Can arrhythmia be cured?

Written by Zhou Yan
Geriatrics
Updated on September 05, 2024
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There are many types of arrhythmia, some of which, like sinus tachycardia, sinus bradycardia, occasional premature atrial contractions, premature ventricular contractions, and premature junctional contractions, can also occur in healthy individuals and usually do not require treatment. Another category requires treatment, such as supraventricular tachycardia, including atrioventricular nodal reentrant tachycardia, which can be cured by radiofrequency ablation. Additionally, conditions like atrial fibrillation can be treated with radiofrequency ablation; many patients may be cured, but some may not respond to this treatment and require medication instead. There are also patients with intrinsic structural heart disease presenting various arrhythmias that can only be managed with medication, not cured.

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Written by Liu Ying
Cardiology
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Causes of arrhythmia

There are many causes of arrhythmia, which can be physiological or pathological. Pathological causes can originate from the heart itself or from other diseases. For instance, normal individuals might experience sinus arrhythmia, and circumstances such as staying up late, emotional excitement, or excessive fatigue can lead to premature beats or sinus tachycardia, among others. Other diseases, such as hyperthyroidism or fever, can cause an increased heart rate. For example, pulmonary embolism can lead to atrial fibrillation. Heart-related diseases, like heart failure, can cause ventricular premature beats, and diseases of the sinoatrial node itself can lead to sick sinus syndrome, among others.

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Written by Zhou Yan
Geriatrics
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Can arrhythmia be cured?

There are many types of arrhythmia, some of which, like sinus tachycardia, sinus bradycardia, occasional premature atrial contractions, premature ventricular contractions, and premature junctional contractions, can also occur in healthy individuals and usually do not require treatment. Another category requires treatment, such as supraventricular tachycardia, including atrioventricular nodal reentrant tachycardia, which can be cured by radiofrequency ablation. Additionally, conditions like atrial fibrillation can be treated with radiofrequency ablation; many patients may be cured, but some may not respond to this treatment and require medication instead. There are also patients with intrinsic structural heart disease presenting various arrhythmias that can only be managed with medication, not cured.

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Written by Chen Ya
Geriatrics
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Does arrhythmia cause nausea?

Mild arrhythmias, such as sinus bradycardia, sinus arrhythmia, occasional atrial premature contractions, and first-degree atrioventricular block, have minimal impact on hemodynamics, so they generally do not show obvious clinical symptoms. In cases of severe arrhythmias, such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, and sustained ventricular tachycardia, significant arrhythmias affect hemodynamics, reduce blood flow, and cause mesenteric artery spasm, which can lead to clinical manifestations of gastrointestinal ischemia, such as nausea, and even bleeding, ulcers, or paralysis.

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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 Wang Li Bing
Intensive Care Medicine Department
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What department should I go to for arrhythmia?

Arrhythmia is generally treated in the department of cardiovascular medicine. What is arrhythmia? It mainly refers to abnormalities in the frequency, rhythm, origin, conduction speed, or excitation sequence of the heart's impulses. Based on the principles of arrhythmia occurrences, it can be divided into two major categories: abnormalities in impulse formation and abnormalities in impulse conduction. Abnormalities in impulse formation include sinus arrhythmias and ectopic rhythms, while abnormalities in impulse conduction include interference atrioventricular dissociation, sinoatrial conduction block, intra-atrial conduction block, atrioventricular conduction block, and bundle branch block, among others.