Arrhythmia is caused by what?

Written by Chen Ya
Geriatrics
Updated on September 16, 2024
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Arrhythmia is caused by abnormal excitation of the sinoatrial node or excitation originating outside the sinoatrial node, with slow conduction, blockage, or conduction through abnormal pathways. This results in the frequency and (or) rhythm abnormalities of heartbeats, which are collectively referred to as arrhythmias. Most of the causes include the following: one is genetic arrhythmias, often due to gene channel mutations, such as the commonly seen long QT syndrome, short QT syndrome, Brugada syndrome, etc. There are also acquired arrhythmias, seen in various organic heart diseases, including coronary atherosclerotic heart disease, commonly referred to as coronary heart disease, cardiomyopathy, myocarditis, and rheumatic heart disease, particularly prevalent during heart failure or acute myocardial infarction. Arrhythmias are also not uncommon in basically healthy individuals or patients with autonomic dysfunction. Other causes include electrolyte imbalance or endocrine disorders, and sometimes anesthesia, hypothermia, or surgery, such as thoracic or cardiac surgery, or medications, central nervous system diseases may also cause arrhythmias, but the specific reasons are not very clear.

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Written by Zhang Yue Mei
Cardiology
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Symptoms of Sinus Arrhythmia

Symptoms of sinus arrhythmia vary according to different causes, including sinus bradycardia, sinus tachycardia, sinus arrhythmia, sinus arrest, and sick sinus syndrome. Mild cases of sinus bradycardia, sinus tachycardia, and arrhythmia generally do not present noticeable clinical symptoms. However, severe cases can experience symptoms such as palpitations, fatigue, and shortness of breath. Sinus arrest and sick sinus syndrome often present more severe clinical symptoms, including not only shortness of breath but also dizziness, blackouts, fainting, and acute cerebral ischemia and hypoxia.

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Written by Chen Tian Hua
Cardiology
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Arrhythmia is what?

Arrhythmia refers to abnormalities in the frequency, rhythm, origin, or conduction of the heartbeats. It can occur in healthy individuals as well as those with related diseases, and may involve cardiac diseases or other medical conditions. The primary mechanism behind the occurrence of arrhythmias is the abnormal formation of cardiac impulses or the abnormal conduction of these impulses. It is important to actively seek the causes of arrhythmias and control the factors that trigger them. For diseases associated with arrhythmias, proactive management is necessary. When severe arrhythmias occur, timely and effective treatment is crucial to prevent adverse outcomes.

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Written by Chen Ya
Geriatrics
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Can people with arrhythmia take Jiuxin Pills?

Arrhythmias are an important group of cardiovascular diseases. They can occur alone or in conjunction with other cardiovascular diseases. Mild arrhythmias that do not affect hemodynamics often show no clinical symptoms. Arrhythmias can cause a reduction in coronary artery blood flow. Although various arrhythmias can decrease coronary blood flow, they rarely cause myocardial ischemia. However, in patients with coronary heart disease, various arrhythmias can induce or exacerbate myocardial ischemia, primarily manifested as angina and shortness of breath. The function of Jiu Xin Wan is mainly to promote Qi circulation and blood flow, remove blood stasis, relieve pain, increase coronary blood flow, and alleviate angina. Therefore, it is acceptable to take Jiu Xin Wan for arrhythmias combined with myocardial ischemia, but it is not recommended for those without clinical symptoms.

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Written by Chen Ya
Geriatrics
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What medicine is used for arrhythmia?

There is still no consensus on the drugs commonly used for arrhythmia. The main classes used clinically are as follows: The first class is sodium channel blockers, which include three subclasses: moderate, mild, and significant sodium channel blockers, respectively comprising quinidine, lidocaine, and propafenone. The second class mainly consists of adrenergic receptor blockers, with propranolol being a representative drug. The third class of drugs selectively prolongs the repolarization process, among which amiodarone is commonly used clinically. The fourth class is calcium channel blockers, which mainly block calcium channels and inhibit the inflow of calcium, with verapamil being the main representative drug. Long-term use of anti-arrhythmia drugs can cause varying degrees of side effects, with severe cases possibly leading to ventricular arrhythmia or fatal cardiac conduction block. Therefore, when using these drugs clinically, it is essential to strictly control the indications, monitor adverse reactions, and strictly follow the doctor's prescription for rational medication.

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Written by Zhang Yue Mei
Cardiology
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Is sinus arrhythmia serious?

Sinus arrhythmia is a relatively common type of arrhythmia in clinical practice. It is typically identified through electrocardiogram testing. If no other specific symptoms are present other than sinus arrhythmia, sinus bradycardia, or sinus tachycardia, and if there is no structural heart disease, generally, there are no serious concerns. Often, these kinds of arrhythmias are caused by autonomic nervous system dysfunction, leading to an imbalance between the sympathetic and parasympathetic nerves. To address this irregular heartbeat, it is advisable to rest adequately in daily life and to include some aerobic exercise. Exercise can enhance cardiac contractility and strengthen regular heart function, which can help correct the arrhythmia.