What tests are done for arrhythmia?

Written by Chen Ya
Geriatrics
Updated on September 02, 2024
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The examinations required for arrhythmia are as follows: First, an electrocardiogram, which is the most important non-invasive diagnostic technique for diagnosing arrhythmias. Second, a Holter monitor test should be conducted, which records the electrocardiogram continuously over 24 hours to possibly capture the occurrence of symptoms such as palpitations and fainting, and whether they are related to arrhythmias. It clarifies the relationship between arrhythmias or myocardial ischemia attacks and daily activities, as well as their diurnal distribution characteristics, and can assist in evaluating the efficacy of medications and the condition of pacemakers to some extent. Third is the exercise test; if palpitations occur during exercise, an exercise test can assist in making a diagnosis. Fourth is the esophageal electrocardiogram, which is a useful non-invasive method for diagnosing arrhythmias. Fifth is the cardiac electrophysiological study, typically involving the placement of electrode catheters on the upper and lower parts of the right atrial wall, the tip of the right ventricle, the coronary sinus, and the His bundle area, with the electrical activity at these sites being simultaneously recorded using a multi-channel physiological recorder with 8-12 channels or more.

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Written by Chen Tian Hua
Cardiology
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Arrhythmia is what?

Arrhythmia refers to abnormalities in the frequency, rhythm, origin, or conduction of the heartbeats. It can occur in healthy individuals as well as those with related diseases, and may involve cardiac diseases or other medical conditions. The primary mechanism behind the occurrence of arrhythmias is the abnormal formation of cardiac impulses or the abnormal conduction of these impulses. It is important to actively seek the causes of arrhythmias and control the factors that trigger them. For diseases associated with arrhythmias, proactive management is necessary. When severe arrhythmias occur, timely and effective treatment is crucial to prevent adverse outcomes.

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Written by Li Hai Wen
Cardiology
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Arrhythmias include:

Arrhythmia is a very common disease in our daily life. What does arrhythmia include? Generally speaking, arrhythmia often includes the following aspects: First, irregular heartbeat, such as sinus arrhythmia, atrial fibrillation, and frequent premature beats. Second, tachycardia, such as paroxysmal supraventricular tachycardia, ventricular tachycardia, and so on. Third, bradycardia diseases, such as sinus bradycardia, severe atrioventricular block, and sick sinus syndrome, etc.

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Written by Chen Ya
Geriatrics
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What department should one go to for arrhythmia?

Arrhythmia is an important group of diseases among cardiovascular diseases. It can occur on its own or in conjunction with other cardiovascular diseases, thus it mainly requires consulting a department of cardiology. However, due to other causes such as electrolyte or endocrine disorders, anesthesia, hypothermia, thoracic or cardiac surgery, drug effects, and central nervous system diseases, the assistance of endocrinologists and neurologists is needed for diagnosis and treatment. Sometimes, the arrhythmia might be caused by endocrine disorders, such as thyroid diseases or hypoglycemic symptoms in diabetes, necessitating a consultation with the department of endocrinology. If symptoms like transient blindness, fainting, dizziness, or convulsions occur, it is essential to consider brain-related diseases, such as epilepsy or transient insufficient brain blood supply, and consult the department of neurology to make a differential diagnosis.

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Written by Chen Ya
Geriatrics
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What medicine is used for arrhythmia?

There is still no consensus on the drugs commonly used for arrhythmia. The main classes used clinically are as follows: The first class is sodium channel blockers, which include three subclasses: moderate, mild, and significant sodium channel blockers, respectively comprising quinidine, lidocaine, and propafenone. The second class mainly consists of adrenergic receptor blockers, with propranolol being a representative drug. The third class of drugs selectively prolongs the repolarization process, among which amiodarone is commonly used clinically. The fourth class is calcium channel blockers, which mainly block calcium channels and inhibit the inflow of calcium, with verapamil being the main representative drug. Long-term use of anti-arrhythmia drugs can cause varying degrees of side effects, with severe cases possibly leading to ventricular arrhythmia or fatal cardiac conduction block. Therefore, when using these drugs clinically, it is essential to strictly control the indications, monitor adverse reactions, and strictly follow the doctor's prescription for rational medication.

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Written by Chen Ya
Geriatrics
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Arrhythmia is what kind of disease

Arrhythmia is caused by abnormal excitation of the sinoatrial node or excitation originating outside the sinoatrial node, where the propagation of excitation is slow, blocked, or conducted through abnormal channels, leading to abnormalities in the frequency and/or rhythm of heartbeats due to origins and (or) conduction disorders of cardiac activity. Arrhythmia is an important group of diseases within cardiovascular diseases. It can occur independently or in conjunction with other cardiovascular diseases. Its prognosis is related to the causes, inducing factors, and evolutionary trends of the arrhythmia, and whether it leads to severe hemodynamic disturbances. It can cause sudden death or continuously affect the heart leading to its failure.