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Dr. Jyoti Kusnur

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Reviewed by

Dr. Jyoti Kusnur

Consultant - Interventional Cardiology

Manipal Hospitals, Goa

Understanding The Heart Rhythm And Arrhythmias: How Does It Work And What Can Go Wrong?

Reviewed by:

Dr. Jyoti Kusnur

Posted On: Jun 01, 2023

blogs read 5 Min Read

Understanding the Heart Rhythm

The muscular organ that pumps blood throughout the body is the heart. This is accomplished via a succession of well-timed electrical impulses that contract and relax the heart muscle. A specific set of cells in the heart known as the sinoatrial (SA) node, which serves as the heart's natural pacemaker, produces these electrical impulses.

The heart is a highly tuned instrument that depends on a specific pattern of electrical impulses to maintain a constant rhythm and a powerful beat. A healthy heart sets the tempo for a long and meaningful life, keeping time like a steady rhythm. It serves as a constant reminder of the strength and adaptability of the human body with each solid thump. A variety of arrhythmias, ranging from small annoyances to life-threatening situations according to the heart specialists in Goa, can develop when anything goes wrong in this sensitive mechanism and the heart starts to beat to its own drum.

What is Heart Rhythm?

The sinoatrial (SA) node regulates the regularity or pattern of the heartbeat, which is called heart rhythm. The rhythm of a healthy heart is typically regular, with each beat occurring at a regular frequency. An irregular heartbeat, or arrhythmia, can occur if the electrical impulses that regulate the heart's rhythm are disrupted.

What are Arrhythmias?

  • An arrhythmia is a heartbeat that is not regular. It denotes a disruption in your heart's regular beat. Your heart can seem as though it is "fluttering," skipping a beat or adding a beat. It could appear to be beating too slowly or too quickly. You can also fail to observe anything.

  • Arrhythmia affects between 1.5 and 5% of people across the globe.

  • Arrhythmias are usually common and harmless, but some may cause certain health issues. One should get medical attention right away if they notice anything strange going on with their heartbeat so that doctors can determine what is causing it and what should be done about it.

Types of Arrhythmias

The location of an arrhythmia determines how it is classified. These are referred to as ventricular contractions if they begin in the ventricles, or lower chambers, of your heart. They are referred to as supraventricular if they start in the atria or upper chambers.

The way drugs impact our resting heart rate is another way that doctors classify them. Lower than 60 beats per minute is considered bradycardia. A heart rate above 100 beats per minute is known as tachycardia. Arrhythmias come in a variety of forms, each with its own underlying causes and effects on the heart. The following are some of the most prevalent kinds of arrhythmias:

  • Atrial Fibrillation (AFib)

The most prevalent type of arrhythmia is atrial fibrillation (AFib), which develops when the electrical impulses in the atria (the upper chambers of the heart) become disorganised and chaotic.

  • Ventricular Tachycardia (VT)

This particular form of tachycardia happens when the electrical impulses in the ventricles—the heart's lower chambers—become incredibly quick and erratic.

  • Bradycardia

This occurs when the heartbeats per minute are less than 60, which is slower than normal. The SA node or the electrical networks that regulate the heart may be at fault for the condition.

  • Supraventricular Tachycardia (SVT)

This type of tachycardia starts in the atria, usually above the ventricles.

  • Premature Ventricular Contractions (PVCs)

Before the next regular heartbeat, there are extra heartbeats that can either be a natural variation in certain people or an indication of underlying heart disease.

Causes of Arrhythmias

Even if our heart is healthy, one could have an arrhythmia. It could also happen as a result of:

  • Heart disease

  • Incorrect electrolyte balance (such as sodium or potassium) in the blood.

  • Heart injury or changes, such as reduced blood flow or stiff heart tissue.

  • Recovery after the heart surgery.

  • Infection or fever

  • Some specific medications

  • Problems with the heart's electrical signals.

  • Strong emotions, stress, or surprise.

  • Things are used every day, such as alcohol, tobacco, caffeine, or exercise.

Risk factors

Several factors, including heredity, underlying medical disorders, lifestyle decisions, and environmental stressors, might contribute to arrhythmias. They may occur due to common stimuli like caffeine or alcohol, but they may also be an indication of a more serious heart issue.

One may be more susceptible to developing an arrhythmia due to the following risk factors:

  • Age: As the individual’s age increases, the risk of arrhythmia increases.

  • Genes: If a close family member has experienced an arrhythmia, their chances may be increased. Heart disease can run in families in some cases.

  • Lifestyle: The individual is at higher risk if they use alcohol, tobacco, or recreational drugs.

  • Medical conditions: Conditions that may affect heart rhythm include high blood pressure, diabetes, low blood sugar, obesity, sleep apnea, and autoimmune illnesses.

  • Environment: An arrhythmia may be more likely due to environmental factors like air pollution.

What are the Symptoms of Arrhythmias? 

One may not have any symptoms if an arrhythmia is silent. During a physical examination at the top heart hospital in Goa , the doctor might detect a heartbeat that is irregular.

If anyone experiences symptoms, they may include:

  • Palpitations (a sensation of fluttering, skip beats, or "flip-flops")

  • Beating in the chest.

  • Experiencing dizziness and feeling lightheaded

  • Fainting

  • Shortness of breath

  • Anxiety

  • Blurry vision

  • Sweating.

Many different forms of arrhythmias can now be identified and treated because of advancements in medical technology, allowing those who suffer from them to enjoy long and healthy lives. There are several alternatives available for controlling arrhythmias and re-establishing the heart's natural rhythm, including heart rate-regulating drugs and implanted devices like pacemakers and defibrillators.

The relationship between heart rhythm and arrhythmias is that arrhythmia occurs when the heart's regular beat is disrupted, typically as a result of an issue with the electrical system that regulates the heart. Arrhythmias can range from benign, requiring no therapy, to life-threatening, needing immediate medical attention. Arrhythmias can be treated with medicines or implantable devices like pacemakers or defibrillators, depending on the underlying cause and severity of the problem.

Hence, the relationship between heart rhythm and arrhythmias is complicated, involving a delicate interplay of electrical signals, biochemical processes, and physiological responses. Understanding this relationship, on the other hand, allows us to better appreciate the complexities of the human heart and the remarkable ways in which it adapts and responds to daily challenges.

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