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An arrhythmia is a disorder of the heartbeat or rhythm, caused by a disruption
of the hearts normal electrical conduction system. The SA (sinoatrial) node
is the hearts natural pacemaker, sending electrical impulses through the
hearts special conduction pathways, signaling the hearts four chambers to
beat in a synchronized manner. Nerve impulses and hormones influence the rate of
the beats. Disturbances anywhere along this conduction system can produce an
arrhythmia. Causes include by heart disease, stress, caffeine, tobacco, alcohol
and certain medications. Sometimes, no cause can be found.
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The two general types of arrhythmias are tachycardia, when the heart beats too
fast, and bradycardia, when the heart beats too slowly. An arrhythmia can also cause
the heart to skip a beat or have an extra beat. Most everyone will experience some
form of arrhythmia on occasion. These disturbances are usually harmless. Other
arrhythmias, however, are dangerous and require treatment. Arrhythmias originating
in the ventricles (lower chambers of the heart) are more serious than those that
originate in the atria (upper chambers). Ventricular fibrillation and ventricular
tachycardia are life-threatening arrhythmias.
General symptoms of arrhythmias include heart palpitations or rapid thumping in the
chest, fainting, light-headedness or dizziness, fatigue, chest pain, and shortness
of breath. Arrhythmias can be detected by an electrocardiogram or an electrophysiology
(EP) study, a type of cardiac catheterization procedure.
Treatment depends on the type of the arrhythmia and includes, medications to control
the heart rate, implantable pacemakers or defibrillators, surgery, and radiofrequency
catheter ablation. Some arrhythmias respond to lifestyle changes, such as exercise and
avoiding caffeine and nicotine, which are stimulants.
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