Is bradycardia with irregular heartbeat serious?

Written by Zhang Yue Mei
Cardiology
Updated on September 11, 2024
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If bradycardia accompanied by irregular heartbeats occurs, whether it is serious and the severity depends on the cause of the bradycardia and the frequency of the irregularity. A slow heart rate can lead to severe insufficient blood supply to the heart and brain, causing some ischemic heart and brain diseases. Therefore, patients with bradycardia and irregular heartbeats should go to the hospital and undergo related examinations under the guidance of a doctor. If it is caused by a primary disease, it is necessary to treat the primary disease and use medications to increase the heart rate and correct the irregular heartbeat to avoid causing greater harm to the body.

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Written by Chen Ya
Geriatrics
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Causes and Treatment of Bradycardia

Bradycardia can be seen in healthy individuals, especially athletes, and also during sleep. If caused by a pathological condition, there may be organic heart disease, particularly in patients with acute myocardial infarction. If such a condition causes a significant decrease in cardiac output, affecting the blood supply to vital organs such as the heart, brain, and kidneys, then drugs like atropine or even intravenous drip of isoproterenol are used to increase the heart rate. Oral theophylline may be considered under general conditions. For severe sinus bradycardia leading to syncope where drug treatment is ineffective, it is recommended to install a permanent artificial cardiac pacemaker to prevent sudden sinus arrest.

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Written by Zhang Yue Mei
Cardiology
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Is bradycardia with irregular heartbeat serious?

If bradycardia accompanied by irregular heartbeats occurs, whether it is serious and the severity depends on the cause of the bradycardia and the frequency of the irregularity. A slow heart rate can lead to severe insufficient blood supply to the heart and brain, causing some ischemic heart and brain diseases. Therefore, patients with bradycardia and irregular heartbeats should go to the hospital and undergo related examinations under the guidance of a doctor. If it is caused by a primary disease, it is necessary to treat the primary disease and use medications to increase the heart rate and correct the irregular heartbeat to avoid causing greater harm to the body.

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Written by Chen Tian Hua
Cardiology
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What are the dangers of bradycardia?

If the bradycardia is physiological, it generally does not harm the body and does not require special treatment. If the bradycardia is pathological, when the heartbeat significantly slows down, it can cause a decrease in cardiac output due to the slow heart rate, leading to symptoms of insufficient cardiac output, insufficient blood supply to the brain which can cause dizziness, visual disturbance, fainting, and other symptoms. Insufficient coronary artery supply can induce angina, and insufficient perfusion of the kidneys can lead to reduced urine output and kidney damage. Therefore, if a patient with bradycardia has a slow heart rate that leads to obvious symptoms, it is necessary to install a pacemaker for pacing treatment to increase the heart rate.

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Written by Xie Zhi Hong
Cardiology
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Heart failure is neither tachycardia nor bradycardia.

Heart failure refers to the condition in which the heart's pumping function is relatively or absolutely insufficient, resulting in a series of symptoms. Patients may exhibit symptoms such as chest tightness, shortness of breath, difficulty breathing, and sometimes even cyanosis of the lips. Severe cases can lead to sudden death. Tachycardia and bradycardia are only due to disturbances in the patient's cardiac conduction system, causing the heart rate to accelerate or slow down. If the patient's heart function is good, the majority can compensate. However, prolonged tachycardia or prolonged bradycardia can potentially lead to heart failure. Therefore, heart failure is different from tachycardia or bradycardia.

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Written by Zhou Yan
Geriatrics
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What is bradycardia?

Bradycardia generally refers to a heart rate of less than 60 beats per minute, often seen in healthy young people, athletes, and during sleep. Other possible causes include hypothyroidism, obstructive jaundice, as well as severe hypoxia and hypothermia. If the patient's bradycardia does not cause other pathological conditions, such as dizziness or fainting, it generally does not require treatment. If severe dizziness and fainting occur, indicating insufficient cardiac output, medications that increase the heart rate, such as atropine or aminophylline, can be used. (These medications should be taken under the guidance of a doctor.)