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Heart Rhythm Treatments

Patients with heart arrhythmia have an irregular heartbeat. The irregular heartbeat may include tachycardia (fast heartbeat) and bradycardia (slow heartbeat). Types of heart rhythm diseases include atrial flutter, atrial fibrillation, ventricular tachycardia, supraventricular tachycardia, and ventricular fibrillation.

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  • Electrophysiology (EP) Study: Several studies are performed to diagnose heart arrhythmias. Any abnormality in the electrical activity of the heart is detected by electrocardiogram. The duration and timing of the electrical impulse in each heartbeat are calculated with the ECG. Echocardiogram is a procedure that uses sound waves to provide detailed information about the movement, size, and structure of the heart. The Holter monitor determines routine health status. If the patients have infrequent symptoms, the surgeon places a loop recorder in the chest to identify abnormalities in the heart rhythm. The other tests performed to diagnose arrhythmia are the tilt table test, stress test, and electrophysiology study. During the EP study, the surgeon guides a catheter with electrodes at the tip to various areas of the heart, mapping electrical impulses throughout the heart. The doctor may also locate the source of the arrhythmia by stimulating the heart with electrodes.
  • Cardioversion: This procedure is performed to manage atrial fibrillation. The cardiologists deliver the shock to the heart through patches or paddles on the chest. It results in restoring the normal rhythm.
  • Vagal Maneuvers: Patients with supraventricular tachycardia have a fast heartbeat. Vagal maneuvers may be done to control such a fast heartbeat. During vagal maneuvers, the nerve controlling the heartbeat is affected.
  • Pacemaker: No medication effectively increases the heartbeat. In such cases, the cardiologists place a pacemaker that generates the impulse and increases the heart rate.
  • Catheter Ablation: During this procedure, a tiny scar is formed to restore normal heart rhythm by blocking the abnormal electrical impulses. The tiny scars are created by the heat or cold energy generated by the electrodes present on the tip of the catheter.