Does arrhythmia premature beat have danger?

Written by Chen Ya
Geriatrics
Updated on September 02, 2024
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Premature beats, also known as premature contractions, abbreviated as premature beats, are a type of early ectopic heartbeats. They can be classified according to their origin into sinus, atrial, junctional, and ventricular, with ventricular being the most common. Premature beats are a common type of ectopic rhythm that can occur on the basis of sinus or ectopic rhythms, such as atrial fibrillation. They can occur occasionally or frequently and may irregularly or regularly follow each or several normal beats, forming a bigeminy or trigeminy pattern of premature beats. Generally, sinus, atrial, and junctional premature beats do not involve rapid ventricular rates and are usually not life-threatening. Although most premature beats are functional and do not cause damage to the heart, some pathological premature beats occurring on the basis of structural heart disease may further induce arrhythmias. In particular, ventricular premature beats may provoke ventricular tachycardia or ventricular fibrillation and in severe cases, may lead to sudden cardiac death. Additionally, multifocal atrioventricular premature beats are often a precursor to atrial fibrillation.

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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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Do arrhythmias need treatment?

The treatment of arrhythmias should be based on the symptoms of the patient, the type of arrhythmia, and its impact on hemodynamics to determine if treatment is necessary. For instance, mild sinus bradycardia, irregular sinus rhythm, occasional atrial premature contractions, and first-degree atrioventricular block have minimal impact on hemodynamics. Therefore, if there are no obvious clinical symptoms and no cardiac structural disease, temporary drug treatment may not be required. However, severe arrhythmias such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, and persistent ventricular tachycardia can cause palpitations, chest tightness, dizziness, low blood pressure, severe sweating, and in severe cases, syncope, Adams-Stokes syndrome, or even sudden death, which require immediate medical attention.

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Written by Chen Ya
Geriatrics
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Arrhythmia refers to what?

Arrhythmia refers to the abnormal origination or conduction of impulses in the heart due to abnormal activation of the sinoatrial node, slow conduction, blockages, or passage through abnormal pathways, leading to abnormalities in the frequency and/or rhythm of the heartbeat. Arrhythmias are a significant group of cardiovascular diseases. They can occur alone or in conjunction with other cardiovascular diseases. The prognosis of arrhythmias depends on their causes, triggers, trends in progression, and whether they lead to severe hemodynamic disturbances, potentially causing sudden death or continuous impairment of heart function leading to heart failure.

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Written by Chen Ya
Geriatrics
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Does arrhythmia require hospitalization?

Arrhythmia treatment should be determined based on the patient's symptoms, type of arrhythmia, and its impact on hemodynamics. For instance, minor conditions like slight sinus bradycardia, irregular sinus rhythm, occasional atrial premature contractions, and first-degree atrioventricular block, which have minimal impact on hemodynamics and no significant clinical manifestation or structural heart disease, do not necessitate hospitalization. However, more severe arrhythmias such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, and sustained ventricular tachycardia, which can cause symptoms like palpitations, chest tightness, dizziness, low blood pressure, sweating, and in severe cases, fainting, Adam-Stokes syndrome, and even sudden cardiac death, require prompt medical attention and hospitalization for treatment.

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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.