Can people with arrhythmia take Jiuxin Pills?

Written by Chen Ya
Geriatrics
Updated on September 03, 2024
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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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Does arrhythmia cause nausea?

Mild arrhythmias, such as sinus bradycardia, sinus arrhythmia, occasional atrial premature contractions, and first-degree atrioventricular block, have minimal impact on hemodynamics, so they generally do not show obvious clinical symptoms. In cases of severe arrhythmias, such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, and sustained ventricular tachycardia, significant arrhythmias affect hemodynamics, reduce blood flow, and cause mesenteric artery spasm, which can lead to clinical manifestations of gastrointestinal ischemia, such as nausea, and even bleeding, ulcers, or paralysis.

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Written by Chen Ya
Geriatrics
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What tests are done for arrhythmia?

The examinations required for arrhythmia are as follows: First, an electrocardiogram, which is the most important non-invasive diagnostic technique for diagnosing arrhythmias. Second, a Holter monitor test should be conducted, which records the electrocardiogram continuously over 24 hours to possibly capture the occurrence of symptoms such as palpitations and fainting, and whether they are related to arrhythmias. It clarifies the relationship between arrhythmias or myocardial ischemia attacks and daily activities, as well as their diurnal distribution characteristics, and can assist in evaluating the efficacy of medications and the condition of pacemakers to some extent. Third is the exercise test; if palpitations occur during exercise, an exercise test can assist in making a diagnosis. Fourth is the esophageal electrocardiogram, which is a useful non-invasive method for diagnosing arrhythmias. Fifth is the cardiac electrophysiological study, typically involving the placement of electrode catheters on the upper and lower parts of the right atrial wall, the tip of the right ventricle, the coronary sinus, and the His bundle area, with the electrical activity at these sites being simultaneously recorded using a multi-channel physiological recorder with 8-12 channels or more.

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Written by Chen Ya
Geriatrics
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Do arrhythmias need treatment?

The treatment of arrhythmias should be based on the symptoms of the patient, the type of arrhythmia, and its impact on hemodynamics to determine if treatment is necessary. For instance, mild sinus bradycardia, irregular sinus rhythm, occasional atrial premature contractions, and first-degree atrioventricular block have minimal impact on hemodynamics. Therefore, if there are no obvious clinical symptoms and no cardiac structural disease, temporary drug treatment may not be required. However, severe arrhythmias such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, and persistent ventricular tachycardia can cause palpitations, chest tightness, dizziness, low blood pressure, severe sweating, and in severe cases, syncope, Adams-Stokes syndrome, or even sudden death, which require immediate medical attention.

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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 Chen Ya
Geriatrics
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Arrhythmia is what kind of disease

Arrhythmia is caused by abnormal excitation of the sinoatrial node or excitation originating outside the sinoatrial node, where the propagation of excitation is slow, blocked, or conducted through abnormal channels, leading to abnormalities in the frequency and/or rhythm of heartbeats due to origins and (or) conduction disorders of cardiac activity. Arrhythmia is an important group of diseases within cardiovascular diseases. It can occur independently or in conjunction with other cardiovascular diseases. Its prognosis is related to the causes, inducing factors, and evolutionary trends of the arrhythmia, and whether it leads to severe hemodynamic disturbances. It can cause sudden death or continuously affect the heart leading to its failure.