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"Arrhythmia" agency your baby is irregular. It doesn't necessarily beggarly your affection is assault too fast or too slow. It aloof agency it's out of its accustomed rhythm.
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It may feel like your affection skipped a beat, added a beat, is "fluttering," or is assault too fast (which doctors alarm tachycardia) or too apathetic (called bradycardia). Or, you ability not apprehension anything, back some arrhythmias are "silent."
Arrhythmias can be an emergency, or they may be harmless. If you feel article aberrant accident with your heartbeat, alarm 911 so doctors can acquisition out why it's accident and what you charge to do about it.
You could accept an arrhythmia alike if your affection is healthy. Or it could appear because you have:
The abounding types of arrhythmias include:
Premature atrial contractions. These are aboriginal added beats that alpha in the heart's high chambers, alleged the atria. They are controllable and about don't charge treatment.
Premature ventricular contractions (PVCs). These are amid the best accepted arrhythmias. They're the "skipped heartbeat" we all occasionally feel. They can be accompanying to accent or too abundant caffeine or nicotine. But sometimes, PVCs can be acquired by affection ache or electrolyte imbalance. If you accept a lot of PVCs, or affection affiliated to them, see a affection doctor (cardiologist).
Atrial fibrillation. This accepted aberrant affection accent causes the high accommodation of the affection to arrangement abnormally.
Atrial flutter. This is an arrhythmia that's usually added organized and approved than atrial fibrillation. It happens best generally in bodies with affection ache and in the aboriginal anniversary afterwards affection surgery. It generally changes to atrial fibrillation.
Paroxysmal supraventricular tachycardia (PSVT). A accelerated affection rate, usually with a approved rhythm, starting from aloft the heart's lower chambers, or ventricles. PSVT begins and ends suddenly.
Accessory alleyway tachycardias. You can get a accelerated affection amount because there is an added alleyway amid the heart's high and lower chambers. It's aloof like if there was an added alley on your way home as able-bodied as your accepted route, so cars can move about faster. Back that happens in your heart, it can account a fast affection rhythm, which doctors alarm tachycardia. The impulses that ascendancy your affection accent biking about the affection actual quickly, authoritative it exhausted almighty fast.
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AV nodal reentrant tachycardia. This is addition blazon of fast heartbeat. It's acquired by there actuality an added alleyway through a allotment of the affection alleged the AV node. It can account affection palpitations, fainting, or affection failure. In some cases, you can stop it artlessly by animation in and address down. Some drugs can additionally stop this affection rhythm.
Ventricular tachycardia (V-tach). A accelerated affection accent starting from the heart's lower chambers. Because the affection is assault too fast, it can't ample up with abundant blood. This can be a austere arrhythmia -- abnormally in bodies with affection ache -- and it may be affiliated to added symptoms.
Ventricular fibrillation. This happens back the heart's lower accommodation convulsion and can't arrangement or pump claret to the body. This is a medical emergency that charge be advised with CPR and defibrillation as anon as possible.
Long QT syndrome. This may account potentially alarming arrhythmias and abrupt death. Doctors can amusement it with medications or accessories alleged defibrillators.
Bradyarrhythmias. These are apathetic affection rhythms, which may be due to ache in the heart's electrical system. Back this occurs, you may feel like you are action to canyon out, or absolutely canyon out. This could additionally be from medication. The analysis for this could be a pacemaker.
If you acquaintance this, alarm your doctor.
Sinus bulge dysfunction. This apathetic affection accent is due to a botheration with the heart's atrium node. Some bodies with this blazon of arrhythmia charge a pacemaker.
Heart block. There is a adjournment or a complete block of the electrical actuation as it campaign from the heart's atrium bulge to its lower chambers. The affection may exhausted anyhow and, often, added slowly. In austere cases, you'd get a pacemaker.
An arrhythmia can be silent, acceptation you don't apprehension any symptoms. A doctor can acquisition an aberrant baby during a concrete assay by demography your assault or through an electrocardiogram (ECG or EKG).
If you do accept symptoms, they may include:
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To analyze an arrhythmia or acquisition its cause, doctors use tests including:
Electrocardiogram -- Additionally alleged an EKG or ECG, this analysis annal the electrical action of your heart. You abrasion baby electrode patches on your chest, arms, and legs for the quick, accessible test, which you booty in your doctor's office.
Holter adviser -- This is a carriageable EKG that you'll use for 1 to 2 days. You'll accept electrodes taped to your skin. It's accessible and you can do aggregate but array while cutting the electrodes.
Event adviser -- If your affection don't appear often, your doctor may advance you abrasion one of these, usually for about a month. This is a accessory that, back you advance a button, will almanac and abundance your heart's electrical action for a few minutes. Each time you apprehension symptoms, you should try to get a account on the monitor. Your doctor will adapt the results.
Stress analysis -- There are altered kinds of accent tests. The ambition is to analysis how abundant accent your affection can administer afore accepting a affection accent botheration or not accepting abundant claret breeze to the heart. For the best accepted blazon of accent test, you'll airing on a treadmill or pedal a anchored bike at accretion levels of adversity while you're accepting an EKG and accepting your affection amount and claret burden monitored.
Echocardiogram -- This analysis uses ultrasound to appraise affection beef and affection valves.
Cardiac catheterization -- Your doctor will admit a long, attenuate tube, alleged a catheter, into a claret barge in your arm or leg. She will adviser it to your affection with advice from a appropriate X-ray machine. Afresh she'll inject dye through the catheter to advice accomplish X-ray videos of your heart's valves, coronary arteries, and chambers.
Electrophysiology abstraction -- This analysis annal your heart's electrical activities and pathways. It can advice acquisition out what's causing affection accent problems and acquisition the best analysis for you. During the test, your doctor will cautiously carbon your aberrant affection accent and afresh may accord you altered medications to see which controls it best, or to see what action or accessory you charge to amusement it.
Head-up angle table analysis -- Doctors use this analysis to acquisition out what's causing amazement spells. It measures the aberration in affection amount and claret burden back you're continuing up or lying down. You'll get this analysis in a lab. You'll lie on a stretcher, agee at altered angles while you're accepting an EKG and specialists are blockage your claret burden and oxygen level. This shows if affection of casual out are due to the electrical system, the afraid system, or the vascular system.
If drugs can't ascendancy a assiduous aberrant affection accent (such as atrial fibrillation), you ability charge cardioversion. For this, doctors, accord you a short-acting anesthesia, afresh bear an electrical shock to your chest bank to acquiesce the accustomed accent to restart.
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This accessory sends baby electrical impulses to the affection beef to accumulate a safe affection rate. The pacemaker has a assault architect (which houses the array and a tiny computer) and affairs that accelerate impulses from the assault architect to the affection muscle.
Doctors mainly use ICDs to amusement ventricular tachycardia and ventricular fibrillation, two life-threatening affection rhythms.
The ICD consistently advance the affection rhythm. Back it detects a actual fast, aberrant affection rhythm, it delivers an electric shock to the affection beef to account the affection to exhausted in a accustomed accent again. There are several means the ICD can be acclimated to restore accustomed affection rhythm. They include:
You can anticipate of this action as rewiring to fix an electrical botheration aural the heart.
The doctor will admit a catheter through the leg. The catheter delivers high-frequency electrical activity to a baby breadth central the affection that causes the aberrant affection rhythm. This activity "disconnects" the alleyway of the aberrant rhythm.
Doctors use ablation to amusement best PSVTs, atrial flutter, atrial fibrillation, and some atrial and ventricular tachycardias. Some bodies additionally charge added procedures.
The Maze action is a blazon of anaplasty acclimated to actual atrial fibrillation. During this procedure, the surgeon makes a series, or "maze," of cuts in the heart's high chambers. The ambition is to accumulate the heart's electrical impulses alone on assertive pathways. Some bodies may charge a pacemaker afterward.
WebMD Medical Reference Reviewed by Suzanne R. Steinbaum, MD on July 27, 2017
SOURCE:
News release, FDA.
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