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 DISEASES & DISORDERS
 

ARRHYTHMIAS / DISORDERS OF THE HEART RHYTHM

Disorders in the formation and/or conduction of the electrical impulse within the heart. These can cause disturbance of the heart rate, the heart rhythm or both.


Supra Ventricular Arrhythmias
These are Arrhythmias arising from atria or AV node.

Types
  1. Sinus Bradycardia (low heart rate)
    Heart rate is slow. Below 50 beats per minute
    Occurs in trained athletes, by use of drugs, certain cardiac diseases etc.

  2. Sinus Tachycardia (increased heart rate)
    120 beats per minute
    Occurs during anxiety, fever, exercise, drugs, shock, electrolyte imbalances etc.

  3. Premature Atrial complex (premature atrial beat)
    Generally doesn't require any treatment. Monitored for increased frequency.
  4. Supra Ventricular Tachycardia (fast rate atrial arrhythmias)
    Includes Atrial Fibrillation, Atrial Flutter & Atrial Tachycardia. The most common of these is Atrial fibrillation.
Atrial Fibrillation
 
Is an extremely rapid and disorganized pattern of atrial contraction where atrial rate is 400-600 beats per minute.
 
Ventricular Arrhythmias
 
Originate in the ventricular muscle and considered to be the more dangerous. These arrhythmias include premature ventricular complex, ventricular tachycardia, ventricular fibrillation, ventricular flutter and ventricular asystole.
 
Causes
 
Myocardial Ischemia, electrolyte imbalance, hypoxia, acidosis, cardiomyopathies, ventricular aneurysms, previous MI and certain drugs, SA node and AV node damage.
 
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