study .

Treatment depends on the type and severity of arrhythmia. It may include:

  • Lifestyle changes (reducing caffeine, managing stress, eating a heart-healthy diet)
  • Medications (beta-blockers, antiarrhythmics, anticoagulants if needed)
  • Medical procedures (such as catheter ablation or pacemaker implantation)

When to See a Doctor?

Seek medical attention if you experience severe symptoms, such as:

  • Persistent dizziness
  • Sudden chest pain
  • Fainting
  • Severe shortness of breath

Arrhythmia can often be managed with proper treatment. If you have concerns about your heart rhythm, consult your doctor promptly.

Source recommendations

1. American Heart Association Guidelines on Arrhythmia

  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://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation
  5. https://www.heart.org/en/health-topics/atrial-fibrillation

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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