Arrhythmias include:

Written by Li Hai Wen
Cardiology
Updated on September 08, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Wei Shi Liang
Intensive Care Unit
52sec home-news-image

Ventricular arrhythmias include the following types.

Common ventricular arrhythmias mainly include premature ventricular contractions, ventricular tachycardia, ventricular flutter, and ventricular fibrillation. Premature ventricular contractions appear on the electrocardiogram as prematurely occurring wide and abnormal QRS complexes. If asymptomatic, no treatment is needed; if symptomatic, receptor blockers can be used for treatment. Ventricular tachycardia is clearly indicated on the electrocardiogram by wide and abnormal QRS complexes, with heart rates ranging from 140 bpm to 200 bpm. The primary treatment is to remove the cause, and electrical cardioversion can be used when hemodynamics are unstable. Ventricular flutter and fibrillation, their ventricular rates are generally above 250 bpm, and treatment is crucial.

doctor image
home-news-image
Written by Liu Ying
Cardiology
51sec home-news-image

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.

doctor image
home-news-image
Written by Chen Ya
Geriatrics
1min 10sec home-news-image

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.

doctor image
home-news-image
Written by Chen Ya
Geriatrics
1min 4sec home-news-image

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.

doctor image
home-news-image
Written by Wang Li Bing
Intensive Care Medicine Department
42sec home-news-image

What is ventricular arrhythmia?

Ventricular arrhythmias mainly refer to disorders of the ventricular rhythm and are relatively common clinically, including premature ventricular contractions, ventricular tachycardia, ventricular flutter, and ventricular fibrillation. Premature ventricular contractions generally do not cause noticeable clinical symptoms, while ventricular flutter and ventricular fibrillation are very dangerous clinically and must be treated promptly with defibrillation. Therefore, ventricular arrhythmias must be treated promptly, actively treating the underlying disease, and managing the arrhythmia to prevent sudden death.