How to relieve arrhythmia

Written by Chen Ya
Geriatrics
Updated on September 10, 2024
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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.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What tests are done for arrhythmia?

Arrhythmia is also relatively common in clinical practice, and its common detection method is mainly the electrocardiogram (ECG). ECG is a simple and non-invasive operation that helps to identify the type of arrhythmia. Another method is the 24-hour Holter monitor, which can record all heart rate changes occurring within 24 hours. If an arrhythmia occurs, it is crucial to seek medical attention promptly, visiting a cardiology department. Treatment may involve antiarrhythmic medications, and if possible, a complete electrophysiological examination can be performed.

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Written by Wang Li Bing
Intensive Care Medicine Department
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What is ventricular arrhythmia?

Ventricular arrhythmias mainly refer to disorders of the ventricular rhythm and are relatively common clinically, including premature ventricular contractions, ventricular tachycardia, ventricular flutter, and ventricular fibrillation. Premature ventricular contractions generally do not cause noticeable clinical symptoms, while ventricular flutter and ventricular fibrillation are very dangerous clinically and must be treated promptly with defibrillation. Therefore, ventricular arrhythmias must be treated promptly, actively treating the underlying disease, and managing the arrhythmia to prevent sudden death.

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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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Why does arrhythmia cause chest pain?

The causes of chest pain due to arrhythmias primarily involve all kinds of arrhythmias reducing the blood flow in the coronary arteries. Although various arrhythmias can decrease coronary blood flow, they rarely cause myocardial ischemia. However, severe arrhythmias that cause significant myocardial ischemia can result in chest pain. For patients with coronary heart disease, various arrhythmias can induce or exacerbate myocardial ischemia, which may also manifest as chest pain and shortness of breath, and in severe cases, lead to acute heart failure, acute myocardial infarction, and persistent, unbearable chest pain and tightness.

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Written by Zhou Yan
Geriatrics
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Can arrhythmia be cured?

There are many types of arrhythmia, some of which, like sinus tachycardia, sinus bradycardia, occasional premature atrial contractions, premature ventricular contractions, and premature junctional contractions, can also occur in healthy individuals and usually do not require treatment. Another category requires treatment, such as supraventricular tachycardia, including atrioventricular nodal reentrant tachycardia, which can be cured by radiofrequency ablation. Additionally, conditions like atrial fibrillation can be treated with radiofrequency ablation; many patients may be cured, but some may not respond to this treatment and require medication instead. There are also patients with intrinsic structural heart disease presenting various arrhythmias that can only be managed with medication, not cured.