Is sinus arrhythmia serious?

Written by Zhang Yue Mei
Cardiology
Updated on September 18, 2024
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Sinus arrhythmia is a relatively common type of arrhythmia in clinical practice. It is typically identified through electrocardiogram testing. If no other specific symptoms are present other than sinus arrhythmia, sinus bradycardia, or sinus tachycardia, and if there is no structural heart disease, generally, there are no serious concerns. Often, these kinds of arrhythmias are caused by autonomic nervous system dysfunction, leading to an imbalance between the sympathetic and parasympathetic nerves. To address this irregular heartbeat, it is advisable to rest adequately in daily life and to include some aerobic exercise. Exercise can enhance cardiac contractility and strengthen regular heart function, which can help correct the arrhythmia.

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Written by Chen Ya
Geriatrics
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Why does arrhythmia cause chest pain?

The causes of chest pain due to arrhythmias primarily involve all kinds of arrhythmias reducing the blood flow in the coronary arteries. Although various arrhythmias can decrease coronary blood flow, they rarely cause myocardial ischemia. However, severe arrhythmias that cause significant myocardial ischemia can result in chest pain. For patients with coronary heart disease, various arrhythmias can induce or exacerbate myocardial ischemia, which may also manifest as chest pain and shortness of breath, and in severe cases, lead to acute heart failure, acute myocardial infarction, and persistent, unbearable chest pain and tightness.

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Written by Zhang Yue Mei
Cardiology
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Is sinus arrhythmia serious?

Sinus arrhythmia is a relatively common type of arrhythmia in clinical practice. It is typically identified through electrocardiogram testing. If no other specific symptoms are present other than sinus arrhythmia, sinus bradycardia, or sinus tachycardia, and if there is no structural heart disease, generally, there are no serious concerns. Often, these kinds of arrhythmias are caused by autonomic nervous system dysfunction, leading to an imbalance between the sympathetic and parasympathetic nerves. To address this irregular heartbeat, it is advisable to rest adequately in daily life and to include some aerobic exercise. Exercise can enhance cardiac contractility and strengthen regular heart function, which can help correct the arrhythmia.

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Written by Chen Ya
Geriatrics
1min 33sec home-news-image

What tests are done for arrhythmia?

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 Ya
Geriatrics
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What should be paid attention to in daily life with arrhythmia?

For managing arrhythmias, it's important to pay attention to several aspects. First, maintain a regular lifestyle and ensure adequate sleep. Second, the living environment should be quiet and serene to avoid noise, and it’s beneficial to grow various plants for a better temperament. Third, balance work and rest according to personal capacities and engage in appropriate physical activities such as walking, Tai Chi, and Qigong; moderate sexual activities and avoid colds. Fourth, strive to maintain a standard weight and not indulge in overeating, as obesity can increase cardiac load. Fifth, be mindful of changes in seasons, weather, and climate, as extreme cold or hot conditions can significantly impact the disease, potentially aggravating or triggering arrhythmias. Sixth, diet should be light with frequent, small meals, and avoid coffee, strong alcohol, fried foods, and minimise strong tea. Seventh, keep a stable emotional state and try to eliminate stress, fear, anxiety, irritation, and anger which are stimulants that could negatively affect your emotions. Eighth, in addition to daily medications, have emergency medications prescribed by a doctor on hand, such as Xintiandan, Shexiang Baoxin Pill, Xintongding, Atropine, etc. Ninth, if there are sudden exacerbations of arrhythmia accompanied by palpitations, chest tightness, dizziness, low blood pressure, and sweating, and in severe cases fainting, seek medical attention promptly.

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Written by Zhou Yan
Geriatrics
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What medicine to buy for arrhythmia?

Arrhythmia encompasses a large category of diseases, including sinus tachycardia, bradycardia, sick sinus syndrome, as well as atrial fibrillation, flutter, premature atrial contractions, supraventricular tachycardia, premature ventricular contractions, and atrioventricular block, among others. Due to the various types of arrhythmias, the medications used also differ. It is necessary to go to a hospital for a clear diagnosis to determine the specific type of arrhythmia before using appropriate anti-arrhythmic drugs. Some arrhythmias cannot be resolved just by medication; for instance, in cases like pacemaker syndrome, a pacemaker needs to be installed. Additionally, patients with atrial fibrillation who have tachy-brady syndrome also require a pacemaker. Therefore, the decision on what medication to purchase for arrhythmia should be made by a doctor.