Arrhythmia

Arrhythmia patient

Last Updated August 16th, 2019

Arrhythmia is defined as an event where the heartbeat is either higher or lower than the normal rate. In normal conditions, the human heart beats 60-90 times a minute. If the heart beat rate is higher than 100 or lower than 60, it is described as arrhythmia. A heart beat higher than 100 is termed as tachycardia and for lower than 60 beats per minute, the term used is bradycardia. Both these conditions point to malfunctioning of the heart’s electrical system.
Arrhythmia indicates a problem in the functioning of your heart’s electrical system. This issue or malfunction could either be a minor problem or could be something major. Sometimes, a person may experience irregular heartbeats due to stress or high caffeine intake. The problem usually goes away when the trigger is removed from the system. However, if the trigger is a ventricular dysfunction (ventricular fibrillation), then it could be deadly. This happens when the heart is not able to pump blood well and if this is not treated immediately, it can lead to sudden death.
Arrhythmia or irregular heartbeat can occur due to a number of reasons. The main factors that can cause this irregularity are - existing heart diseases (such as coronary artery disease), sodium/potassium imbalance, a history of cardiac arrest, post-surgery complications, anxiety/stress, high caffeine consumption, smoking, side-effect of medications/supplements/herbal treatments.
There certain types of arrhythmias which do not pose any serious health threats and usually subside once the triggering factor (caffeine or stress) is removed. However, there are several types of arrhythmia which do require immediate medical attention. Atrial fibrillation, atrial flutter, ventricular tachycardia, etc are the ones for which you should go to the ER. If the arrhythmia symptoms keep recurring and/or are chronic in nature, you should see a doctor immediately. Additionally, if the arrhythmia symptoms are associated with difficulty in breathing, dizziness, chest pain, etc - it is an indication of a serious problem.

Overview of arrhythmia

The normal heart beats 60-80 times per minute. When there is a change in electrical impulses, a drastic change in heart rate is observed. These irregularities in the heart rhythm are commonly observed as they are caused by numerous heart disorders. Though sometimes arrhythmia requires immediate attention, they can sometimes be harmless. In the paper written by Rahul Mehra,“Global public health problem of sudden cardiac death”, 50% of death due to cardiovascular diseases is caused by sudden cardiac death. And 80% of sudden cardiac death is because of arrhythmia. An arrhythmia may occur at any age, but the most universally affected are older adults.

 

Definition of arrhythmia

Arrhythmia ecgWhen the normal heart rhythm is affected, it is termed as arrhythmia. This means the heart beats too fast, too slow or too unsteadily.

When these irregularities occur, it often feels like the heart has skipped a beat or that it is fluttering.

There are cases where one might not notice any change in the pace of heartbeat, these cases are silent ones.

 

 

 

What causes arrhythmia?

Primarily, the heart’s rhythm is controlled by the electric signals. So disturbances observed in the electrical signals mostly cause arrhythmia. Other factors that trigger arrhythmia are listed.

  • Heart diseases–Heart attack, stroke, coronary artery disease, valvular heart diseases, congestive heart failure and such
  • Electrolyte imbalance – Imbalance of potassium and sodium in the blood
  • Hyperthyroidism – overactive thyroid glands
  • High blood pressure
  • Uncontrolled consumption of caffeine
  • Severe emotional and physical stress
  • Medication – Dietary supplements, psychotropic drugs, antiarrhythmics
  • Smoking, excessive consumption of alcohol and substance abuse

 

What are the warning signs and symptoms?

Arrhythmia patientSymptoms of arrhythmia are not very noticeable and often there are no signs of symptoms. But some factors that indicate potential arrhythmia are:

  • Fast heart rhythm
  • Slow heart rhythm
  • Fatigue
  • Sweating
  • Chest pains
  • Breathlessness
  • Fainting

The most adverse symptom of arrhythmia, which occurs in the most extreme cases, is abrupt collapse and sudden cardiac death.

 

Different types of arrhythmia

Abnormalities in the heart rhythm can be classified in many ways. The broad classification of arrhythmia is of two types.

  • Bradycardia – When the heart rhythm is slower than normal, less than 60 beats per minute. AV heart block, bundle branch block, and tachy-Brady syndrome are categorized under this type.
  • Tachycardia – When the heart rhythm is faster than normal, more than 100 beats per minute. This type includes supraventricular tachycardia, inappropriate sinus tachycardia, atrial flutter, atrial fibrillation, ventricular fibrillation and ventricular tachycardia.

 

Long-term effects of arrhythmia

Most of the time, an arrhythmia is not life-threatening. But if not treated, an arrhythmia can pose to be a hindrance. The long-term complications of the life-threatening disease are as follows-

  • Arrhythmia gradually affects the functionality of the heart. And eventually, when the heart cannot pump blood to the body, the functioning of lungs, brains and other organs also shuts down.
  • Stroke – Arrhythmia in the form of atrial fibrillation causes problems to the blood vessels that transport nutrients and oxygen from the heart to the brain. The passage is blocked and hence causes the death of brain and nerve cells due to lack of oxygen. The parts of the body controlled by these dead cells cease to function as well. The dead cells cannot be replaced and hence the effects of the stroke are lasting.
  • When not treated or diagnosed with arrhythmia, there are cases where abrupt loss of heart functionality is observed which is called sudden cardiac death.

 

Vulnerable groups

Chiefly, those who have a history of heart diseases are diagnosed with arrhythmia. Other factors that increase the risk of being diagnosed with arrhythmia are:

  • Age
  • High blood pressure
  • Diabetes
  • Genetics
  • Chain smokers
  • Substance abusers
  • Alcoholics

 

Genetics of arrhythmia

Studies conducted at the National Institutes of Health genetically links cardiac arrhythmia and long OT syndrome (LOT). The chromosome LQT2, which is mapped on LOT loci, and HERG gene are said to be the same and suggests relation to polymorphic ventricular tachycardia.

 

Diagnostic tests

Arrhythmia diagnosisTo come to a conclusive diagnosis, doctors evaluate your symptoms, medical history and then conduct a series of physical tests. The doctors then proceed to perform heart-monitoring tests.

  • Electrocardiogram (EKG) – EKG is the most commonly used test to diagnose arrhythmia. They demonstration the strength of the electrical signals that pass through the heart and also record the pace of the heart.
  • Holter monitor–Electrodes are tapes to the skin to monitor the heart’s activities for 24 hours.
  • Event monitors – This test records the daily activity of your heart for 24 hours or 48 hours through a portable EKG.
  • Stress test–This test records the performance of the heart while undergoing stress.
  • Tilt-table test–Those who suffer from the symptom of fainting have to take this test. Your heart rate and blood pressure is tested while you lie flat on tables positioned at different angles.
  • Chest X-Rays–To check if there is heart enlargement.
  • Blood tests–Level of different substances like thyroid hormones and potassium in the blood.

Treatment and prevention

Treatment 

Treating slow heartbeat – In case, the doctors cannot find the cause for bradycardia (slow heartbeat) they would recommend that the patient gets a pacemaker to control their arrhythmia.

Treating fast heartbeat

  • In patients who have supraventricular tachycardia (arrhythmia starting above the lower half of the heart), there are certain methods that can help them in bringing their heartbeat back to normal. Methods such as dipping their head in cold water or standing and taking deep breaths can help in controlling arrhythmia.
  • For patients who have an elevated heart rate, will be provided with medications to bring back their heart rate to a normal level. It is of utmost importance that arrhythmia patients take their medications on time and in their prescribed dosage.
  • Those who have atrial fibrillation (a type of arrhythmia) will need to get a cardioversion done. Here, doctors use patches on the patients’ chest and pass electric pulses to the heart.
  • Surgical methods can also be used to restore the normal heartbeat.

Implanted devices –

  • A small device known as a pacemaker is implanted in the chest. If the pacemaker detects an irregular heartbeat, it passes electric signals to restore a normal heartbeat.
  • A device similar to the pacemaker called implantable cardioverter-defibrillators (ICD) is implanted in the chest cavity. It works on the same principle as that of the pacemaker.

Surgery –

  • Those who do not respond to other types of treatment may need to get a surgery done. A surgical procedure to treat arrhythmia is when a surgeon makes a pattern of scar tissue on the heart. This inhibits electrical impulses that may cause certain types of arrhythmia.
  • In case the arteries are blocked along with the patient having an arrhythmia, a bypass surgery is done to restore proper blood flow to the heart.

Prevention –

  • Maintain a healthy diet.
  • Exercise regularly.
  • Reduce stress levels.
  • Quit or avoid smoking.
  • Do not consume an excess amount of alcohol.
  • Maintain a healthy weight.

Facts

  • 2 million Americans are living with a form arrhythmia called atrial fibrillation.
  • 1 in 4 adults who are above the age of 40 years develop an irregular heartbeat in the United States.
  • The heart beats 70 times per minute and 100,000 times per day.

Facts

  • Blood pressure and blood sugar tend to vary if a person suffers from irregular heartbeat (arrhythmia)
  • Arrhythmia is most commonly felt when a person goes to sleep.

Facts

  • Those who have atrial fibrillation have a 2-7 times higher risk of getting a stroke.

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Arrhythmia is defined as an event where the heartbeat is either higher or lower than the normal rate. In normal conditions, the human heart beats 60-90 times a minute. If the heart beat rate is higher than 100 or lower than 60, it is described as arrhythmia. A heart beat higher than 100 is termed as tachycardia and for lower than 60 beats per minute, the term used is bradycardia. Both these conditions point to malfunctioning of the heart’s electrical system.
Arrhythmia indicates a problem in the functioning of your heart’s electrical system. This issue or malfunction could either be a minor problem or could be something major. Sometimes, a person may experience irregular heartbeats due to stress or high caffeine intake. The problem usually goes away when the trigger is removed from the system. However, if the trigger is a ventricular dysfunction (ventricular fibrillation), then it could be deadly. This happens when the heart is not able to pump blood well and if this is not treated immediately, it can lead to sudden death.
Arrhythmia or irregular heartbeat can occur due to a number of reasons. The main factors that can cause this irregularity are - existing heart diseases (such as coronary artery disease), sodium/potassium imbalance, a history of cardiac arrest, post-surgery complications, anxiety/stress, high caffeine consumption, smoking, side-effect of medications/supplements/herbal treatments.
There certain types of arrhythmias which do not pose any serious health threats and usually subside once the triggering factor (caffeine or stress) is removed. However, there are several types of arrhythmia which do require immediate medical attention. Atrial fibrillation, atrial flutter, ventricular tachycardia, etc are the ones for which you should go to the ER. If the arrhythmia symptoms keep recurring and/or are chronic in nature, you should see a doctor immediately. Additionally, if the arrhythmia symptoms are associated with difficulty in breathing, dizziness, chest pain, etc - it is an indication of a serious problem.

 

Dos and Don'ts

Dos
  • Monitor caffeine intake, for some one cup of coffee may do nothing while it could cause arrhythmia flares in others. The safe limit for caffeine consumption in a day is 400 mg, which is 4 cups of coffee per day.
  • Exercise regularly; it is good for heart health.
  • Maintain a healthy weight; gaining weight tends to put more pressure on the heart.
Don'ts
  • Consume excessive amounts of alcohol.
  • Miss out on your sleep. Getting proper sleep is mandatory as it tends to reduce stress levels.
  • Consume excess amounts of salt as it increases blood pressure.

 

 

 

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EMG electromyography
EMG- Electromyography EMG detects the presence, location, and extent of diseases that damage the nerves such motor neuron disease. Electromyography…
Bronchoscopy procedure
Bronchoscopy Bronchoscopy is a procedure where in a scope is inserted into the lung pathway to observe any growth…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
paleo profile test
Paleo profile  The Paleo profile is a series of tests which helps in measuring and monitoring various lifestyle diseases caused…
Jicama: A fiber-rich tuber for your weight loss goals Pronouced as HEE-kah-ma, Jicama is the "new kid on the block" that has taken the world by the…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
cold flu sinus treatment
How to beat the common cold, flu, and sinus infection instantly? Can you guess some of the easiest tricks to treat cold and sinus infections? How are these different…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
Spirulina: Battle diabetes and cholesterol with this blue-green algae Spirulina, a species of salt water algae, has now become a billion dollar industry. How you can use…
Jackfruit: Slice your way into higher immunity, better digestion, & more… Native to the South East Asia, the jackfruit is a fruit brimming with thousands of health benefits. Discover…
Rick Simpson’s Oil: The truths and controversies of this cannabis product Rick Simpson's Oil is an extract from the much-controversial plant, Cannabis. What is the actual truth behind the…
dandelion weight loss
Caralluma Fimbriata: How to eat this cactus to lose weight Caralluma fimbriata is a miracle cactus that can be safely consumed by most for losing weight and boosting…
What to eat, what not to eat in the South Beach Diet? The South Beach Diet is one among the most popular weight loss programs that have been the talk…
Hydroquinone: Is it the best topical treatment for hyperpigmentation? Darkening of the skin due to high melanin levels is called hyperpigmentation.  Hydroquinone interferes with melanin production thus treating…
Is bronchitis contagious? And how to prevent this infection? It is acute bronchitis that is contagious which means you can contract it from another person or you…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
Vitamin b12
Vitamin B12 Test Vitamin b12 is an essential nutrient required for healthy functioning of the nervous system and also development of…
colposcopy
Colposcopy Colposcopy is a simple, quick and non- invasive diagnostic tool to look closely inside the vulva, vagina, and…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
HSV-1_IGG
Herpes Simplex Virus I (HSV)-IgG Test Herpes simplex virus I(HSV)-IgG is an Immunoglobulin protein that acts as an antibody & stays in the blood…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are you too a…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…