What medicine is used for arrhythmia?

Written by Chen Ya
Geriatrics
Updated on September 04, 2024
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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 Wang Li Bing
Intensive Care Medicine Department
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How to alleviate arrhythmia

Arrhythmia is very common in clinical settings, and its treatment mainly includes etiological treatment and symptomatic treatment. If a patient experiences occasional premature beats without significant hemodynamic effects, special treatment may not be necessary at this time. However, if a patient repeatedly experiences supraventricular tachycardia, atrial fibrillation, and other arrhythmias, cardiac electrophysiological examination and dynamic heart rate monitoring should be conducted. Antiarrhythmic drugs or even radiofrequency ablation may be administered for symptomatic treatment, as uncontrolled arrhythmias can easily lead to sudden death in patients.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What department should I go to for arrhythmia?

Arrhythmia is generally treated in the department of cardiovascular medicine. What is arrhythmia? It mainly refers to abnormalities in the frequency, rhythm, origin, conduction speed, or excitation sequence of the heart's impulses. Based on the principles of arrhythmia occurrences, it can be divided into two major categories: abnormalities in impulse formation and abnormalities in impulse conduction. Abnormalities in impulse formation include sinus arrhythmias and ectopic rhythms, while abnormalities in impulse conduction include interference atrioventricular dissociation, sinoatrial conduction block, intra-atrial conduction block, atrioventricular conduction block, and bundle branch block, among others.

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Written by Chen Ya
Geriatrics
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Arrhythmia refers to what?

Arrhythmia refers to the abnormal origination or conduction of impulses in the heart due to abnormal activation of the sinoatrial node, slow conduction, blockages, or passage through abnormal pathways, leading to abnormalities in the frequency and/or rhythm of the heartbeat. Arrhythmias are a significant group of cardiovascular diseases. They can occur alone or in conjunction with other cardiovascular diseases. The prognosis of arrhythmias depends on their causes, triggers, trends in progression, and whether they lead to severe hemodynamic disturbances, potentially causing sudden death or continuous impairment of heart function leading to heart failure.

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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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How to relieve arrhythmia

The relief of arrhythmia mainly involves removing any triggers if they exist, as well as using non-pharmacological methods, including ocular compression, carotid sinus massage, pinching the nose and forcefully exhaling, and breath-holding, which are methods to reflexively stimulate the vagus nerve. If relief is unachievable and the episodes are accompanied by hypotension, fainting or near-fainting, seizures, angina, or heart failure, it is crucial to seek medical attention promptly for pharmacological interventions against arrhythmias, or even consider electrical treatments such as cardioversion, defibrillation, pacemaker implantation, and ablation, as well as surgical options.