13
2022
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02
Arrhythmia, the hidden dangers 'hidden' in the heartbeat
Arrhythmia refers to the abnormal heart rhythm, frequency, or excitation sequence caused by the disorder of the heart's pacing and conduction functions. It mainly manifests as tachycardia, bradycardia, arrhythmia, and asystole. Ventricular asystole or fibrillation is the main form of cardiac arrest and is an important cause of sudden cardiac death.
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What is arrhythmia?
Arrhythmia refers to the abnormal heart rhythm, frequency, or sequence of excitation caused by the disorder of the heart's pacing and conduction functions, mainly manifested as tachycardia, bradycardia, arrhythmia, and asystole. Ventricular asystole or fibrillation is the main form of cardiac arrest and is an important cause of sudden cardiac death.
Classification of arrhythmia
By location: divided into supraventricular (including sinus, atrial, and atrioventricular junctional) and ventricular arrhythmias.
By frequency: fast arrhythmias and slow arrhythmias.
Slow arrhythmias (heart rate < 60 beats/min): sinus bradycardia, sinus arrest, sick sinus syndrome, etc.
Fast arrhythmias (heart rate > 100 beats/min): sinus tachycardia, atrial tachycardia (atrial flutter, atrial fibrillation), supraventricular tachycardia, ventricular tachycardia (ventricular flutter, ventricular fibrillation).
Common triggers
Physiological factors: people with high levels of stress, anxiety, or emotional fluctuations, or those consuming strong tea, coffee, or alcoholic beverages may experience fast arrhythmias; athletes, long-term laborers, or those with disrupted nighttime sleep may experience slow arrhythmias.
Pathological factors: acute myocardial ischemia, congestive heart failure, acute or chronic pericardial diseases; electrolyte disturbances and acid-base imbalances; hyperthyroidism, severe pancreatitis, etc.
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What examinations are needed?
Physical examination: auscultation of changes in heart rhythm (rate), heart sound intensity, presence of murmurs and additional sounds, etc.
Auxiliary examinations: including routine electrocardiogram, 24-hour dynamic electrocardiogram, cardiac electrophysiological examination, echocardiogram, etc.
How to prevent?
1. Healthy diet: low salt and low fat, quit smoking and limit alcohol, and consume appropriate amounts of fruits, vegetables, and nuts.
2. Pay attention to rest and appropriate exercise: Tai Chi, brisk walking, etc. are recommended, suggesting 3-5 times a week, 30-60 minutes each time, excluding warm-up and cool-down exercises.
3. Stable emotions:Maintain a peaceful and stable emotional state, relax mentally, and avoid excessive tension.
4. Rational medication:Use medication as prescribed by a doctor, and do not adjust the dosage without permission.
5. Self-monitoring of pulse, it is recommended to check the pulse for 1 minute at a fixed time each day and record it to provide a basis for the doctor during follow-up visits. For patients who cannot monitor their pulse themselves, wearing a sports watch that can monitor pulse is an option.
6. Regular follow-up,and seek medical attention if discomfort occurs (palpitations, rapid or significantly slowed pulse).


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