With the exception of a small number of arrhythmias caused by external factors acting on the heart (e.g., abnormal blood levels of potassium, calcium, and magnesium, and toxicity from certain medications), the vast majority of arrhythmias are caused by diseases of the heart itself. Some arrhythmias are fatal, so prevention of heart disease-induced fatal arrhythmias is a priority.

Arrhythmias can be broadly categorized according to the degree of danger they pose to the body:

(1) Severe Dangerous Arrhythmias. Also known as fatal arrhythmias, these include ventricular flutter, ventricular fibrillation, and very fast ventricular tachycardia.

Tip-twisting ventricular tachycardia, a precursor to ventricular fibrillation.

(2) Moderately dangerous arrhythmia. Have a greater impact on the body, but are generally not fatal. These include supraventricular tachycardia with a very fast heart rate, third-degree atrioventricular block with a slow heart rate, and sick sinus node syndrome. Both very fast and very slow heart rates can cause cerebral ischemia, resulting in fainting and convulsions.

(3) Mildly dangerous arrhythmias. Frequent ventricular premature beats, which can sometimes induce the appearance of ventricular tachycardia, are risky.

(4) Non-dangerous arrhythmias. Episodic atrial premature beats, ventricular premature beats, etc.

Prevention of cardiac arrhythmias

(1) Treatment of the cause of the disease is also an important measure to prevent arrhythmia. For example, active treatment of coronary heart disease needs to be actively treated.

(2) For non-hazardous arrhythmias, no medication is needed to prevent them. Observe them, and seek medical attention to review the electrocardiogram if there is any discomfort.

(3) Risky arrhythmias, with different antiarrhythmic drugs depending on the type of arrhythmia.

(4) Fatal arrhythmias, some of which are diseases with obvious organic lesions of the heart: myocardial infarction, cardiomyopathy, Marfan syndrome, arrhythmogenic right ventricular myopathy and so on. In some cases, there are no obvious organic lesions, such as brugada syndrome, long QT syndrome, short QT syndrome, but they can also lead to serious and fatal arrhythmias. In these patients, if a ventricular fibrillation cardiac arrest has occurred, the installation of a pacemaker with defibrillation function is the best preventive measure.

(5) Moderately dangerous arrhythmias, third-degree atrioventricular block and sick sinus node syndrome, require pacemakers to prevent syncope from occurring. Frequent episodes of supraventricular tachycardia that are not well controlled by medications require radiofrequency ablation.

(6) Prevention in normal life. Do not exert yourself, control your emotions, avoid excitement and anxiety, do not drink strong tea, coffee, alcohol and smoking. Prevent colds and prevent myocarditis. Do not do strenuous exercise.

Arrhythmia is a collective term for all electrophysiologic disorders of the heart, including sinus bradycardia, atrial arrhythmias such as atrial flutter, atrial premature, atrial fibrillation, and atrial tachycardia, and ventricular arrhythmias such as paroxysmal supraventricular arrhythmias, ventricular tachycardia, ventricular fibrillation, and atrioventricular block.

Depending on the type of arrhythmia, there are differences in clinical manifestations, different degrees of severity, and different approaches in treatment.

The normal rhythm of the human heartbeat is sinus rhythm, which is the current impulse generated by the sinus node of the heart through the atrial muscle conduction to the atrioventricular node, and then through the Hitchcock's bundle, the left and right bundle branches to the Purkinje fibers and ventricular myocytes, so that the myocardium to form a mechanical contraction.

Rhythmic changes cause sinus arrhythmia, when the sinus rhythm is less than 60 beats per minute for sinus bradycardia, according to the cause of the symptomatic treatment. When there is a serious sick sinus syndrome or third-degree atrioventricular block, the patient's heart rate is slowed down to only 30 or 40 beats, and some patients even have long intervals, sinus arrest, which is a kind of life-threatening arrhythmia that requires timely medical treatment and implantation of a corresponding pacemaker.

Atrial fibrillation (AF) is a common cardiac arrhythmia with an increasing incidence with age. It can be categorized as fast atrial fibrillation, slow atrial fibrillation, or fast-slow syndrome according to the heart rate at the time of the attack, and is characterized by palpitations, panic attacks, and chest tightness during the attack, and is categorized as senile atrial fibrillation, persistent atrial fibrillation, and permanent atrial fibrillation according to the frequency of the attacks. Atrial fibrillation itself is not fatal, but when atrial fibrillation occurs, the heart is in a state of irregular and chaotic beating, resulting in blood pooling in the atria to form blood clots, which can be dislodged with the blood throughout the body, such as flowing into the cerebral blood vessels can lead to serious and fatal cerebral embolism, or cause a stroke. Therefore, the treatment of atrial fibrillation requires, on the one hand, restoration and maintenance of sinus rhythm and, on the other hand, anticoagulation for patients at high risk of stroke.

The more common type of ventricular arrhythmia is paroxysmal supraventricular arrhythmia, which is a tachycardia originating from the atria or atrioventricular junction area. At the onset of the fast heart rhythm, the patient suffers from palpitations, chest tightness, dyspnea and other symptoms, and the prolonged duration of the attack may even lead to dizziness, fatigue, angina pectoris, etc. The diagnosis can be made through the electrocardiogram at the onset of the attack. It can be diagnosed through the electrocardiogram at the onset, and in the treatment, radiofrequency ablation is mainly adopted to give the treatment, which generally does not need long-term anti-arrhythmic drugs and has a high cure rate.

Another type of ventricular arrhythmia is ventricular fibrillation, which is the most dangerous and serious arrhythmia, in which the ventricle loses its effective overall contractile ability, the heart beats rapidly and harmoniously, and hemodynamic disorders, often fatal, and can lead to death if not handled in time. Its etiology is complex and can be caused by myocardial infarction, cardiomyopathy, electrolyte disorders, drug intoxication, etc. In treatment, it is necessary to immediately take electrical defibrillation therapy, followed by drug therapy, and for patients with recurrent episodes of ventricular fibrillation due to cardiomyopathy, it is recommended to implant a defibrillator in the heart.

The main diagnostic tool of arrhythmia is ECG, when palpitation, panic, feel the heart beating chaotically should be timely to the nearest hospital to do ECG, and properly preserved, some paroxysmal arrhythmia often in the attack of the ECG only have manifestations, and then after the improvement of the ECG will be restored to the normal sinus rhythm, to the diagnosis of the difficulties. In addition, the dynamic evolution of the electrocardiogram is of greater significance to the diagnosis, so it is best to keep all the electrocardiograms you have done, not this time after the visit, the report is no longer useful.

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This question is often asked by patients, but it is difficult to answer. It is because the questioner is mistaken about cause and effect.

It's not the arrhythmia that causes the heart attack, it's the "heart attack" that causes the arrhythmia.

It is actually very loose for me to say this, and it is easy to attract a lot of criticism, but it is the only way to say it so that everyone understands it a little better. I will explain it to you in more detail below.

1 "Heart disease" is a big concept.

Coronary heart disease, rheumatic heart disease, hypertensive heart disease, hypertrophic cardiomyopathy, congenital heart disease, myocarditis... There are so many diseases that can be listed for heart disease.Arrhythmia itself is also part of heart disease. Therefore, it is inaccurate to say that "arrhythmia causes heart disease".

Arrhythmias can be categorized into many different types, such as atrial fibrillation, ventricular premature beats, atrial premature beats, bundle branch block, pre-excitation syndrome, and so on. For example, atrial fibrillation, premature ventricular contractions, premature atrial contractions, bundle branch block, pre-excitation syndrome, etc. Each arrhythmia has a different cause and different effects on the heart, and it is very difficult to explain all of these arrhythmias together in a generalized manner.

2 The relationship between arrhythmias and other types of heart disease.

The arrhythmias we see most often are caused by other types of heart disease and are the result of other diseases that have progressed to a certain stage.

For example, a patient is found to have both coronary artery disease and premature ventricular beats. The most likely cause of premature beats is coronary artery disease leading to myocardial ischemia and structural and physiological abnormalities in cardiac myocytes. It would be a mistake to understand that premature beats cause coronary artery disease.

(premature ventricular contractions)

Arrhythmia itself can hardly cause other heart disease.

The arrhythmia itself disrupts the rhythm of the heart, causing palpitations and discomfort, and has some effect on heart function. However, most arrhythmias are not the cause of other heart diseases. There are a few exceptions, such as frequent ventricular premature beats, which can cause cardiomyopathy, and prolonged tachyarrhythmias, which can cause heart failure.

3 How can I prevent arrhythmias?

As mentioned earlier, most of the most common arrhythmias are the result of the development of other types of heart disease to a certain extent. Therefore.Preventing arrhythmias means preventing other heart diseases. For example, preventing hypertensive heart disease (controlling blood pressure), preventing coronary heart disease(There are too many measures to list.) And so on.

There are also some arrhythmias that are caused by conditions outside the heart, such as hyperthyroidism.We also need to focus on aggressively treating the primary disease.

Poor lifestyle habits are also a common reason for developing arrhythmias.For example, staying up late, working hard, stress, excessive work pressure, smoking, drinking alcohol, irregular work and rest, and so on. Change the bad habits, arrhythmia will be significantly better.

I hope I've made myself clear this time.

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Hello, everyone! Dr. Cardiovascular Wang is here to answer your questions.

An arrhythmia is a heart attack, not a heart attack.。

Primary arrhythmias are difficult to prevent; secondary arrhythmias can be prevented by preventing the primary cause and treating it.

Let's start with primary arrhythmia, which is the absence of any organic heart disease or any other reason such as physiologic fever, excitement, exertion, late nights, coffee drinking, etc.

This category of arrhythmia has no current cause that we can medically determine, so it is defined as extraordinarily large, or primary, and is not preventable.

Primary arrhythmias are also divided into many types: atrial, ventricular, supraventricular, and sinus; rapid and chronic; malignant and benign; and frequent and episodic.

For arrhythmias caused by fever, excitement, exertion, late nights, coffee drinking, etc., removal of these factors will restore the arrhythmia.

Some arrhythmias require no treatment and rest; some require pharmacologic intervention; some require radiofrequency ablation procedures; some require pacemaker therapy; in short, it is a case-by-case basis.

Secondary arrhythmia, any heart disease can cause arrhythmia, such as coronary heart disease, high heart disease, wind heart disease, dilated heart disease, pulmonary heart disease, valve disease, heart failure, cardiomyopathy, etc. Any heart disease can cause arrhythmia.

Preventing this type of arrhythmia means preventing and treating these heart diseases, which is so complex that the principles and protocols for treating each heart disease are different.

There is no way to answer in a thousand different ways. For hypertension, which has the highest incidence rate at present, coronary heart disease preventive measures have been mentioned many times by Dr. Wang at @CardiovascularMedicine.

Whether it is lifestyle habits, dietary patterns, drug prevention, etc. have done several reports, if you are interested, you can follow @ cardiovascular medicine Dr. Wang .

For problems that need specific solutions, you can send the specific ambulatory electrocardiogram, and Dr. Cardiovascular Wang is willing to discuss it with you.

I am Dr. Wang, and my goal is to reduce the incidence of three highs and cardiovascular disease through our health promotion.

Dr. Wang knows there is a long way to go!

Please extend your helping hand, let's join hands to popularize the knowledge of three highs and cardiovascular diseases, so that more friends can reduce the torment of diseases!

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I'm Dr. Small Eyes.

Specializing in cardiovascular diseases

Commitment to public health

A cardiologist with a passion for fitness, like my answers and click on the top left corner to see more about cardiovascular disease!

Dr. Small Eyes first wants to tell you about two of the most important systems of the heart.One is the system of the heart structure, a system that primarily helps in the ejection of blood and helps supply the proper functioning of the heart pumping blood. The other system is, the electrophysiologic system, which is the main subject of today's Little Eye.

For most patients with arrhythmias, the root cause of the disease can be traced to a disturbance in the electrophysiologic system, which does not regulate the structural system to beat properly, leading to heart disease.

What kind of diseases can arrhythmias cause.

Dr. Small Eyes tells you that the most common arrhythmia disease is atrial fibrillation, and probably this name is not very unfamiliar to everyone.

Clinically, there are many heart diseases that are capable of causing atrial fibrillation. Therefore, Dr. Small Eyes suggests that if you want to prevent arrhythmia disease, first you need to prevent other primary diseases that can lead to arrhythmia.

Coronary heart disease, hypertension, rheumatic heart disease and other diseases can cause arrhythmia, including some chronic lung disease, acute pneumonia is also able to cause arrhythmia. Therefore.If you have these diseases that I mentioned above, Dr. Small Eyes suggests you to go to regular hospitals for regular oral medication and regular treatment of these diseases to avoid the complication of arrhythmic diseases.

Of course, it's not that arrhythmic diseases don't occur in the primary, in fact, in the clinic, including in the outpatient clinic, the little eye often sees primary arrhythmic diseases.

For this part of the patient, small eyes doctor hope you can from life and diet, two aspects of improvement, I believe that must be for the prevention of these diseases will have some improvement.

The most important way to improve your life is to get enough sleep and a regular routine.

Dr. No Need Small Eyes says that for most patients are aware of the regularity of the biological clock, and if you disrupt the biological clock and do not get enough sleep because of your job or your own poor habits, you have a very high likelihood of causing arrhythmia.

That's why Dr. Small Eyes recommends that you make sure you get regular rest, don't stay up late, get enough sleep, and develop a good habit.

Dr. Small Eyes does not recommend that you eat a lot of stimulating foods, or spicy foods during your regular diet, because these stimulating foods are a short-lived stimulus for the human body, and can lead to sympathetic excitation of the body, and repeated sympathetic excitation can trigger the heart rhythm market.

Put your mind at ease, Dr. Small Eyes feels that a poet of the past said it particularly well, not to be happy with what you see, not to be sad with what you feel. Don't be randomly overjoyed and sad; these drastic changes in mood will only over-regulate the body's sympathetic senses, triggering heart disease.

I'm Dr. Small Eyes.

Please like me if you like my answer!

Please follow me if you think my answer makes sense!

Feel free to reply to me if you think my answer is poor

An arrhythmia is an abnormality in the frequency and/or rhythm of the heart beat due to an obstruction in the origin and/or conduction of cardiac activity.

Arrhythmia occurs due to coronary heart disease, rheumatic heart disease, myocarditis, cardiomyopathy, acute heart failure, acute myocardial infarction and other triggers, but also related to endocrine disorders, drug effects, and central nervous system disorders.

The main measures to prevent arrhythmias are:

1、When the weather changes greatly, that is, when the temperature suddenly rises or lowers, it is easy to induce or aggravate arrhythmia, so it is necessary to add or subtract clothes in time, and do a good job of protection, to avoid sudden stimulation by cold or heat.

2, high protein, high vitamin, low salt and low fat diet, light and easy to digest. Do not overeat, eat less greasy food, fried food, barbecue food, pickled food (such as squash, pickles, salted meat, bacon). Do not drink strong tea, coffee, quit smoking and limit alcohol. Especially do not drink strong alcohol.

3, pay attention to the combination of work and rest, do not stay up late, ensure adequate sleep, early to bed and early to rise, avoid overwork. Moderate exercise, such as tai chi, dancing, aerobics, brisk walking, etc., exercise 30 minutes a day, 5 days a week.

4, mood changes and the occurrence of arrhythmia is closely related to maintain peace of mind, avoid emotional ups and downs, avoid long-term anxiety, depression, timely adjustment of tension, depression, anxiety and other emotions. You can often read, draw, listen to music, planting flowers and plants, picnics, etc. to regulate your mood and improve your temperament.

5. Lose weight when you are overweight or obese and maintain a standard weight.

6. Eat more fresh vegetables and fruits and keep your bowels clear. Drink less strong tea, coffee and other drinks.

7. Regular medical checkups for lipids, blood sugar, blood pressure, electrocardiograms, etc.

Introduction: Arrhythmia (arrhythmia) is due to abnormal sinus node agitation or agitation generated outside the sinus node, agitation conduction is slow, blocked or through an abnormal channel conduction, that is, the origin of cardiac activity and/or conduction disorders resulting in abnormal heart beat frequency and/or rhythm. Arrhythmia is an important group of cardiovascular diseases. It can occur alone or in association with other cardiovascular diseases. Its prognosis is related to the cause of the arrhythmia, its predisposing factors, its evolutionary tendencies, and the fact that it leads to severe hemodynamic disorders. It can be sudden and lead to sudden death, or it can continue to involve the heart and lead to its failure.

I. Etiology

Hereditary arrhythmias are mostly due to genetic channel mutations, such as long QT syndrome, short QT syndrome, and Brugada syndrome.

Acquired arrhythmias can occur in a variety of organic heart diseases, with coronary atherosclerotic heart disease (CHD), cardiomyopathy, myocarditis, and rheumatic heart disease (RHD) being the most common, especially in the setting of heart failure or acute myocardial infarction. Arrhythmias are also not uncommon in the basically healthy or in patients with vegetative dysfunction. Other causes include electrolyte or endocrine disorders, anesthesia, hypothermia, thoracic or cardiac surgery, drug effects, and central nervous system disorders, some of which are of unknown etiology.

II. Treatment

The need for treatment should be based on the symptoms of the arrhythmia patient, the type of arrhythmia, and its hemodynamic effects. It usually includes several aspects such as control of the arrhythmia during an episode, removal of the causative lesion, improvement of the substrate, and prevention of recurrence. Treatment can be categorized as non-pharmacologic or pharmacologic.

1. Non-pharmacological treatments

These include reflex excitation of the vagus nerve by compressing the eyeballs, massaging the carotid sinuses, and pinching the nose with forceful exhalation and breath-holding; electrical treatments such as electrical cardioversion, electrical defibrillation, pacemaker implantation, and ablation; and surgical procedures.

2. Commonly used antiarrhythmic drugs

There are more than 50 types of antiarrhythmic drugs in clinical application, and there is no unified classification standard so far. Most scholars agree that antiarrhythmic drugs should be divided into the following four categories according to the different effects of drugs on the heart to guide the rational use of drugs in the clinic, among which Class I drugs are divided into three subclasses: A, B, and C. The classification of antiarrhythmic drugs is based on the principle of the different effects of drugs on the heart.

Long-term use of anti-arrhythmic drugs have different degrees of side effects, serious can cause ventricular arrhythmia or heart block and fatal. Therefore, clinical application should strictly grasp the indications, pay attention to the adverse effects, so as to be ready for emergency.

III. Prevention

1. Live a regular life and get enough sleep;

2. The living environment to strive for seclusion, to avoid noise, a variety of flowers and plants, is conducive to the cultivation of temperament;

3. Pay attention to the combination of work and rest, according to their own situation to choose suitable physical exercise, such as walking, tai chi, qigong, etc., abstinence from sexual intercourse, to prevent colds;

4. Try your best to maintain a standard weight, do not eat and drink greedily, because getting fat will make the heart load heavier;

5. Pay attention to the changes of seasonal climate, because cold, sultry weather, as well as the greater impact on the disease of the festival, such as spring, summer solstice, winter, winter solstice and other easy to induce or aggravate arrhythmia, should be well in advance to protect, respectively, to take warmth, ventilation, cooling and other measures;

6. Diet to easy digestion, clean, nutritious, small meals, low salt and low fat, high protein, a variety of vitamins, clean and hygienic, hot and cold appropriate, regular and quantitative principles, patients with arrhythmia avoid strong tea, coffee, cigarettes, alcohol, frying and too salty, too sweet, too viscous food, eat less fine grains, loose eggs, animal offal, and edema, should limit the amount of water;

7. The normal or not, with the arrhythmia occurs close relationship, try to eliminate tension, fear, worry, worry, anger and other adverse emotional stimuli, to maintain a normal state of mind;

8. In addition to daily oral medications, patients should have emergency medications prescribed by their doctors, such as cardiac glycosides, quick-acting heart pills, cardiac painkillers, atropine, and so on.

Nowadays, there are a lot of sub-healthy people, and there are many causes of heart disease, so how to prevent heart disease caused by arrhythmia? From the perspective of traditional Chinese medicine, first of all, the human body should maintain a balance of yin and yang, and the balance of yin and yang is not overloaded. In this way, it will be healthy. Insufficient yang qi in the body can also cause arrhythmia and sweating. Excessive yang qi will cause unbearable panic and even a faster number of heartbeats. And heart arrhythmia, there must be a congestion, such as: the two sides of the large vertebrae, cervical vertebrae, and so on. So, how can you keep your body's yin and yang in balance? First of all, you do not overeat, seventy to eighty percent full can be, if you often eat too full, it will cause blood vessel congestion, affecting blood circulation. The heart is to send blood to each blood vessel, if the body has a certain place there is congestion or nodules, will affect the blood supply to the heart. This can lead to heart disease over time. Also: eat cold things (cold drinks, beverages, desserts) in the winter to eat fruits, etc., these things first through the stomach into the small intestine, and the small intestine and the heart of the table, then it will affect the heart. You find no, long-term stool unshaped like people, or stool long-term dry people, the liver, and the heart will be bad; breast hyperplasia serious people, will also affect the heart of the blood supply ...... causes heart disease for many reasons. These are for reference only!

If only the arrhythmia is not very scary, the scary thing is the serious complications in the arrhythmia, because the arrhythmia may cause the patient to have angina pectoris, heart failure, embolism and other serious conditions, in addition to other conditions, such as palpitations, chest tightness, dizziness, low blood pressure, sweating, and in serious cases, perhaps fainting, cardiogenic cerebral ischemia syndrome, or even life-threatening conditions, sudden death. Sudden death.

Therefore, both the arrhythmia and the complications caused by it are detrimental to human health, so it is advocated that those who suffer from arrhythmia should seek medical treatment earlier to avoid serious complications.

How to prevent arrhythmia in your life

1. Regular medical check-ups

Perhaps some people even suffer from arrhythmia, but do not show obvious symptoms, such as chest tightness, so that people can not detect it, and even if there is no significant manifestation, arrhythmia can be harmful to human health, with unfavorable cardiac or stroke conditions.

Then the problem of arrhythmia can be detected and treated in time during the physical examination.

2、Appropriate exercise

Studies have shown that the likelihood of developing atrial fibrillation (one of the types of arrhythmia) is increased if you exercise vigorously for a long period of time, so it is important to avoid more intense exercise. More regular and less intense exercise can reduce the incidence of arrhythmia. So don't push yourself too hard when you exercise.

3、Control normal weight

Some studies have confirmed that the risk of atrial fibrillation increases if you are too obese, and the likelihood of having an episode of atrial fibrillation increases to 4% to 8% for every 1 index of body weight, so it is recommended to keep your weight under control, and it is best to keep it within the normal range.

In addition to the above three methods, to prevent arrhythmia, you can also eat a healthy diet, improve the quality of sleep and maintain a good state of mind, etc. If you need to take medication due to arrhythmia, it is best to take it under the guidance of a doctor.

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