What should I do if I have arrhythmia?

At the time of the physical examination, the doctor sometimes tells that the result of the arrhythmia is not caused by the disease, and there is no need for treatment. But many people still worry, and even question why the body is abnormal but not sick and need no treatment. So how do you treat the arrhythmia?

Symptoms vary by type and patient sensitivity

There are many types of arrhythmia. According to their principle, they can be divided into impulsive abnormalities and impulsive conduction abnormalities. After continued subdivision, they can also be divided into sinus tachycardia, sinus bradycardia, and sinus arrhythmia. Dozens of types, such as sinus arrest, ectopic heart rhythm.

The clinical manifestations of arrhythmia depend on the nature and type of arrhythmia, cardiac function, degree of hemodynamics, and individual sensitivity, such as mild sinus bradycardia, sinus arrhythmia, and sporadic rooms. Sexual premature contraction and once atrioventricular block have little effect on hemodynamics, so most people have no obvious clinical manifestations, but some sensitive patients may have palpitation, palpitations and other discomfort; more serious patients Arrhythmia, such as sick sinus syndrome, rapid atrial fibrillation, paroxysmal supraventricular tachycardia, etc., can cause palpitations, chest tightness, dizziness, hypotension, sweating; severe cases may even have syncope, A-S synthesis Sign, or directly suffocate.

Non-sustained arrhythmia without special treatment

Not all cases of arrhythmia are diseases, because some arrhythmia are pathological, while others are physiological symptoms, which are caused by normal metabolism. There are no organic diseases, and there are many clinical cases. Seen in healthy people or patients with functional heart disease. Arrhythmia is very common. It can be said that everyone’s life will inevitably appear, and this is not the manifestation of disease. Therefore, not all arrhythmias need to be treated clinically.

For example, sinus tachycardia (heart rate > 100 beats / min), sinus bradycardia (heart rate < 60 beats / min), can occur in the normal population, as long as it does not continue to appear, no special treatment. In addition, sporadic pre-contraction (premature beat), after the exclusion of organic lesions, does not require any medication.

The vast majority of arrhythmia is not terrible, but if symptoms such as increased symptoms, difficult to suppress, or serious discomfort such as palpitation, chest tightness, and lack of gas, you should seek medical advice promptly to determine whether there are organic lesions, and The specific type and degree of arrhythmia, and then determine the relevant individualized treatment plan.

How to distinguish between morbid and non-morbid arrhythmia

Clinically, doctors generally judge according to the patient's medical history, symptoms, signs, etc., and at the same time, combined with some auxiliary examinations, such as 24-hour dynamic electrocardiogram, cardiac ultrasound, etc., to identify whether it is morbid arrhythmia. According to the WHO Clinical Cardiovascular Guidelines issued by the WHO, the diagnosis of arrhythmia requires an important basis for ECG recording at the time of onset. Doctors can generally judge the nature of arrhythmia based on the characteristics of the electrocardiogram at the time of onset. For patients with intermittent episodes, it is difficult to record the episodes of the episodes with an electrocardiogram, and it is necessary to continuously record changes in ECG for 24 hours or longer.

The physical examination of the seizure period should focus on the presence or absence of organic diseases, such as non-invasive and invasive examinations such as conventional electrocardiogram, echocardiography, electrocardiographic exercise stress test, radionuclide imaging, and cardiovascular angiography. Or exclude organic heart disease. In addition, patients should be excluded from the presence of hyperthyroidism, electrolyte imbalance, anemia and other non-heart disease.