Understanding Heart Rhythm

Introduction

Heart rhythm refers to the pattern of electrical impulses that control the heartbeat. A normal heart rhythm ensures that the heart pumps blood efficiently to the body.

Normal vs. Abnormal Heart Rhythm

  • Normal Sinus Rhythm (NSR): This is the regular rhythm of a healthy heart, typically between 60-100 beats per minute (bpm) at rest.
  • Arrhythmias: These are irregular heart rhythms, which can be too slow (bradycardia), too fast (tachycardia), or erratic.

Types of Arrhythmias

  1. Bradycardia (Slow Heart Rate) – Below 60 bpm.

    • Causes: Aging, certain medications, hypothyroidism.
    • Symptoms: Dizziness, fatigue, fainting.
  2. Tachycardia (Fast Heart Rate) – Above 100 bpm.

    • Causes: Stress, fever, high blood pressure, heart conditions.
    • Symptoms: Palpitations, chest discomfort, shortness of breath.
  3. Atrial Fibrillation (AFib) – An irregular, often rapid heartbeat.

    • Risk factors: Hypertension, diabetes, obesity.
    • Complications: Stroke, heart failure.
  4. Ventricular Tachycardia (VT) – A dangerous rapid rhythm from the ventricles.

    • Can lead to cardiac arrest if untreated.

Diagnosis

  • Electrocardiogram (ECG/EKG): Records electrical activity of the heart.
  • Holter Monitor: A 24-hour portable ECG.
  • Electrophysiology Study: Tests abnormal electrical activity.

Treatment Options

  1. Lifestyle Changes: Avoid caffeine, alcohol, smoking, and stress.
  2. Medications: Beta-blockers, antiarrhythmic drugs, or anticoagulants (for AFib).
  3. Medical Procedures:
    • Pacemaker (for bradycardia)
    • Ablation Therapy (destroys abnormal heart tissue)
    • Implantable Cardioverter-Defibrillator (ICD) (for life-threatening arrhythmias)
  4. Surgical Interventions: Maze surgery for severe AFib.

Prevention Tips

  • Maintain heart-healthy habits: regular exercise, balanced diet, managing stress.
  • Monitor blood pressure and cholesterol levels.
  • Regular check-ups with a cardiologist.

Understanding and managing heart rhythm disorders is crucial for cardiovascular health. If you experience irregular heartbeats, consult a doctor promptly.

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 Atrial Fibrillation

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://academic.oup.com/eurheartj/article/42/5/373/5899003
  3. https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
  4. https://academic.oup.com/eurheartj/article/45/36/3314/7738779
  5. https://pubmed.ncbi.nlm.nih.gov/20802247/

3. American College of Cardiology Guidelines on Cardiac Arrhythmias

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  2. https://www.acc.org/Guidelines
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  4. https://www.acc.org/Clinical-Topics/Arrhythmias-and-Clinical-EP
  5. https://pubmed.ncbi.nlm.nih.gov/18483207/

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