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Arrhythmia

Dr. HelloDox Care #
HelloDox Care
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What is Arrhythmia?
Heart Rhythm problems (heart arrhythmias) occur when the electrical impulses those coordinate your heartbeats don't work properly, causing your heart to beat too fast, too slow or irregularly.

Heart arrhythmias (uh-RITH-me-uhs) may feel like a fluttering or racing heart and may be harmless. However, some heart arrhythmias may cause bothersome. Sometimes there are even life-threatening signs and symptoms.

Heart arrhythmia treatment can often control or eliminate fast, slow or irregular heartbeats. In addition, because troublesome heart arrhythmias are often made worse — or are even caused — by a weak or damaged heart, you may be able to reduce your arrhythmia risk by adopting a heart-healthy lifestyle.


What are the Symptoms for Arrhythmia?
Arrhythmias may not cause any signs or symptoms. In fact, your doctor might find you have an arrhythmia before you do, during a routine examination. Noticeable signs and symptoms don't necessarily mean you have a serious problem, however.

Noticeable arrhythmia symptoms may include:
A fluttering in your chest
A racing heartbeat (tachycardia)
A slow heartbeat (bradycardia)
Chest pain
Shortness of breath
Light headedness or dizziness
Sweating
Fainting (syncope) or near fainting


When to see a doctor?
Arrhythmias may cause you to feel premature or extra heartbeats, or you may feel that your heart is racing or beating too slowly. Other signs and symptoms may be related to your heart not pumping effectively due to the fast or slow heartbeat. These include shortness of breath, weakness, dizziness, light headedness, fainting or near fainting, and chest pain or discomfort.

Seek urgent medical care if you suddenly or frequently experience any of these signs and symptoms at a time when you wouldn't expect to feel them.

Ventricular fibrillation is one type of arrhythmia that can be deadly. It occurs when the heart beats with rapid, erratic electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver uselessly instead of pumping blood. Without an effective heartbeat, blood pressure plummets, cutting off blood supply to your vital organs.

A person with ventricular fibrillation will collapse within seconds and soon won't be breathing or have a pulse. If this occurs, follow these steps:

Call emergency number in your area.
If there is no one nearby trained in cardiopulmonary resuscitation (CPR), provide hands-only CPR. That means uninterrupted chest compressions at a rate of 100 to 120 a minute until paramedics arrive. To do chest compressions, push hard and fast in the center of the chest. You do not need to do rescue breathing. If you or someone nearby knows CPR, begin providing it if it's needed. CPR can help maintain blood flow to the organs until an electrical shock (defibrillation) can be given.
Find out if an automated external defibrillator (AED) is available nearby. These portable defibrillators, which can deliver an electric shock that may restart heartbeats, are available in an increasing number of places, such as in airplanes, police cars and shopping malls. They can even be purchased for your home. No training is required. The AED will tell you what to do. It's programmed to allow a shock only when appropriate.



What causes Arrhythmia?
Many things can lead to, or cause, an arrhythmia, including:
A heart attack that is occurring right now
Scarring of heart tissue from a prior heart attack
Changes to your heart's structure, such as from cardiomyopathy
Blocked arteries in your heart (coronary artery disease)
High blood pressure
Overactive thyroid gland (hyperthyroidism)
Underactive thyroid gland (hypothyroidism)
Smoking
Drinking too much alcohol or caffeine
Drug abuse
Stress
Certain medications and supplements, including over-the-counter cold and allergy drugs and nutritional supplements
Diabetes
Sleep Apnea
Genetics


What's a normal heartbeat?
Your heart is made up of four chambers — two upper chambers (atria) and two lower chambers (ventricles). The rhythm of your heart is normally controlled by a natural pacemaker (the sinus node) located in the right atrium. The sinus node produces electrical impulses that normally start each heartbeat. From the sinus node, electrical impulses travel across the atria, causing the atria muscles to contract and pump blood into the ventricles. The electrical impulses then arrive at a cluster of cells called the atrioventricular node (AV node) — usually the only pathway for signals to travel from the atria to the ventricles.
The AV node slows down the electrical signal before sending it to the ventricles. This slight delay allows the ventricles to fill with blood. When electrical impulses reach the muscles of the ventricles, they contract, causing them to pump blood either to the lungs or to the rest of the body. In a healthy heart, this process usually goes smoothly, resulting in a normal resting heart rate of 60 to 100 beats a minute.


What are the types of Arrhythmias?
Doctors classify arrhythmias not only by where they originate (atria or ventricles) but also by the speed of heart rate they cause:

Tachycardia (tak-ih-KAHR-dee-uh): This refers to a fast heartbeat. A resting heart rate greater than 100 beats a minute.
Bradycardia (brad-e-KAHR-dee-uh): This refers to a slow heartbeat. A resting heart rate less than 60 beats a minute.
Not all tachycardias or bradycardias mean you have heart disease. For example, during exercise it is normal to develop a fast heartbeat as the heart speeds up to provide your tissues with more oxygen-rich blood. During sleep or times of deep relaxation, it is not unusual for the heartbeat to be slower.

Tachycardias in the atria: Tachycardias originating in the atria include:
Atrial fibrillation: Atrial fibrillation is a rapid heart rate caused by chaotic electrical impulses in the atria. These signals result in rapid, uncoordinated, weak contractions of the atria. The chaotic electrical signals bombard the AV node, usually resulting in an irregular, rapid rhythm of the ventricles. Atrial fibrillation may be temporary, but some episodes won't end unless treated. Atrial fibrillation may lead to serious complications such as stroke.

Atrial flutter: Atrial flutter is similar to atrial fibrillation. The heartbeats in atrial flutter are more-organized and more-rhythmic electrical impulses than in atrial fibrillation. Atrial flutter may also lead to serious complications such as stroke.

Supraventricular tachycardia: Supraventricular tachycardia is a broad term that includes many forms of arrhythmia originating above the ventricles (supraventricular) in the atria or AV node.

Wolff-Parkinson-White syndrome: In Wolff-Parkinson-White syndrome, a type of supra ventriculatachycardia, there is an extra electrical pathway between the atria and the ventricles, which is present at birth. However, you may not experience symptoms until you're an adult. This pathway may allow electrical signals to pass between the atria and the ventricles without passing through the AV node, leading to short circuits and rapid heartbeats.

Tachycardias in the ventricles. Tachycardias occurring in the ventricles include:
Ventricular tachycardia: Ventricular tachycardia is a rapid, regular heart rate that originates with abnormal electrical signals in the ventricles. The rapid heart rate doesn't allow the ventricles to fill and contract efficiently to pump enough blood to the body. Ventricular tachycardia can often be a medical emergency. Without prompt medical treatment, ventricular tachycardia may worsen into ventricular fibrillation.

Ventricular fibrillation: Ventricular fibrillation occurs when rapid, chaotic electrical impulses cause the ventricles to quiver ineffectively instead of pumping necessary blood to the body. This serious problem is fatal if the heart isn't restored to a normal rhythm within minutes. Most people who experience ventricular fibrillation have an underlying heart disease or have experienced serious trauma, such as being struck by lightning.

Long QT syndrome: Long QT syndrome is a heart disorder that carries an increased risk of fast, chaotic heartbeats. The rapid heartbeats, caused by changes in the electrical system of your heart, may lead to fainting, and can be life-threatening. In some cases, your heart's rhythm may be so erratic that it can cause sudden death. You can be born with a genetic mutation that puts you at risk of long QT syndrome. In addition, several medications may cause long QT syndrome. Some medical conditions, such as congenital heart defects, may also cause long QT syndrome.

Bradycardia (A slow heartbeat): Although a heart rate below 60 beats a minute while at rest is considered bradycardia, a low resting heart rate doesn't always signal a problem. If you're physically fit, you may have an efficient heart capable of pumping an adequate supply of blood with fewer than 60 beats a minute at rest. In addition, certain medications used to treat other conditions, such as high blood pressure, may lower your heart rate. However, if you have a slow heart rate and your heart isn't pumping enough blood, you may have one of several bradycardias, including:

Sick sinus syndrome: If your sinus node, which is responsible for setting the pace of your heart, isn't sending impulses properly, your heart rate may be too slow (bradycardia), or it may speed up (tachycardia) and slow down intermittently. Sick sinus syndrome can also be caused by scarring near the sinus node that's slowing, disrupting or blocking the travel of impulses.
Conduction block: A block of your heart's electrical pathways can occur in or near the AV node, which lies on the pathway between your atria and your ventricles. A block can also occur along other pathways to each ventricle. Depending on the location and type of block, the impulses between the upper and lower halves of your heart may be slowed or blocked. If the signal is completely blocked, certain cells in the AV node or ventricles can make a steady, although usually slower, heartbeat.

Some blocks may cause no signs or symptoms, and others may cause skipped beats or bradycardia.

Premature heartbeats: Although it often feels like a skipped heartbeat, a premature heartbeat is actually an extra beat. Even though you may feel an occasional premature beat, it seldom means you have a more serious problem. Still, a premature beat can trigger a longer lasting arrhythmia to people with heart disease.

Premature heartbeats are commonly caused by stress, strenuous exercise or stimulants, such as caffeine or nicotine.


What are the risk factors for arrhythmia?
Certain factors may increase your risk of developing an arrhythmia. These include coronary artery disease, other heart problems and previous heart surgery. Narrowed heart arteries, a heart attack, abnormal heart valves, prior heart surgery, heart failure, cardiomyopathy and other heart damage are risk factors for almost any kind of arrhythmia.
High blood pressure: This increases your risk of developing coronary artery disease. It may also cause the walls of your left ventricle to become stiff and thick, which can change how electrical impulses travel through your heart.
Congenital heart disease: Being born with a heart abnormality may affect your heart's rhythm.
Thyroid problems: Having an overactive or underactive thyroid gland can raise your risk of arrhythmias.
Drugs and supplements: Certain over-the-counter cough and cold medicines and certain prescription drugs may contribute to arrhythmia development.
Diabetes: Your risk of developing coronary artery disease and high blood pressure greatly increases with uncontrolled diabetes.

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एरिथिमिया

Dr. HelloDox Care #
HelloDox Care
Consult



ह्रदयाचा लय नसणे (एरिथिमिया)

एरिथिमिया लक्षण
खालील वैशिष्ट्ये एरिथिमिया दर्शवितात:

- अनियमित हृदयाचा ठोका
- अशक्तपणा
- चक्कर येणे
- चिंता
- धाप लागणे
- छाती दुखणे
- घाम येणे
- फॅनिंग
एरिथिमिया कोणतीही शारीरिक लक्षणे दर्शवत नसेल तरीही रुग्णांमध्ये उपस्थित राहू शकतो.

एरिथिमिया चे साधारण कारण
एरिथिमिया चे साधारण कारणे खालीलप्रमाणे आहेत:
- धूम्रपान
- जास्त दारूचा वापर
- जास्त प्रमाणात कॅफिनचा वापर
- हृदयविकाराचा झटका
- जन्मजात हृदय दोष
- हृदय विद्युतीय सिग्नल अवरोधित किंवा मंद होऊ शकतात

एरिथिमिया चे अन्य कारणे.
एरिथिमिया चे सर्वसाधारण कारणे खालीलप्रमाणे आहेत:
- मजबूत भावनिक ताण

एरिथिमिया साठी जोखिम घटक
खालील घटक एरिथिमिया ची शक्यता वाढवू शकतात:
- उच्च रक्तदाब
- मधुमेह
- हृदयविकाराचा झटका
- हृदय अपयशी
- जन्मजात हृदय दोष
- संकुचित हृदय वाल्व
- अतिव्यापी किंवा अंडरएक्टिव्ह थायरॉईड ग्रंथी
- संक्रमण
- झोपेची झोपे

एरिथिमिया टाळण्यासाठी
होय, एरिथिमिया प्रतिबंधित करणे संभव आहे. खालील गोष्टी करून प्रतिबंध करणे शक्य आहे:
- धूम्रपान टाळा
- निरोगी आहार घेणे
- कमी सोडियम आहार घ्या
- योग करा
- ध्यान करा
- अल्कोहोल वापर टाळा

एरिथिमिया ची शक्यता
खालीलप्रमाणे जगभरात प्रत्येक वर्षी एरिथिमिया प्रकरणांची संख्या दिसली आहेत:
- 1 ते 10 दशलक्ष प्रकरणांमध्ये सामान्य

सामान्य वयोगटातील जमाव
एरिथिमिया कोणत्याही वयात होऊ शकतो.

सामान्य लिंग
एरिथिमिया कोणत्याही लिंगात होऊ शकतो.

प्रयोगशाळेतील चाचण्या आणि कार्यपध्दती एरिथिमिया चे निदान करण्यासाठी

प्रयोगशाळेतील चाचण्या आणि प्रक्रियांचा वापर एरिथिमिया शोधण्यासाठी केला जातो:
- इलेक्ट्रोकार्डियोग्राम: हृदयाच्या विद्युतीय क्रियाकलापांचा शोध घेण्यासाठी आणि रेकॉर्ड करण्यासाठी
- होल्ट मॉनिटर: संपूर्ण 24- किंवा 48-तासांच्या कालावधीसाठी हृदयाच्या विद्युतीय सिग्नल रेकॉर्ड करणे
- इव्हेंट मॉनिटर: काही वेळा हृदयाच्या विद्युतीय क्रियाकलाप रेकॉर्ड करण्यासाठी
- रक्त तपासणी: रक्तातील पदार्थांची पातळी तपासण्यासाठी
- चेस्ट एक्स किरण: छातीतील संरचनेची चित्रे पाहण्यासाठी
- इकोकार्डियोग्राफी: हृदयात खराब रक्त प्रवाहांच्या क्षेत्रांची ओळख करण्यासाठी आणि हृदयाच्या आकार आणि आकाराची माहिती प्रदान करण्यासाठी
- इलेक्ट्रोफिजियोलॉजी अभ्यास: गंभीर ऍरिथमियाचे मूल्यांकन करण्यासाठी
- झुकाव टेबलाची चाचणी: फॅन्टिंग स्पेलचे कारण शोधण्यासाठी
- कोरोनरी एंजियोग्राफी: कोरोनरी आर्टरीजच्या आत पाहण्यासाठी
- इम्प्लांटेबल लूप रेकॉर्डर: असामान्य हृदय ताल ओळखणे
- तणाव चाचणी: आपले हृदय कठोर परिश्रम करीत आहे आणि जलद मारत आहे तेव्हा निदान करणे

एरिथिमिया च्या निदान साठी वैदय
जर रुग्णांना एरिथिमिया चे लक्षण असतील तर खालील तज्ञांना भेट द्यावे:
- कार्डियोलॉजिस्ट
- बालरोगतज्ञ कार्डियोलॉजिस्ट
- इलेक्ट्रोफिजियोलॉजिस्ट

उपचार न केल्यास एरिथिमिया च्या अधिक समस्या
होय, जर उपचार न केल्यास एरिथिमिया गुंतागुंतीचा होतो. एरिथिमिया वर उपचार न केल्यास, उद्भवणार्या गुंतागुंती आणि समस्यांची सूची खाली दिली आहे:
- स्ट्रोक
- हृदय अपयशी
- अचानक हृदयविकाराचा मृत्यू
- जीवन धोकादायक असू शकते

एरिथिमिया वर उपचार प्रक्रिया
एरिथिमिया वर उपचार करण्यासाठी खालील पद्धतींचा उपयोग केला जातो:
- पेसमेकर: असामान्य मंद ह्रदयाचा दर हाताळण्यासाठी
- इंपॅप्टेबल कार्डिव्हर्टर डिफिब्रिलेटर: व्हेंट्रिक्यूलर फायब्रिलेशनचा उपचार करण्यासाठी
- कार्डियोव्हर्सन: हृदयावर वीजेच्या झटक्याने ऍरिथमियांचा उपचार करणे
- ट्रान्ससोफेजल इकोकार्डियोग्राफी: अॅट्रियामध्ये रक्तसंक्रमण नसल्याचे सुनिश्चित करण्यासाठी
- कॅथेटर पृथक्करण: औषधे कार्य करत नसल्यास काही ऍरिथमियास हाताळण्यासाठी
- मेझ सर्जरी: असंगठित विद्युतीय सिग्नलचा प्रसार टाळण्यासाठी
- कोरोनरी धमनी बायपास ग्राफिकिंग: हृदय स्नायूमध्ये रक्त प्रवाह वाढवते

एरिथिमिया साठी स्वत: घ्यावयाचि काळजी
खालीलप्रमाणे आत्म-काळजी किंवा जीवनशैलीत बदल एरिथिमिया च्या उपचार किंवा व्यवस्थापनास मदत करू शकतात:
- अल्कोहोल वापर टाळा
- निरोगी वजन टिकवून ठेवा: हृदयरोगाचा विकास होण्याची जोखीम कमी करते
- हृदय-निरोगी आहार खाणे: हृदयाच्या अस्थिबंधना टाळण्यासाठी मीठ आणि आहारातील घन पदार्थ कमी प्रमाणात खाणे
- धूम्रपान सोडणे: आपले हृदय शक्य तितके निरोगी ठेवेल

एरिथिमिया च्या उपचारांसाठी पर्यायी औषध
खालील पर्यायी औषध आणि चिकित्सा एरिथिमिया च्या उपचार किंवा व्यवस्थापनास मदत म्हणून ओळखले जातात:
- एक्यूपंक्चर: विशिष्ट ऍरिथमियासमध्ये अनियमित हृदय दर कमी करते
- योग आणि ध्यानः तणाव कमी करणे
- आराम करण्याचे तंत्र: तणाव कमी करण्यास मदत करते

एरिथिमिया च्या उपचारांसाठी रुग्ण समर्थन
एरिथिमिया रुग्णांना खालील क्रिया मदत करू शकतात:
- मित्र आणि कुटुंबाकडून मदतः तणाव व्यवस्थापित करण्यास मदत करते

एरिथिमिया उपचारांची वेळ
प्रत्येक रुग्णाच्या उपचारांकरिता वेळ-कालावधी भिन्न असू शकते, तज्ञांच्या पर्यवेक्षणानुसार योग्यरित्या उपचार केल्यास एरिथिमिया निराकरण करण्यासाठी विशिष्ट कालावधी लागतो:
- 1 वर्षापेक्षा जास्त

Dr. Palavi Gholap
Dr. Palavi Gholap
BAMS, Ayurveda Family Physician, 9 yrs, Pune
Dr. Mandar Phutane
Dr. Mandar Phutane
BDS, Cosmetic and Aesthetic Dentist Dental Surgeon, 10 yrs, Pune
Dr. Varghese Jibi
Dr. Varghese Jibi
MS/MD - Ayurveda, Ayurveda, 8 yrs, Pune
Dr. Mayur Ingale
Dr. Mayur Ingale
MBBS, ENT Specialist, 4 yrs, Pune
Dr. Hitesh Karnavat
Dr. Hitesh Karnavat
BAMS, Ayurveda Infertility Specialist, 12 yrs, Pune
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