Keywoords: Tachycardia|
Bradycardia| Incidence| Conduction pathway| Conduction speed| Cause| Symptoms| Diagnosis|
Treatment|Pacemaker|
Definition
Arrhythmia is also known as cardiac arrhythmia or heart arrhythmia. This
is also known as dysarrhythmia. Arrhythmia
is the disturbance in the heart's electrical activity - starting from the
impulse generation from the sinoatrial node and impulse conduction through the
normal pathway with the normal velocity.
Table of contents:
Sr.no |
Conntents |
1. |
Definition |
2. |
Components
|
3. |
Tachycardia |
4. |
Bradycardia |
5. |
Incidence |
6. |
Conduction
pathway |
7. |
Conduction
speed |
8. |
Cause |
9. |
Symptoms |
10. |
Diagnosis |
11. |
Treatment |
Components of arrhythmia
Arrhythmia has three components:
The heart rate becomes abnormal (normal range is 60-100)
beats per minute, and the average is 72 beats per minute.)
The impulses start from any site other than the sinoatrial node. However,
in normal cases, impulses arise from the sinoatrial node.
The impulses should proceed along the abnormal conduction pathway
with the abnormal velocity. However, typically impulses move along the normal
conduction pathway with average speed.
The average heart rate in persons above 15 yrs of age is 72 beats per minute, and the range is
60-100 beats per minute,
In an infant, a heart rate of 110 to 160 beats per minute is prevalent. In infants, this affects
the development of the heart.
H.R/minute |
>20 |
20-40 |
40-60 |
60-100 |
100-150 |
150-250 |
250-350 |
350< |
|
Serious |
Moderate |
Mild |
Normal |
Sinus |
Paroxysmal
|
Flutter |
Fibrillation |
|
Bradycardia |
|
tachycardia |
Tachycardia
When the heart beats more than 100 times in one minute, it is tachycardia or tachyarrhythmia.
Sinus tachyarrhythmia when the heart rate is 100-150 beats per minute.
Paroxysmal tachycardia when the heart rate is 150 to 250 beats per minute. This tachycardia
disappears suddenly. Therefore it is known as paroxysmal tachycardia.
When the heart rate is 250 to 350
beats per minute, it is known as flutter. It is of two types:
1. Atrial flutter due to
atrial involvement, and
2. when due to ventricle
involvement, it is ventricular flutter.
In ventricular fibrillation the heart rate is more than 350 beats per minute, and impulses
arise from the ventricle.
It is a severe condition.
Bradycardia
When the heart beats less than 60 times in one minute, it is
bradycardia or bradyarrhythmia.
When the heart rate decreases below 60 beats per minute, it is mild bradycardia or bradyarrhythmia.
When the heart rate decreases below 40 beats per minute, it is moderate bradycardia or bradyarrhythmia.
When the heart rate decreases below 20 beats per minute, it is severe bradycardia or bradyarrhythmia.
Incidence
The incidence of arrhythmias is equal among males and females of
all age groups. It is a prevalent disorder of the cardiovascular system.
The normal conduction pathway
The normal conduction pathway: cardiac impulse originates from the SA node. The impulse travels to the AV node through three well-defined internodal tracts from the SA node. The tracts are:
The anterior internodal tract of Bachmann
The middle internodal tract
of Wenckebach, and
The posterior internodal tract of Thorel.
The speed of conduction
In the SA node and AV node speed of conduction of impulse is 0.05
per second.
In the atrial pathways, the bundle of his ventricular muscle and
atrial muscle rate of conduction is 1 m per second, and
In the Purkinje system rate of conduction is 5 meters per second.
Causes of arrhythmias
There may be a defect in the automaticity.
Due to defect or damage in the conduction pathways.increased Trigger for
auto Machete for Recurrent electrical activation
Arrhythmia may be occasional, frequent, or persistent.
Symptoms
1. Many cases are asymptomatic do not produce any symptoms.
2. Some cases are symptomatic, but the symptoms are mild. A person will
complain of palpitation-increased heart rate.
3. Some cases are severe and may cause sudden death due to cardiac
arrest. About 80% of sudden cardiac is due to ventricular arrhythmias.
Diagnosis
Examination of the radial pulse,
Auscultation of precordial region of the chest for at
least one minute, and
Confirmed by ECG (electrocardiogram.)
Other tests to detect underlying diseases.
Treatment
Medical, as well as surgical methods, can treat arrhythmias.
Treatment may include the installation of temporary and permanent pacemakers
and surgery.
Hashtag: Tachycardia# Bradycardia# Incidence# Diagnosis# Pacemaker#
Internal link: https://blog.totalphysiology.com/2021/10/cardiac cycle
https://blog.totalphysiology.com/2021/10/ECG
https://blog.totalphysiology.com/2021/11/why-ecg-is-done-how-ecg-is-obtained.html
External link: https://en.m.wikipedia.org>wiki
https://www.webmd.com
?
Comments
Post a Comment