Doctor insights on:
Prevention Juntional Tachycardia Rhythm
Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more
Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?
No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read moreSee 1 more doctor answer
Sinoatrial node.: The normal heart rate "pacemaker" center is in the sinoatrial node, a part of the right atrium. Ectopic atrial tachycardia means that the pacemaker region (the part that is setting the heart rate) is in another location, & is acting erratically. Atrial tachycardia implies that it is the sinoatrial node that is acting erratically. They are similar, but the heartbeat starts at different points. ...Read more
Not really pulseless: When VT occurs at a fast enough rate, there is inadequate time for ventricular filling, cardiac output falls, and blood pressure falls. You may not be able to palpate a pulse but an arterial line would show a waveform that is reduced in amplitude. Rate is the key. As tissue perfusion fails, acidosis, hypoxemia and hyperkalemia result leading to ventricular fibrillation and death. ...Read more
Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read moreSee 1 more doctor answer
Can a paroxysmal atrial fibrillation and av node reentry tachycardia increase the risk for a heart attack?
EP procedure: This is generally done in a cath lab using wires similar or pacemaker electrodes. They are inserted through blood vessels in the leg, and place into the heart. There they "read" electrical activity to determine where the abnormal conduction is taking place. Then the offending circuit can be severed using radio-frequency ablation. ...Read moreSee 1 more doctor answer
Neither: Neither is worse, both require treatment when they cause symptoms. ...Read more
Which anti-arrhythmic medication is best to control frequent, non-sustained, monomorphic ventricular arrhythmias with a structurally NORMAL heart ?
May need nothing: Unless causing symptoms or a cardiologist finds some.underlying abnormality what you describe does not need treatment. Caffeine, lack of sleep, stress, alcohol and decongestants like pseudofed, and energy drinks will all exacerbate the problem. If it needs treatment a beta blocker like Metoprolol or Coreg (carvedilol) are good choices Too much thyroid medication can bring this out as well. ...Read more
Ventricular fib: Vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation, while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. Additionally, if the af causes a fast pulse for a prolonged period of time, this may lead to weakening of the heart and cause heart failure. ...Read moreSee 2 more doctor answers
Yes: Paroxysmal atrial fibrillation (afib) refers to a brief episode of irregular heart rhythm that may cause a variety of symptoms including confusion, palpitations, sweating, chest pain, nausea, vomiting, and sometime even stroke symptoms including changes in language, facial drooping, weakness, and numbness to name a few symptoms. It is important to be seen by a doctor to have a complete exam. ...Read more
Many causes: First off, need an ultrasound (echo) of your heart, because structural abnormalites of the heart are the first big cause that needs to be eliminated. If your heart is structurally normal, then the other big cause for atrial arrhythmias is diet and drugs -- especially any caffeine or diet pills. Finally, sometimes it is just idiopathic -- which means we cannot find a cause. ...Read more
SMC / ANALYSIS OF A 48 HOUR HOLTER SCAN FOR "RACING HEARTBEAT": Underlying
rhythm is sinus. Heart rates range from 69 BPM (asleep) to 173 bpm(unknown?
More info....: The heart rate of 173 bpm is fast and meets the definition of tachycardia. The next question is what was the rhythm when your your rate was 173? So, to make this diagnosis and then decide on treatment based on this diagnosis, you need to see a cardiologist. The cardiologist can look at your monitor results and decide on what to do from here. Good luck!!!! ...Read more
Is treatment required for symptomatic bradycardia, heart rate 35, with bigeminal PVCs, normal blood pressure, no history of heart disease?
Paroxysmal atrial tachy, flutter. Mitral regurg w/stenosis. Tricuspid regurg. Biatrial enlargement. Cardiac meds =hypotensive brady. Explain,thoughts?
Symptoms: You should be seeing a cardiologist for evaluation and management. ...Read more