Understanding Cardiac Rhythm

Introduction

Cardiac rhythm refers to the pattern and speed of the electrical impulses that regulate heartbeats. A healthy heart rhythm ensures efficient blood circulation to the body.

How Does the Heart's Electrical System Work?

The heart has a natural pacemaker called the sinoatrial (SA) node , which generates electrical impulses. These impulses travel through special pathways: 1. SA node → Atria contract 2. Impulses reach the atrioventricular (AV) node , where they slow down briefly 3. Then, they travel through the His-Purkinje system to the ventricles → Ventricles contract

Types of Cardiac Rhythms

  • Normal Sinus Rhythm (NSR) → 60-100 beats per minute, regular and steady rhythm.
  • Bradycardia → Slow heart rate (< 60 bpm) that can be normal (e.g., in athletes) or problematic.
  • Tachycardia → Fast heart rate (> 100 bpm), which can indicate stress, fever, or arrhythmia.
  • Arrhythmia → Any irregular heartbeat that may cause symptoms like palpitations, dizziness, or even fainting.

Why is Cardiac Rhythm Important?

A stable rhythm ensures the heart pumps enough blood. Irregular rhythms (arrhythmias) can increase the risk of stroke, heart failure, or sudden cardiac arrest.

When to See a Doctor?

  • If you experience dizziness, chest pain, fainting, or irregular heartbeats.
  • If you have known heart disease or high blood pressure.

Summary

Understanding cardiac rhythm is crucial for heart health. If you suspect any irregularities, consult with a doctor to assess potential risks.

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 Cardiac 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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