Arrhythmia: Causes, Symptoms, and Treatment Options

Q: Arrhythmia: Causes, Symptoms, and Treatment Options

Hello： It is recommended that you visit a cardiologist to confirm the cause of your condition. <br>Thank you for your message!

Arrhythmia

Hello doctor, for the past three to four days, my heart rate has been above 120 beats per minute, my blood pressure is normal, but I feel a pressure in my head, dizziness, shortness of breath, chest tightness, and heart pain.

Bei Bei, 30~39 year old female. Ask Date: 2023/02/03

Dr. Xie Rongyuan reply Internal Medicine

Hello: It is recommended that you visit a cardiologist to confirm the cause of your condition.
Thank you for your message!

Reply Date: 2023/02/03

More Info

Understanding arrhythmia is crucial, especially when experiencing symptoms such as a rapid heartbeat, dizziness, shortness of breath, chest tightness, and heart pain. These symptoms can indicate various underlying issues, and it’s essential to approach them with care and thorough evaluation.

Causes of Arrhythmia
Arrhythmias can arise from several factors, including:
1. Electrolyte Imbalances: Abnormal levels of potassium, sodium, calcium, or magnesium can disrupt the heart's electrical signals.

2. Heart Conditions: Existing heart diseases, such as coronary artery disease, heart valve disorders, or previous heart attacks, can lead to arrhythmias.

3. Medications: Certain medications, including those for high blood pressure or depression, can cause irregular heartbeats.

4. Stimulants: Caffeine, nicotine, and recreational drugs can trigger arrhythmias.

5. Stress and Anxiety: Emotional stress can lead to increased heart rates and palpitations.

6. Hormonal Changes: Conditions such as hyperthyroidism can increase heart rate and lead to arrhythmias.

Symptoms of Arrhythmia
The symptoms you described—heart rates exceeding 120 beats per minute, dizziness, shortness of breath, chest tightness, and heart pain—are concerning. These symptoms can indicate a more serious underlying condition, such as:
- Supraventricular Tachycardia (SVT): A rapid heartbeat originating above the heart's ventricles.

- Atrial Fibrillation: An irregular and often rapid heart rate that can lead to blood clots, stroke, and other heart-related complications.

- Ventricular Tachycardia: A fast heart rate that originates in the heart's lower chambers, which can be life-threatening.

Treatment Options
1. Lifestyle Modifications: Reducing caffeine and alcohol intake, managing stress, and ensuring adequate hydration can help manage symptoms.

2. Medications: Depending on the type of arrhythmia, medications such as beta-blockers (like Inderal) or antiarrhythmic drugs may be prescribed to control heart rate and rhythm.

3. Cardioversion: This procedure can restore a normal heart rhythm using electrical shocks.

4. Ablation Therapy: In cases where medications are ineffective, catheter ablation may be performed to destroy the tissue causing the arrhythmia.

5. Implantable Devices: Pacemakers or implantable cardioverter-defibrillators (ICDs) may be recommended for patients with severe arrhythmias.

When to Seek Medical Attention
Given your symptoms, it is crucial to seek medical attention promptly. A healthcare provider may recommend:
- Electrocardiogram (ECG): To assess the heart's electrical activity.

- Holter Monitor: A portable ECG device worn for 24-48 hours to capture irregular heartbeats.

- Echocardiogram: To visualize heart structure and function.

- Blood Tests: To check for electrolyte imbalances or thyroid function.

Conclusion
In summary, your symptoms warrant immediate evaluation by a healthcare professional. Arrhythmias can range from benign to life-threatening, and understanding the underlying cause is vital for effective treatment. If you experience worsening symptoms or new symptoms, such as fainting or severe chest pain, seek emergency medical care. Your health and safety should always come first, and timely intervention can significantly improve outcomes.

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