Saanichton, BC

Dr. Miguel A. Lipka

Arrhythmia

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The heart's electrical circuitry is so delicate that an extra pathway or connection can cause the heart to go haywire and beat dangerously out of control. Cardiac dysrhythmia (also known as arrhythmia) is a term for a group of conditions in which there is abnormal electrical activity in the heart.

An abnormal heart rhythm is a change in either the speed or the pattern of the heartbeat -- the heart may beat too slowly, too rapidly or irregularly. When the heart beats too slowly, too little blood is pumped out to the rest of the body. When the heart beats too quickly, it cannot fill completely so the body doesn't receive the blood volume it needs to function properly. Slow heart rates are called bradycardias. Fast heart rates are called tachycardias.

The heart is made up of four chambers. The upper chambers, called the atriums, receive and collect blood. The lower chambers, called the ventricles, pump blood to the body. Working together, the chambers of the heart move life-sustaining blood throughout the body.

There are several types of abnormal heart rhythms, some occur in one of the atriums and are called atrial, others occur in the ventricles and are called ventricular.

  • Atrial Flutter
  • Atrial Fibrillation
  • Atrial Tachycardia
  • Supraventricular Tachycardia
  • Wolff-Parkinson-White Syndrome
  • Complete Heart Block
  • Ventricular Tachycardia
  • Ventricular Fibrillation

A heart that beats too fast or too slow can cause:

  • Lightheadedness or dizziness
  • Palpitations (skipping, fluttering or pounding in the chest)
  • Fatigue
  • Chest pressure or pain
  • Shortness of breath
  • Fainting spells

Sometimes there are no symptoms at all. Left untreated, certain abnormal heart rhythms can cause death. On the other hand, some arrhythmias are common and not associated with any untoward conditions, so-called benign arrhythmias. One of the goals of evaluation is to sort out the serious from the benign forms of heart beat disturbances.

The method of cardiac rhythm management depends firstly on whether or not the patient is stable or unstable. Treatments may include physical maneuvers, medications, electricity conversion, or electro or cryo cautery (abnormal areas of conduction are destroyed with heat, cold, electrical or laser probes).

Click here for additional information on Fast Arrhythmias in Children.