Arrhythmia: When to Seek Medical Attention

Arrhythmia

I visited a traditional Chinese medicine practitioner today, and the doctor diagnosed me with arrhythmia, stating that my heart stops for 15 to 20 seconds at a time.
What should I do about this? Should I seek medical examination?

Ai Mi Li, 10~19 year old female. Ask Date: 2016/12/20

Dr. He Dongjin reply Cardiology

Hello, it is recommended to visit a cardiology outpatient clinic for further examination.
Without a personal examination, I cannot provide appropriate health education.
Changhua Hospital cares about you.

Reply Date: 2016/12/20

More Info

When it comes to understanding arrhythmia and determining when to seek medical attention, it is crucial to recognize the symptoms and potential risks associated with irregular heart rhythms. Arrhythmias can manifest in various forms, including palpitations, skipped beats, rapid heart rates, or even a sensation of the heart stopping momentarily. Given your description of the pulse assessment by your traditional Chinese medicine practitioner, where they noted your heart might pause for 15 to 20 seconds, it is essential to take this seriously.

Understanding Arrhythmia
Arrhythmias are abnormal heart rhythms that can occur due to various factors, including heart disease, electrolyte imbalances, stress, or even certain medications. Some arrhythmias are benign and may not require treatment, while others can be life-threatening and necessitate immediate medical intervention.

Symptoms to Watch For
In addition to the sensation of your heart stopping, you should be vigilant for other symptoms, such as:
- Dizziness or lightheadedness: This can indicate that your heart is not pumping effectively.

- Shortness of breath: If you experience difficulty breathing, it could signal a serious issue.

- Chest pain or discomfort: This could be a sign of a heart attack or other cardiac conditions.

- Fainting or near-fainting episodes: These can occur if the heart rhythm is significantly disrupted.

When to Seek Medical Attention
Given your current symptoms and the findings from your pulse assessment, it is advisable to seek medical attention promptly. Here are some guidelines on when to go to the doctor or the emergency room:
1. Persistent Symptoms: If you experience ongoing arrhythmia symptoms, such as a racing heart, prolonged pauses, or any of the symptoms listed above, you should consult a healthcare provider.

2. Severe Symptoms: If you experience severe chest pain, fainting, or severe shortness of breath, you should seek emergency medical care immediately.

3. New or Worsening Symptoms: If you have a history of arrhythmia and notice a change in your symptoms, such as increased frequency or severity, it is crucial to get evaluated.

4. Regular Check-ups: If you have a known history of heart disease or arrhythmia, regular check-ups with a cardiologist are essential to monitor your condition and adjust treatment as necessary.

Diagnostic Tests
Upon visiting a healthcare provider, they may recommend several diagnostic tests to evaluate your heart's rhythm and function, including:
- Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify arrhythmias.

- Holter Monitor: A portable device worn for 24-48 hours to continuously monitor your heart rhythm.

- Echocardiogram: An ultrasound of the heart to assess its structure and function.

- Stress Test: To see how your heart performs under physical stress.

Conclusion
In summary, given your symptoms and the assessment by your practitioner, it is advisable to seek medical attention. Arrhythmias can range from benign to life-threatening, and early evaluation can help determine the appropriate course of action. Do not hesitate to reach out to a healthcare provider to discuss your symptoms and undergo the necessary tests to ensure your heart health is monitored and managed effectively. Your health and well-being are paramount, and taking proactive steps can lead to better outcomes.

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