Arytmia serca
Leczenie
Leczenie arytmii serca wymaga indywidualnego podejścia, uwzględniającego typ zaburzenia rytmu, nasilenie objawów oraz choroby współistniejące. Farmakoterapia stanowi podstawę terapii, obejmując leki antyarytmiczne takie jak blokery kanałów sodowych (chinidyna, propafenon), potasowych (sotalol, amiodaron), beta-blokery (metoprolol, bisoprolol), blokery kanałów wapniowych (werapamil, diltiazem) oraz glikozydy nasercowe (digoksyna). W migotaniu przedsionków kluczowe jest stosowanie antykoagulantów, w tym antagonistów witaminy K (warfaryna) oraz nowych doustnych antykoagulantów (dabigatran, rywaroksaban, apiksaban, edoksaban), celem redukcji ryzyka powikłań zakrzepowo-zatorowych. W przypadku opornych tachyarytmii stosuje się kardiowersję elektryczną, a w tachyarytmiach nadkomorowych manewry wagalne. Ablacja przezskórna, wykorzystująca techniki takie jak RF, krioablacja, PFA czy ablacja laserowa, osiąga skuteczność 90-98% w leczeniu częstoskurczu nawrotnego w węźle przedsionkowo-komorowym oraz zespołu Wolffa-Parkinsona-White’a, natomiast w migotaniu przedsionków wymaga często powtórzeń. Implantacja stymulatorów serca (jedno-, dwujamowych, CRT) oraz ICD jest wskazana odpowiednio w bradyarytmiach i złośliwych arytmiach komorowych, z żywotnością baterii 8-10 lat dla stymulatorów i 6-8 lat dla ICD.
- Terapia farmakologiczna arytmii serca
- Zabiegi nieinwazyjne i minimalnie inwazyjne w leczeniu arytmii serca
- Urządzenia wszczepiane w leczeniu arytmii
- Zabiegowe techniki leczenia arytmii serca
- Zamknięcie uszka lewego przedsionka
- Leczenie arytmii w szczególnych sytuacjach klinicznych
- Postępowanie po leczeniu arytmii
- Perspektywy i nowe kierunki w leczeniu arytmii
- Podsumowanie
Terapia farmakologiczna arytmii serca
Leczenie arytmii serca zależy przede wszystkim od rodzaju zaburzeń rytmu serca oraz od tego, czy powodują one objawy kliniczne lub zwiększają ryzyko poważnych powikłań sercowo-naczyniowych. Niektóre arytmie nie wymagają leczenia i wystarczy regularna kontrola kardiologiczna, natomiast inne stanowią wskazanie do wdrożenia natychmiastowej terapii.12 Wybór metody leczenia jest zawsze indywidualny i zależy od typu arytmii, jej nasilenia, objawów oraz chorób współistniejących.3
Farmakoterapia stanowi podstawowy element leczenia wielu rodzajów arytmii. W przypadku tachyarytmii (zbyt szybkiej pracy serca) najczęściej stosowane są leki antyarytmiczne, mające na celu kontrolę rytmu lub częstości akcji serca.4 Leki antyarytmiczne można podzielić na kilka grup, w zależności od mechanizmu działania:56
- Leki blokujące kanały sodowe (np. chinidyna, propafenon) – stosowane w leczeniu migotania przedsionków, trzepotania przedsionków oraz częstoskurczów komorowych7
- Leki blokujące kanały potasowe (np. sotalol, amiodaron) – wykorzystywane w leczeniu różnych form tachyarytmii8
- Beta-blokery (np. metoprolol, atenolol, bisoprolol) – skuteczne w kontroli częstości rytmu serca, szczególnie w migotaniu przedsionków9
- Blokery kanałów wapniowych (np. werapamil, diltiazem) – stosowane głównie w tachyarytmiach nadkomorowych10
- Glikozydy nasercowe (np. digoksyna) – wykorzystywane w kontroli częstości rytmu komór w migotaniu przedsionków11
Istotnym elementem farmakoterapii niektórych arytmii, szczególnie migotania przedsionków, jest stosowanie leków przeciwkrzepliwych (antykoagulantów), które zmniejszają ryzyko powikłań zakrzepowo-zatorowych, w tym udaru mózgu.12 Do najczęściej stosowanych należą:13
- Antagoniści witaminy K (np. warfaryna)
- Nowe doustne antykoagulanty (NOAC) takie jak: dabigatran, rywaroksaban, apiksaban, edoksaban
Skuteczność farmakoterapii w leczeniu arytmii powinna być regularnie monitorowana, zarówno pod kątem kontroli objawów, jak i wystąpienia działań niepożądanych. Warto pamiętać, że leki antyarytmiczne mogą same wywoływać zaburzenia rytmu serca (efekt proarytmiczny), co jest szczególnie istotne u pacjentów z chorobą strukturalną serca.1415
Zabiegi nieinwazyjne i minimalnie inwazyjne w leczeniu arytmii serca
Kardiowersja elektryczna
Kardiowersja elektryczna jest zabiegiem polegającym na przywróceniu prawidłowego rytmu serca za pomocą impulsu elektrycznego. Wskazaniem do jej wykonania są przede wszystkim przetrwałe tachyarytmie, takie jak migotanie przedsionków czy trzepotanie przedsionków, które nie ustępują po zastosowaniu farmakoterapii.16 Procedura przeprowadzana jest w krótkotrwałym znieczuleniu ogólnym, podczas którego elektrody umieszczone na klatce piersiowej pacjenta dostarczają zsynchronizowany impuls elektryczny do serca.1718
Skuteczność kardiowersji elektrycznej w przywracaniu rytmu zatokowego jest wysoka, szczególnie w przypadku trzepotania przedsionków, jednak u części pacjentów arytmia może nawracać, co wymaga wdrożenia dodatkowego leczenia farmakologicznego lub zabiegowego.19
Manewry wagalne
Manewry wagalne stanowią niefarmakologiczną metodę leczenia niektórych tachyarytmii nadkomorowych, szczególnie częstoskurczu nawrotnego w węźle przedsionkowo-komorowym. Polegają one na stymulacji nerwu błędnego, co prowadzi do zwolnienia przewodzenia w węźle przedsionkowo-komorowym i może przerwać arytmię.20 Do najczęściej stosowanych manewrów wagalnych należą:21
- Próba Valsalvy (napinanie się jak podczas defekacji)
- Masaż zatoki szyjnej
- Zanurzenie twarzy w zimnej wodzie
- Wywołanie odruchu wymiotnego
Manewry wagalne są szczególnie użyteczne w warunkach pozaszpitalnych, jako pierwsza linia postępowania w przypadku napadu częstoskurczu nadkomorowego.22
Ablacja przezskórna
Ablacja przezskórna jest minimalnie inwazyjną metodą leczenia arytmii, polegającą na zniszczeniu (ablacji) obszaru serca odpowiedzialnego za powstawanie lub podtrzymywanie zaburzeń rytmu.23 Zabieg wykonywany jest przez wprowadzenie do serca elektrod poprzez naczynia krwionośne z dostępu przez żyłę lub tętnicę udową, a czasem również przez żyłę szyjną wewnętrzną lub podobojczykową.24
Istnieje kilka metod ablacji przezskórnej:2526
- Ablacja prądem o częstotliwości radiowej (RF) – wykorzystuje energię cieplną do tworzenia precyzyjnych blizn w tkance serca
- Krioablacja – używa ekstremalnie niskich temperatur do zamrażania i niszczenia tkanki arytmogennej
- Ablacja pulsacyjna (PFA) – wykorzystuje krótkie impulsy elektryczne do selektywnego niszczenia tkanki serca, przy minimalnym uszkodzeniu okolicznych struktur
- Ablacja laserowa – stosuje wiązkę światła laserowego do tworzenia precyzyjnych blizn
Skuteczność ablacji przezskórnej zależy od rodzaju arytmii i doświadczenia operatora. Najwyższą skuteczność (90-98%) uzyskuje się w leczeniu częstoskurczu nawrotnego w węźle przedsionkowo-komorowym oraz zespołu Wolffa-Parkinsona-White’a.27 W przypadku migotania przedsionków skuteczność jest nieco niższa i może wymagać powtórzenia zabiegu, ale współczesne techniki ablacji pozwalają na osiągnięcie trwałego sukcesu u znacznej części pacjentów.28
Urządzenia wszczepiane w leczeniu arytmii
Stymulatory serca
Stymulator serca (rozrusznik) jest urządzeniem wszczepianym podskórnie, zazwyczaj w okolicy podobojczykowej, które za pomocą elektrod wprowadzonych do serca wysyła impulsy elektryczne kontrolujące jego rytm.29 Głównym wskazaniem do implantacji stymulatora jest bradyarytmia (zbyt wolna praca serca) powodująca objawy kliniczne, takie jak zawroty głowy, omdlenia, duszność czy nietolerancja wysiłku.30
Wyróżnia się kilka rodzajów stymulatorów serca:3132
- Stymulatory jednojamowe – posiadają jedną elektrodę umieszczoną w prawym przedsionku lub prawej komorze
- Stymulatory dwujamowe – posiadają dwie elektrody, jedną w prawym przedsionku i jedną w prawej komorze
- Stymulatory resynchronizujące (CRT) – zwykle trójjamowe, z dodatkową elektrodą umieszczoną w układzie żylnym serca do stymulacji lewej komory
- Stymulatory bezprzewodowe – małe kapsułki implantowane bezpośrednio do prawej komory, bez konieczności stosowania elektrod przeznaczyniowych
- Stymulatory pęczka Hisa – wykorzystujące specjalne elektrody do stymulacji układu przewodzącego serca
Żywotność baterii stymulatora wynosi zwykle 8-10 lat, po czym konieczna jest wymiana urządzenia podczas prostego zabiegu chirurgicznego.33
Wszczepiane kardiowertery-defibrylatory
Wszczepialny kardiowerter-defibrylator (ICD) jest urządzeniem podobnym do stymulatora, które oprócz funkcji stymulacji serca posiada zdolność do rozpoznawania i przerywania groźnych dla życia arytmii komorowych poprzez zastosowanie terapii antyarytmicznej, w tym defibrylacji.34
Główne wskazania do implantacji ICD obejmują:3536
- Przebyty nagły zatrzymanie krążenia w mechanizmie migotania komór lub częstoskurczu komorowego (prewencja wtórna)
- Utrwalony częstoskurcz komorowy
- Kardiomiopatia z obniżoną frakcją wyrzutową lewej komory (prewencja pierwotna)
- Zespoły genetycznie uwarunkowanych arytmii komorowych (np. zespół długiego QT, zespół Brugadów)
ICD mogą być wszczepiane jako urządzenia jednojamowe, dwujamowe lub trójjamowe (z funkcją resynchronizacji), w zależności od indywidualnych potrzeb pacjenta. Baterie ICD wymagają wymiany co 6-8 lat, co jest procesem krótszym niż w przypadku zwykłych stymulatorów ze względu na większe zużycie energii.37
Urządzenia resynchronizujące
Terapia resynchronizująca serca (CRT) wykorzystuje specjalne stymulatory (CRT-P) lub kardiowertery-defibrylatory (CRT-D) do synchronizacji skurczu komór serca u pacjentów z niewydolnością serca i zaburzeniami przewodzenia międzykomorowego.38 Urządzenia te posiadają dodatkową elektrodę umieszczoną w układzie żylnym serca (zatoka wieńcowa), która stymuluje lewą komorę synchronicznie z prawą, poprawiając efektywność hemodynamiczną skurczu serca.39
Główne wskazania do terapii resynchronizującej obejmują:40
- Niewydolność serca z obniżoną frakcją wyrzutową lewej komory (LVEF ≤35%)
- Blok lewej odnogi pęczka Hisa lub inne istotne zaburzenia przewodzenia śródkomorowego
- Objawy niewydolności serca utrzymujące się pomimo optymalnej farmakoterapii
CRT prowadzi do zmniejszenia objawów niewydolności serca, poprawy jakości życia, zmniejszenia liczby hospitalizacji oraz poprawy rokowania u odpowiednio wyselekcjonowanych pacjentów.41
Zabiegowe techniki leczenia arytmii serca
Zabieg Maze
Procedura Maze (labirynt) jest chirurgiczną metodą leczenia migotania przedsionków, polegającą na wytworzeniu szeregu nacięć lub linii ablacyjnych w ścianach przedsionków, tworzących swoisty labirynt dla przepływu impulsów elektrycznych.42 Nacięcia te gojąc się, tworzą blizny, które blokują nieprawidłowe szlaki przewodzenia odpowiedzialne za arytmię.43
Zabieg Maze może być wykonywany jako:4445
- Tradycyjna procedura z otwarciem klatki piersiowej (klasyczny Maze)
- Minimalnie inwazyjna procedura torakoskopowa (Mini-Maze)
- Procedura z wykorzystaniem robotyki (robotyczny Maze)
- Procedura towarzysząca innym operacjom kardiochirurgicznym (np. pomostowaniu aortalno-wieńcowemu lub wymianie zastawki)
Skuteczność zabiegu Maze w leczeniu migotania przedsionków jest wysoka i sięga 70-95% w zależności od charakterystyki pacjenta i doświadczenia zespołu chirurgicznego.46 Procedura ta jest szczególnie zalecana u pacjentów z przetrwałym migotaniem przedsionków, którzy nie odpowiadają na leczenie farmakologiczne lub ablację przezskórną, oraz u osób kwalifikowanych do operacji kardiochirurgicznych z innych wskazań.47
Zabieg hybrydowy (Convergent)
Procedura Convergent jest hybrydowym podejściem do leczenia przetrwałego migotania przedsionków, łączącym elementy chirurgicznej ablacji epikardialnej (z dostępu przez przeponę, bez otwierania klatki piersiowej) z przezskórną ablacją endokardialną.48 Ten innowacyjny zabieg pozwala na kompleksowe podejście do substratu arytmii poprzez ablację zarówno z zewnętrznej, jak i wewnętrznej strony serca.49
Procedura Convergent przeprowadzana jest w dwóch etapach:50
- Chirurgiczna ablacja epikardialna tylnej ściany lewego przedsionka z dostępu przezprzeponowego
- Ablacja endokardialna wykonywana przez elektrofizjologa, uzupełniająca linie ablacyjne i weryfikująca izolację żył płucnych
Zabieg hybrydowy jest szczególnie skuteczny u pacjentów z długotrwałym, przetrwałym migotaniem przedsionków oraz u osób z powiększonym lewym przedsionkiem, u których standardowa ablacja przezskórna ma ograniczoną skuteczność.51
Pomostowanie aortalno-wieńcowe
Pomostowanie aortalno-wieńcowe (CABG) może być elementem leczenia arytmii u pacjentów, u których zaburzenia rytmu serca są konsekwencją choroby wieńcowej i niedokrwienia mięśnia sercowego.52 Poprawa ukrwienia serca może prowadzić do eliminacji substratu arytmii, szczególnie komorowych.53
U pacjentów z migotaniem przedsionków kwalifikowanych do CABG często wykonuje się jednocześnie procedurę Maze, co zwiększa szansę na powrót i utrzymanie rytmu zatokowego.54
Zamknięcie uszka lewego przedsionka
Zamknięcie uszka lewego przedsionka (LAAC) jest zabiegiem mającym na celu zmniejszenie ryzyka udaru mózgu u pacjentów z migotaniem przedsionków, którzy nie mogą przyjmować doustnych antykoagulantów z powodu wysokiego ryzyka krwawienia lub przebytych poważnych powikłań krwotocznych.55
Uszko lewego przedsionka jest miejscem, w którym najczęściej powstają skrzepliny w migotaniu przedsionków. Jego zamknięcie lub odcięcie eliminuje potencjalne źródło materiału zatorowego.56
Dostępne metody zamknięcia uszka lewego przedsionka obejmują:5758
- Systemy przezskórne (np. WATCHMAN, Amplatzer) – implantowane przez cewnikowanie z dostępu przez żyłę udową i nakłucie przegrody międzyprzedsionkowej
- Systemy epikardalne (np. LARIAT) – wykorzystujące dostęp z nakłucia podprzeponowego do założenia pętli na uszko przedsionka
- Klipsy chirurgiczne (np. AtriClip) – zakładane podczas operacji kardiochirurgicznych lub przez minimalnie inwazyjny dostęp torakoskopowy
Skuteczność zamknięcia uszka lewego przedsionka w zapobieganiu udarom mózgu jest porównywalna z doustnymi antykoagulantami, przy jednoczesnym zmniejszeniu ryzyka powikłań krwotocznych.59
Leczenie arytmii w szczególnych sytuacjach klinicznych
Migotanie przedsionków
Migotanie przedsionków jest najczęstszą utrwaloną arytmią serca, wymagającą kompleksowego podejścia terapeutycznego.60 Leczenie migotania przedsionków opiera się na dwóch głównych strategiach:61
- Kontrola częstości rytmu komór – mająca na celu utrzymanie odpowiedniej częstości akcji serca pomimo utrzymującego się migotania przedsionków, z wykorzystaniem beta-blokerów, niedihydropirydynowych blokerów kanałów wapniowych lub digoksyny
- Kontrola rytmu serca – dążąca do przywrócenia i utrzymania rytmu zatokowego poprzez farmakoterapię antyarytmiczną, kardiowersję elektryczną lub ablację
Niezależnie od wybranej strategii, kluczowym elementem leczenia migotania przedsionków jest profilaktyka powikłań zakrzepowo-zatorowych przy użyciu doustnych antykoagulantów lub zabiegów zamknięcia uszka lewego przedsionka.6263
Wybór strategii leczenia zależy od wieku pacjenta, chorób współistniejących, nasilenia objawów oraz preferencji chorego.64
Arytmie komorowe
Arytmie komorowe obejmują szerokie spektrum zaburzeń rytmu pochodzących z komór serca, od łagodnych pobudzeń przedwczesnych do groźnych dla życia częstoskurczów i migotania komór.65
Leczenie arytmii komorowych zależy od ich rodzaju, etiologii oraz wpływu na stan kliniczny pacjenta:66
- Bezobjawowe lub skąpoobjawowe pojedyncze pobudzenia przedwczesne często nie wymagają leczenia
- Objawowe pobudzenia przedwczesne mogą być leczone beta-blokerami lub ablacją
- Łagodny częstoskurcz komorowy (np. idiopatyczny częstoskurcz z drogi odpływu prawej komory) często poddaje się ablacji przezskórnej
- Złośliwe częstoskurcze komorowe i migotanie komór zwykle wymagają implantacji ICD, obok farmakoterapii antyarytmicznej i/lub ablacji
W przypadku arytmii komorowych związanych z chorobą strukturalną serca (np. kardiomiopatią, blizną pozawałową) kluczowe znaczenie ma optymalne leczenie choroby podstawowej.67
Bradyarytmie
Bradyarytmie charakteryzują się zbyt wolną czynnością serca, co może prowadzić do niewystarczającego rzutu serca i objawów klinicznych.68 Najczęstsze bradyarytmie to:69
- Dysfunkcja węzła zatokowego
- Bloki przedsionkowo-komorowe
Leczenie bradyarytmii zależy od nasilenia objawów klinicznych oraz stopnia zaburzeń przewodzenia:70
- Bezobjawowe lub incydentalne bradyarytmie mogą nie wymagać leczenia
- Objawowe bradyarytmie zwykle wymagają implantacji stymulatora serca
- W wybranych przypadkach, szczególnie przy odwracalnych przyczynach bradyarytmii (np. polekowych, elektrolitowych), wystarczające może być leczenie przyczynowe
Wybór rodzaju stymulatora (jednojamowy, dwujamowy) zależy od typu bradyarytmii oraz stanu układu przewodzącego serca.71
Postępowanie po leczeniu arytmii
Po leczeniu arytmii serca konieczna jest dalsza, regularna obserwacja pacjenta oraz modyfikacja stylu życia w celu zmniejszenia ryzyka nawrotu zaburzeń rytmu.72
Kluczowe elementy postępowania po leczeniu arytmii obejmują:7374
- Regularną kontrolę kardiologiczną – w tym ocenę skuteczności leczenia i występowania ewentualnych działań niepożądanych
- Systematyczne przyjmowanie przepisanych leków – ścisłe przestrzeganie zaleceń dotyczących farmakoterapii
- Okresową kontrolę urządzeń wszczepialnych – regularne wizyty kontrolne w poradni elektroterapii (co 3-12 miesięcy, w zależności od rodzaju urządzenia i stanu klinicznego pacjenta)
- Modyfikację stylu życia – ograniczenie spożycia alkoholu, zaprzestanie palenia tytoniu, regularna aktywność fizyczna, redukcja masy ciała
- Leczenie chorób współistniejących – optymalne leczenie nadciśnienia tętniczego, choroby wieńcowej, niewydolności serca, cukrzycy
- Unikanie czynników wyzwalających arytmię – np. kofeiny, stresu, niektórych leków
W przypadku nawrotu arytmii konieczna jest ponowna ocena kliniczna i rozważenie modyfikacji leczenia. Pacjenci powinni być świadomi objawów, które powinny skłonić ich do szybkiego kontaktu z lekarzem, takich jak nasilenie palpitacji, zawroty głowy, omdlenia czy duszność.75
Perspektywy i nowe kierunki w leczeniu arytmii
Leczenie arytmii serca jest dynamicznie rozwijającą się dziedziną medycyny, z nowymi technologiami i metodami pojawiającymi się regularnie. Do najważniejszych trendów i perspektyw należą:7677
- Ablacja pulsacyjna (PFA) – wykorzystująca impulsy elektryczne zamiast energii cieplnej lub zimna, co pozwala na selektywne działanie na tkankę mięśnia sercowego z minimalizacją uszkodzeń struktur sąsiadujących
- Mapowanie wysokiej rozdzielczości – umożliwiające precyzyjne określenie mechanizmów i lokalizacji arytmii
- Technologie robotyczne – zwiększające precyzję zabiegów ablacji
- Bezprzewodowe stymulatory serca – eliminujące komplikacje związane z elektrodami przeznaczyniowymi
- Podskórne kardiowertery-defibrylatory (S-ICD) – niewymagające implantacji elektrod wewnątrzsercowych
- Modulacja kurczliwości serca (CCM) – nowa metoda elektroterapii dla pacjentów z niewydolnością serca
- Celowana farmakoterapia – oparta na badaniach genetycznych i molekularnych
Badania kliniczne koncentrują się obecnie na optymalizacji istniejących technik leczenia oraz poszukiwaniu nowych, bardziej skutecznych i bezpiecznych metod terapii zaburzeń rytmu serca.78
Podsumowanie
Leczenie arytmii serca jest procesem złożonym, wymagającym indywidualnego podejścia do każdego pacjenta. Wybór optymalnej metody terapii zależy od rodzaju arytmii, jej etiologii, nasilenia objawów klinicznych oraz chorób współistniejących.79
Współczesna medycyna oferuje szeroki wachlarz możliwości terapeutycznych – od farmakoterapii, przez zabiegi małoinwazyjne, po złożone procedury kardiochirurgiczne. Kluczowe znaczenie ma właściwa diagnostyka i kwalifikacja do odpowiedniego rodzaju leczenia.8081
Podstawowym celem leczenia arytmii serca jest eliminacja lub zmniejszenie objawów, poprawa jakości życia pacjenta oraz zapobieganie poważnym powikłaniom, takim jak udar mózgu czy nagły zgon sercowy.82 Dzięki postępom w kardiologii, elektrofizjologii i kardiochirurgii, skuteczność leczenia zaburzeń rytmu serca systematycznie wzrasta, oferując pacjentom coraz lepsze perspektywy na normalne, aktywne życie.83
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Materiały źródłowe
- #1 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Treatment for a heart arrhythmia depends on whether the heart is beating too fast or too slow. Some heart arrhythmias do not need treatment. Your healthcare team may suggest regular checkups to watch your condition. […] Heart arrhythmia treatment is usually only needed if the irregular heartbeat causes significant symptoms or puts you at risk of more-serious heart problems. Treatment for heart arrhythmias may include medicines, special actions called vagal maneuvers, procedures or surgery. […] Medicines used to treat heart arrhythmias depend on the type of irregular heartbeat and possible complications. […] For example, most people with tachycardia are given medicine to control the heart rate and rhythm. […] If you have atrial fibrillation, blood thinners may be given to prevent blood clots.
- #2 Arrhythmia: Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/16749-arrhythmia
There are many options to treat arrhythmias, but some don’t need them. […] A healthcare provider can tell you which type of arrhythmia you have and what kind of treatment you need, if any. […] Treatment depends on the type and severity of your arrhythmia. In some cases, no treatment is necessary. Heart arrhythmia treatment options include: Medications, Lifestyle changes, Therapies, Devices, Surgery. […] Many medications can treat arrhythmias. […] Heart arrhythmia treatments include: Antiarrhythmic drugs that convert the arrhythmia to sinus rhythm (normal rhythm) or prevent an arrhythmia. […] In addition to medicine, some people need therapies to treat or eliminate irregular heart rhythms. […] Your healthcare provider will determine the best treatment for you and discuss the benefits and risks of these therapies with you.
- #3 Heart rhythm problems (arrhythmia)https://www.nhs.uk/conditions/arrhythmia/
How a heart rhythm problem is treated depends on the type you have and what’s causing it. […] Many people may not need any treatment at all or will only need regular check-ups. […] Possible treatments include: medicine to control the rate and rhythm of your heartbeat, such as beta blockers, burning or freezing the section of heart that’s causing your faulty heart rhythm (ablation), using electrical signals to reset your heart rhythm (cardioversion), having a small electronic device that helps monitor and correct your heart rhythm fitted under your skin (pacemaker implantation). […] You may also need treatment for any condition that’s causing your heart rhythm problems.
- #4 Medications for Arrhythmia | American Heart Associationhttps://www.heart.org/en/health-topics/arrhythmia/prevention–treatment-of-arrhythmia/medications-for-arrhythmia
When taken exactly as prescribed, medications can do wonders. They can help prevent heart attack and stroke. They can also prevent complications and slow the progression of coronary heart disease. […] Some of the commonly prescribed medications used to treat arrhythmias (abnormal heart rhythms) are summarized in this section. […] Symptomatic tachycardias and premature beats may be treated with a variety of medications. These may be given through an IV in an emergency or orally for long-term treatment. […] In patients with atrial fibrillation, a blood thinner (anticoagulant or antiplatelet) is usually added to reduce the risk of blood clots and stroke. […] When tachycardias or premature beats occur often, the effectiveness of medication therapy may be measured by electrocardiographic (ECG) monitoring in a hospital, by using a 24-hour Holter monitor or by serial evaluation with electrophysiologic testing.
- #5 What Medications Help Treat Heart Arrhythmias?https://www.verywellhealth.com/heart-arrhythmia-medication-8693033
Medications play a crucial role in controlling and preventing arrhythmias and ensuring the heart maintains a steady and effective rhythm. Among the most prescribed drugs for this purpose are beta blockers, calcium channel blockers, and a variety of antiarrhythmic agents. […] Heart arrhythmias are treated with various medications to restore normal heart rhythm, control heart rate, and prevent complications. The choice of medication depends on the type of arrhythmia, its severity, and the persons condition. […] Classes of medications used for heart arrhythmias include the following. […] Antiarrhythmic drugs treat abnormal heart rhythms (arrhythmias) by slowing down the heart rate or changing the electrical impulse (flow of electricity generated by a cell) in the heart. […] Sodium channel blockers work by blocking sodium from entering the heart cells. Sodium is one of the electrically charged particles that flows into the cell when a heartbeat occurs. Blocking sodium from entering the heart slows the heart rate and reduces the heart cell’s excitability and conduction (squeeze).
- #6 What Medications Help Treat Heart Arrhythmias?https://www.verywellhealth.com/heart-arrhythmia-medication-8693033
Potassium channel blockers work by blocking potassium channels, preventing potassium from leaving the heart cells. This prolongs the repolarization phase (a phase where the cell becomes more negatively charged). Prolonging this phase increases the refractory period (a „pause” between heartbeats) without affecting the sodium channels, helping maintain normal rhythm. […] Beta-blockers are classified as Class II under the Vaughan Williams classification system. Beta-blockers are used for several conditions, including but not limited to: Tachycardia, Myocardial infarction (heart attack), Atrial fibrillation. […] Beta-blockers are more effective at heart rate control than other antiarrhythmic drugs. In other words, they are better at slowing down the heart than changing the electrical impulses.
- #7 Medications to Treat Abnormal Heart Rhythms – Heart and Blood Vessel Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/abnormal-heart-rhythms/medications-to-treat-abnormal-heart-rhythms
These medications are used to treat ventricular premature beats, ventricular tachycardia, ventricular fibrillation, atrial fibrillation, and atrial flutter. […] Because amiodarone can be toxic, it is used for long-term treatment only in some people who have serious or very bothersome arrhythmias. […] Adenosine is used to end episodes of paroxysmal supraventricular tachycardia. […] These medications slow the conduction of electrical impulses through the heart. […] These medications are used to treat ventricular premature beats, ventricular tachycardia, and ventricular fibrillation and to convert atrial fibrillation or atrial flutter to normal rhythm (cardioversion).
- #8 Drug cabinet: Anti-arrhythmics – BHFhttps://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/drug-cabinet/anti-arrhythmics
Flecainide, sotalol (also a beta blocker) and amiodarone are also commonly prescribed for arrhythmias. They have the ability to terminate an arrhythmia and are usually given to prevent the abnormal rhythm from occurring or reduce its frequency or duration. […] If you have heart muscle damage from a previous heart attack or have a type of heart muscle disease and you have been diagnosed with a life-threatening arrhythmia, it may be more appropriate to have an ICD implanted because drugs have not been shown to be effective at preventing sudden cardiac death (caused by the dangerous arrhythmia) in these cases. […] Many abnormal rhythms, such as AF, can be treated with a technique called ablation, which involves burning or freezing the abnormal tissue in the heart that is responsible for the arrhythmia. […] For those with a heart problem that puts them at risk of a life-threatening arrhythmia, an ICD can be implanted to manage this.
- #9https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/be-still-my-heart-the-latest-in-arrhythmia-treatment
Electrophysiologists treat abnormal heart rhythms in several different ways, explains Kevin Kravitz, MD, cardiovascular specialist and electrophysiologist. […] But if it looks like arrhythmia is putting your health at risk, there are several options for treatment. Dr. Kravitz discusses treatments for arrhythmias. […] Some of those rhythms can be treated with medications; some of those rhythms can be, can be treated with ablation, which is a curable procedure for rhythm problems. Some patients will need pacemakers for slow rhythms. And some will need defibrillators for fast, dangerous life-threatening rhythms. […] Treatment options include: […] Beta blockers, or anti-arrhythmics, are medications that can return your heart rate to a normal rhythm. Others, like calcium channel blockers, digoxin (digitalis), and amiodarone can help slow your heart down.
- #10 Arrhythmia Drugs: List of Drugs That Treat Arrhythmiahttps://www.healthline.com/health/arrhythmia/drugs
Antiarrhythmic drugs may be prescribed if you have tachycardia (fast heart rate) or premature or extra heartbeats. These medications work to correct the rhythm of your heart. They restore a normal heart rhythm by changing the electrical current that makes your heart beat. […] If you have angina (chest pain), high or low blood pressure, and an arrhythmia, your doctor may prescribe a calcium channel blocker. These drugs dilate your blood vessels. This allows more blood to flow to the heart, which helps ease chest pain and decrease blood pressure. […] If you’ve been diagnosed with tachycardia, your doctor may prescribe a beta-blocker. Beta-blockers stop the action of the hormone adrenaline. This can relieve your tachycardia by slowing your heart rate. It can also lower your blood pressure and decrease the stress on your heart. […] An anticoagulant is a blood-thinning medication. Your doctor may prescribe an anticoagulant if your arrhythmia puts you at risk of clots or stroke caused by a clot. […] Anticoagulants don’t fix your heart rhythm problem. They only help reduce the risk of blood clots caused by certain arrhythmias.
- #11 Medications to Treat Abnormal Heart Rhythms – Heart and Blood Vessel Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/abnormal-heart-rhythms/medications-to-treat-abnormal-heart-rhythms
Antiarrhythmic medications are divided into groups based on how they work. The main groups include beta-blockers, calcium channel blockers, potassium channel blockers, and sodium channel blockers. […] These medications are used to treat ventricular premature beats, ventricular tachycardia, ventricular fibrillation, and paroxysmal supraventricular tachycardia. They are also used to slow the ventricular rate (how fast the heart’s lower chambersâthe ventriclesâbeat) in people with atrial fibrillation or atrial flutter. […] Only certain calcium channel blockers, such as diltiazem and verapamil, are useful for arrhythmias. They are used to slow the ventricular rate in people who have atrial fibrillation or atrial flutter and to treat paroxysmal supraventricular tachycardia. […] Digoxin slows conduction of electrical impulses through the atrioventricular node. Digoxin is used to decrease the ventricular rate in people who have atrial fibrillation or atrial flutter and to treat paroxysmal supraventricular tachycardia.
- #12 Heart arrhythmia – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/symptoms-causes/syc-20350668
A heart arrhythmia treatment may include medicines, devices such as pacemakers, or a procedure or surgery. The goals of treatment are to control or get rid of fast, slow or otherwise irregular heartbeats. […] Blood-thinning medicines can lower the risk of stroke related to atrial fibrillation and other heart arrhythmias. If you have a heart arrhythmia, ask a healthcare professional if you need to take a blood thinner. […] If an arrhythmia is causing heart failure symptoms, treatment to control the heart rate may help the heart work better.
- #13 Arrhythmia Treatment Options | Froedtert & MCWhttps://www.froedtert.com/arrhythmia/treatment
Our arrhythmia specialists are experts at treating common and complex electrical disturbances of the heart. We consider several factors when it comes to treating an arrhythmia. Some arrhythmias respond better to more simple medications, while others require stronger medications. We take your complete health history, including other health problems, into account when we consider which treatment you should have. […] Treatment for an arrhythmia (irregular heart beat) may include monitoring, medication, minimally invasive procedures or surgery. We follow a standard treatment path. […] Our first priority is to prevent a stroke related to AFib. […] Based on your stroke risk, we will recommend a blood thinner such as Warfarin, Eliquis, Pradaxa or Xarelto. […] If it is too fast, we can start a medication to lower the heart rate, such as a beta blocker or calcium channel blocker.
- #14 Medications for Arrhythmia | American Heart Associationhttps://www.heart.org/en/health-topics/arrhythmia/prevention–treatment-of-arrhythmia/medications-for-arrhythmia
The use of antiarrhythmic medication therapy must be balanced against two disadvantages. One is that the medications must be taken daily and indefinitely. The other is the risk of side effects. […] While side effects are a risk of all medication, those associated with antiarrhythmic medications can be very hard to manage. […] One such side effect is proarrhythmia, the more frequent occurrence of preexisting arrhythmias or the appearance of new abnormal heart rhythms. […] Many rhythm disorders, especially tachycardias, respond to medications. These medications canât cure the abnormal heart rhythm, but they can improve symptoms. They do this by preventing the episodes from starting, decreasing the heart rate during the episode or shortening how long it lasts. […] All medications have side effects, including drugs to treat abnormal heart rhythms. Most of the side effects arenât serious and disappear when the dose is adjusted or the medication is stopped. But some side effects are very serious.
- #15 Overview of Cardiac Arrhythmias and Treatment Strategieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10301085/
While clinical use of pharmacological agents to limit cardiac arrhythmias is the norm, significant cardiac and extracardiac (i.e., neurohumoral activation) side effects have also been described, the most important being their potential proarrhythmic properties in patients with structural heart disease. […] First-order treatment against cardiac arrhythmias in patients is principally accomplished using antiarrhythmic drugs. However, evidence of the overall efficacy of pharmacotherapy is incomplete. This has spurred development of interventions such as implantable electronic pacemakers, cardioverter defibrillators and catheter ablation. […] Retrospective clinical findings suggest that ablation is considerably more effective than conventional pharmacotherapy for treatment of cardiac arrhythmias.
- #16 Heart arrhythmia – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospitalhttps://www.medparkhospital.com/en-US/disease-and-treatment/heart-arrhythmia
Cardioversion: It is to quickly bring the heart rhythm back to normal by sending an electrical current to the heart through chest electrodes. It is suitable for refractory arrhythmia, not responding to medications, particularly those with no severe underlying conditions such as hypotension, chest congestion, shortness of breath, and heart failure. This method restores normal heartbeat through medications or cardioversion. […] Catheter ablation: Threading one or more catheters tipped with electrodes through your blood vessels to the heart for radiofrequency ablation of abnormal heart tissue creating tiny scars that block faulty electrical signals and reset your heart rhythm. […] A pacemaker, implanted on the chest wall near the collarbone, connects with an electrode-tipped wire running through a blood vessel to a position at the apex of the heart and will discharge electrical impulses to stabilize the heart rate if slow heartbeats are detected. A pacemaker is usually for people with bradycardias that are not correctable by other means.
- #17 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Other treatments for heart arrhythmias include: […] Vagal maneuvers. These are simple but specific actions that can slow the heart rate. They include coughing, bearing down as if having a bowel movement and putting an ice pack on the face. […] Cardioversion. Paddles or patches on the chest are used to give an electrical shock to the heart and help reset the heart rhythm. […] In catheter ablation, one or more thin, flexible tubes called catheters are passed through a blood vessel and guided to the heart. […] A pacemaker helps the heart keep a steady beat. […] Treatment for heart arrhythmias also may involve a procedure or surgery to place a heart device in your body. […] Types of procedures and surgeries used to treat heart arrhythmias include: […] Catheter ablation. In this procedure, the doctor places one or more catheters into blood vessels to the heart.
- #18 Cardiac Arrhythmia (Irregular Heartbeat) | Mass General Brighamhttps://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/cardiac-arrhythmia
Basic lifestyle recommendations are a frequent component of cardiac arrhythmia treatments. These include maintaining a healthy level of physical activity, consuming a heart-healthy diet, avoiding alcohol and tobacco consumption, and keeping a healthy sleep cycle. […] Medications are the other primary, non-surgical treatment approach for cardiac arrhythmia. Depending on your case, condition, and severity, your physician may prescribe you a medication that can help regulate your heart’s rhythm. […] Electrical cardioversion is a non-surgical procedure that can correct some cardiac arrhythmias. An electrical current is pushed through the chest, encouraging the heart to resume a normal rhythm. While this procedure is non-invasive, it often involves a sedative and can be fairly involved. […] Surgical heart arrhythmia treatments generally attempt to fix the problem within the heart directly or by implanting a device that can help regulate the heart’s rhythm. […] Catheter ablation may be able to reverse the condition in some cases by eliminating arrhythmogenic tissue or abnormal electrical connections.
- #19 Treatments for abnormal heart rhythms – Heart Matters magazine – BHFhttps://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/treatments-for-abnormal-heart-rhythms
Some people with AF will only have one ablation; others may have multiple ablations, which may or may not work but may help improve their symptoms. […] Most pacemaker recipients have either a very slow heart rate, long pauses between heartbeats or AF. […] Your pacemaker starts functioning as soon as it is inserted. Some people feel the benefit straight away as their heart rate is increased to a normal rate. […] Pacemaker batteries last for eight to 10 years and sometimes longer. […] The main aim of an ICD is to treat rapid abnormal heart rhythms that can lead to cardiac arrest. This is achieved by rapid pacing or by the device giving your heart a direct shock via a special lead. […] An ICD will not cure your underlying heart condition, but it does give immediate treatment if you ever have a life-threatening abnormal rhythm. […] ICD batteries run down over time but usually last six to eight years, depending on how much pacing or how many shocks you receive.
- #20 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Other treatments for heart arrhythmias include: […] Vagal maneuvers. These are simple but specific actions that can slow the heart rate. They include coughing, bearing down as if having a bowel movement and putting an ice pack on the face. […] Cardioversion. Paddles or patches on the chest are used to give an electrical shock to the heart and help reset the heart rhythm. […] In catheter ablation, one or more thin, flexible tubes called catheters are passed through a blood vessel and guided to the heart. […] A pacemaker helps the heart keep a steady beat. […] Treatment for heart arrhythmias also may involve a procedure or surgery to place a heart device in your body. […] Types of procedures and surgeries used to treat heart arrhythmias include: […] Catheter ablation. In this procedure, the doctor places one or more catheters into blood vessels to the heart.
- #21 Heart arrhythmia – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospitalhttps://www.medparkhospital.com/en-US/disease-and-treatment/heart-arrhythmia
To treat heart arrhythmia, your doctor may prescribe medications, perform catheter procedures, or device implantation. However, maintaining a healthy lifestyle can lower the risk of developing heart arrhythmias. […] Regular follow-ups may be adequate in some people with heart arrhythmias. However, if the condition aggravates the risk of more severe heart conditions or interferes with your daily life, your doctor may suggest medications, therapies, cardioversion, catheter procedures, or heart surgery. […] Most people with tachycardia need medications to control the heart rhythm. Some people with atrial fibrillation also take blood thinners to prevent the formation of blood clots. Taking the prescribed medications as directed is crucial to lowering the risk of complications. […] Vagal maneuvers: This method can help slow down your heartbeat by stimulating vagus nerves which control your heart rate. An arrhythmia may stop by coughing, putting your face in cold water, holding your breath, and straining. People with supraventricular tachycardia may try out this approach.
- #22 Arrhythmia Treatment: Medications, Procedures, and Deviceshttps://www.healthline.com/health/arrhythmia/arrhythmia-treatment
If medications dont effectively treat your arrhythmia and symptoms are severe, cardioversion may help. […] According to a small 2020 study involving 396 Canadians with severe AFib, chemical cardioversion followed by electrical cardioversion was a more effective treatment than electrical cardioversion alone. […] Catheter ablation uses radiofrequency energy to ablate (kill) the heart tissue causing your arrhythmia. […] Doctors most frequently use catheter ablation to treat SVT. […] Depending on the type of arrhythmia, a doctor may recommend one of the following implantable devices that shocks your heart so it beats regularly: Implantable cardioverter defibrillator (ICD), Pacemaker, Cardiac resynchronization therapy (CRT), Implantable loop recorder. […] If you have an SVT, as an alternative to medications or other arrhythmia treatments, you may be able to temporarily slow your heart rate by performing a simple exercise called a vagal maneuver. […] Certain lifestyle changes and strategies may help prevent arrhythmia. […] Treatment may prevent arrhythmias from developing into more serious issues like stroke, cardiac arrest, or even death.
- #23 Arrhythmias – Treatment | NHLBI, NIHhttps://www.nhlbi.nih.gov/health/arrhythmias/treatment
Common arrhythmia treatments include medicines, surgery to implant devices that control your heartbeat, and other procedures to treat problems with electrical signals in your heart. […] You may need one or more medicines to treat a slow, fast, or irregular heartbeat. […] If medicines do not treat your arrhythmia adequately, you may need one of the following procedures or devices. […] Cardioversion is a procedure that uses external electric shocks to restore a normal heart rhythm. […] Catheter ablation is a procedure to stop abnormal electrical signals from moving through your heart and causing an irregular heartbeat. […] Defibrillators are devices that restore a normal heartbeat by sending an electric pulse or shock to the heart. […] A pacemaker is a small device that sends electrical pulses to help your heart beat at a normal rate and rhythm. […] Your doctor may talk to you about steps to manage the cause of your arrhythmia, such as a problem with your electrolytes levels, high blood pressure, heart disease, sleep apnea, or thyroid disease. […] Vagal maneuvers are relaxation techniques that may help slow your heart rate.
- #24 Heart Arrhythmia Treatments | Irregular Heartbeat Treatments | MedStar Healthhttps://www.medstarhealth.org/services/arrhythmia-treatments
Your doctor may recommend one of the following treatment options if your heartbeat is too fast or irregular: Cardiac ablation, which destroys a small area of heart tissue thats causing irregular heart rhythms. […] Electrical cardioversion, which uses electricity to restore a normal heart rhythm. […] Pulmonary vein isolation, a type of cardiac ablation that targets the hearts pulmonary veins, which often are the starting point for atrial fibrillation (AFib). […] Pulsed field ablation is a catheter-based, non-thermal technique that emits a series of high-intensity energy pulses to electroporate target cells rather than burn or freeze them. […] Your doctor may recommend an implantable device for ongoing control of your heart rhythm condition. The devices we offer include: Pacemaker, which is used primarily to treat heart rhythms that are too slow
- #25 Heart Arrhythmias Treatment – UChicago Medicinehttps://www.uchicagomedicine.org/conditions-services/heart-vascular/arrhythmias/treatments
Ablation procedure is a minimally invasive procedure that involves inserting a specially designed catheter through the leg into the heart. The catheter is used to locate the arrhythmia source, which is then eliminated using extreme cold, laser technology or radiofrequency ablation. Our highly skilled expert team offers comprehensive ablation management. […] Cardioversion normalizes irregular heartbeats by delivering small pulses of electrical current to the heart through electrodes (patches or paddles) placed on the chest. A small amount of electricity is used to reestablish a regular heart rhythm. […] Cardiac resynchronization therapy (CTR) is used to correct an arrhythmia where the right and left ventricles are not beating together. During CRT, a biventricular pacemaker is implanted under the collarbone, delivering small electrical impulses to the heart and rectifying the irregular beating. This is typically used for patients whose heart failure is causing an abnormal heartbeat.
- #26 Arrhythmia Treatment Options | Froedtert & MCWhttps://www.froedtert.com/arrhythmia/treatment
Cardioversion, used to treat AFib or atrial flutter. […] We can perform an ablation to treat conditions such as AFib, atrial flutter, PVCs and supraventricular tachycardia. […] Using ablation, there is a chance to cure your arrhythmia or AFib permanently. […] Catheter ablation or radiofrequency ablation uses bursts of high energy to destroy the source of irregular heartbeats in heart muscle. […] Cryoballoon ablation, a form of catheter ablation that uses cryo, or freezing, energy. […] Surgical ablation or maze procedures, techniques for reorganizing irregular electrical heart impulses by open-heart or minimally invasive surgery. […] Our team also has experience with advanced ablation procedures not widely available, including vein of Marshall alcohol ablation. […] Since it is a surgical procedure, there are some risks that come with it, such as stroke, pulmonary vein stenosis, phrenic nerve injury or cardiac perforation.
- #27 Arrhythmia Treatment I Ohio State Medical Centerhttps://wexnermedical.osu.edu/heart-vascular/heart-rhythm/heart-rhythm-disorders
Ohio State Ross Heart Hospital offers advanced ablation technology that includes use of large-tip radiofrequency catheters, cooled-tip radiofrequency catheters, pulsed-energy radiofrequency ablation and cryo-ablation energy. Radiofrequency ablation is often quite successful, with a success rate of about 96-98%.
- #28https://www.gleneagles.com.sg/tests-treatments/irregular-heart-rhythm-treatment
If your arrhythmia is serious, you may need a permanent cardiac pacemaker. […] If your arrhythmia is serious, you may need an implantable cardioverter defibrillator (ICD). […] Surgical ablation, also known as a maze procedure, is a major surgery done under general anaesthesia. […] The goal of irregular heart rhythm treatment is to: […] Your doctor may advise irregular heart rhythm treatment if your: […] Studies indicate that catheter ablation for atrial fibrillation successfully improves the condition at a rate of 95 – 98%, even after medication is stopped. […] Clinical studies have also demonstrated that catheter ablation: […] Depending on the treatment, side effects of arrhythmia treatment can include: […] After your treatment, your irregular heart rhythm may recur especially if you: […] If your atrial fibrillation does come back, you may be able to control it with medication now. […] Treat your heart arrhythmias holistically with expert help from our specialists.
- #29 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Pacemaker. If slow heartbeats don’t have a cause that can be fixed, a pacemaker may be needed. […] Implantable cardioverter-defibrillator (ICD). This device is placed under the skin near the collarbone. […] Maze procedure. In the maze procedure, a surgeon makes tiny cuts in the upper half of the heart to create a pattern of scar tissue. […] Coronary bypass graft surgery. If you have severe coronary artery disease with an irregular heartbeat, you may need this type of heart surgery. […] After treatment for irregular heartbeats, it’s important to get regular health checkups. Take your medicines as directed. Tell your healthcare team if your symptoms get worse.
- #30 Heart arrhythmia – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospitalhttps://www.medparkhospital.com/en-US/disease-and-treatment/heart-arrhythmia
Cardioversion: It is to quickly bring the heart rhythm back to normal by sending an electrical current to the heart through chest electrodes. It is suitable for refractory arrhythmia, not responding to medications, particularly those with no severe underlying conditions such as hypotension, chest congestion, shortness of breath, and heart failure. This method restores normal heartbeat through medications or cardioversion. […] Catheter ablation: Threading one or more catheters tipped with electrodes through your blood vessels to the heart for radiofrequency ablation of abnormal heart tissue creating tiny scars that block faulty electrical signals and reset your heart rhythm. […] A pacemaker, implanted on the chest wall near the collarbone, connects with an electrode-tipped wire running through a blood vessel to a position at the apex of the heart and will discharge electrical impulses to stabilize the heart rate if slow heartbeats are detected. A pacemaker is usually for people with bradycardias that are not correctable by other means.
- #31 Arrhythmia Treatment | Kansas City Heart Rhythm Institutehttps://kcheartrhythm.com/treatments/electrophysiology-treatment.dot
Cardiac Implantable Electronic Devices […] Pacemaker […] A pacemaker is used help the heart beat regularly and pump blood efficiently. It is often recommended to correct a slow heart rate or a heart rate that is irregular. […] You may be considered for a permanent pacemaker if you are experiencing symptoms that are due to an irreversible cause. During a permanent pacemaker procedure, your electrophysiologist will make a small incision just beneath the collarbone. They will then guide the lead wire(s) through a blood vessel and into your heart. The pacemaker generator will be connected to the lead wire(s) and inserted under the skin just below the collarbone. The number of leads implanted will depend on your condition. […] We offer: […] Single-chamber pacemakers (1 lead) […] Dual-chamber pacemakers (2 leads)
- #32 Arrhythmia Treatment | Kansas City Heart Rhythm Institutehttps://kcheartrhythm.com/treatments/electrophysiology-treatment.dot
Three-chamber pacemakers (3 leads) (cardiac re-synchronization therapy) […] Lead extraction […] His Bundle Pacing (HBP) â this is an emerging therapy that can be helpful for patients needing cardiac resynchronization […] Leadless Pacemaker â Leadless pacemakers offer a new platform of technology where the heart can be stimulated without wires attached to it. A small capsule-like device featuring electronics, battery and anchoring mechanisms is directly implanted into the heart chamber from vascular access in the leg. […] Procedure time: 1-3 hours […] Hospital stay: Will usually require an overnight stay for monitoring […] Follow-up care: Your pacemaker will need to be checked regularly about every three months â most checks occur remotely while some are done in the office â and the generator will need to be replaced approximately every 8-10 years.
- #33 Treatments for abnormal heart rhythms – Heart Matters magazine – BHFhttps://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/treatments-for-abnormal-heart-rhythms
Some people with AF will only have one ablation; others may have multiple ablations, which may or may not work but may help improve their symptoms. […] Most pacemaker recipients have either a very slow heart rate, long pauses between heartbeats or AF. […] Your pacemaker starts functioning as soon as it is inserted. Some people feel the benefit straight away as their heart rate is increased to a normal rate. […] Pacemaker batteries last for eight to 10 years and sometimes longer. […] The main aim of an ICD is to treat rapid abnormal heart rhythms that can lead to cardiac arrest. This is achieved by rapid pacing or by the device giving your heart a direct shock via a special lead. […] An ICD will not cure your underlying heart condition, but it does give immediate treatment if you ever have a life-threatening abnormal rhythm. […] ICD batteries run down over time but usually last six to eight years, depending on how much pacing or how many shocks you receive.
- #34 Heart arrhythmia – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospitalhttps://www.medparkhospital.com/en-US/disease-and-treatment/heart-arrhythmia
An ICD implanted under the skin near the collarbone delivers either a high- or low-energy shock to restore normal heartbeats if it detects abnormal heart rhythms. This method is for people with ventricular tachycardia, ventricular fibrillation, cardiac arrest, or higher risks of sudden cardiac arrest. […] Coronary bypass surgery: It is for people with heart arrhythmia accompanied by severe coronary artery disease. Coronary bypass surgery improves the blood flow to the heart. […] In patients with atrial fibrillation undergoing open heart surgery for other indications, the doctor may consider adding a concurrent maze procedure to cure the atrial fibrillation.
- #35 Understanding Arrhythmia: Causes, Symptoms, and Treatment Optionshttps://www.webmd.com/heart-disease/atrial-fibrillation/heart-disease-abnormal-heart-rhythm
Doctors mainly use ICDs to treat ventricular tachycardia and ventricular fibrillation, two life-threatening heart rhythms. […] Think of this procedure as rewiring to fix an electrical problem in your heart. […] Your doctor will insert a catheter through your leg. It delivers high-frequency electrical energy to a small area inside your heart that causes the unusual rhythm. This energy disconnects the pathway of the unusual rhythm. […] This type of catheter ablation treats arrhythmias by targeting your pulmonary veins, which bring oxygen-rich blood to your heart. […] There are a few surgical treatment options: Coronary bypass surgery, Mitral valve repair or replacement, The maze procedure. […] Alongside different medical treatments, your doctor may also suggest lifestyle changes and techniques to keep your heart healthy and help you manage arrhythmias.
- #36 Arrhythmia Treatment | Kansas City Heart Rhythm Institutehttps://kcheartrhythm.com/treatments/electrophysiology-treatment.dot
Pacemaker lead extraction is performed at Research Medical Center and Overland Park Regional Medical Center. […] Defibrillator […] A defibrillator can identify and cure arrhythmias that may cause sudden cardiac arrest. It monitors a personâs heart rate and delivers a shock when the rhythm becomes dangerous. They are recommended for patients with life-threateningly fast or chaotic heartbeats that are not correctable through other therapies. […] We offer: […] Implantable Cardioverter Defibrillator (ICD) â Implanted the same way as a pacemaker […] Cardiac Resynchronization Therapy Defibrillator (CRTD) â A three-chamber ICD inserted the same way as a three-chamber PM […] Subcutaneous ICDs â Uses an electrode beneath the skin as opposed to a lead a through blood vessel […] Life Vest Defibrillators â Wearable technology
- #37 Treatments for abnormal heart rhythms – Heart Matters magazine – BHFhttps://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/treatments-for-abnormal-heart-rhythms
Some people with AF will only have one ablation; others may have multiple ablations, which may or may not work but may help improve their symptoms. […] Most pacemaker recipients have either a very slow heart rate, long pauses between heartbeats or AF. […] Your pacemaker starts functioning as soon as it is inserted. Some people feel the benefit straight away as their heart rate is increased to a normal rate. […] Pacemaker batteries last for eight to 10 years and sometimes longer. […] The main aim of an ICD is to treat rapid abnormal heart rhythms that can lead to cardiac arrest. This is achieved by rapid pacing or by the device giving your heart a direct shock via a special lead. […] An ICD will not cure your underlying heart condition, but it does give immediate treatment if you ever have a life-threatening abnormal rhythm. […] ICD batteries run down over time but usually last six to eight years, depending on how much pacing or how many shocks you receive.
- #38 Heart Arrhythmia Treatments | Irregular Heartbeat Treatments | MedStar Healthhttps://www.medstarhealth.org/services/arrhythmia-treatments
Biventricular pacemaker, used in cardiac resynchronization therapy to keep the hearts chambers pumping together in patients with heart failure. […] Implantable cardioverter-defibrillators (ICDs), which monitor your heart for fast or irregular heartbeats and treat them to restore a normal heartbeat. […] You may need surgery if you havent responded to other forms of treatment. One such surgery is the Maze procedure, which creates a maze-like pattern of scar tissue on the heart to interfere with electrical signals causing your arrhythmia. […] Another procedure is coronary artery bypass surgery. Your doctor may recommend this procedure if you have severe coronary artery disease thats causing your heart rhythm condition.
- #39 Arrhythmia Treatment | Duke Healthhttps://www.dukehealth.org/treatments/heart/arrhythmia
These battery-powered devices are placed during minimally invasive surgical procedures, usually in an EP lab. Wires or leads connect the device to the heart. Following device implantation, we provide comprehensive, long-term care to ensure your device functions properly. […] When the heart beats too slowly, this device is implanted in the chest and delivers electrical impulses that maintain a normal heart rhythm. […] Abnormalities in the conduction cables of the heart can lead to uncoordinated heartbeats. Cardiac resynchronization therapy (CRT) paces your upper and lower heart chambers to restore normal timing and can be beneficial if you have heart failure and an arrhythmia. […] This electrical device monitors your heart rhythm continuously and delivers an electrical shock to restore a normal heartbeat if it detects a life-threatening arrhythmia. ICDs can prevent sudden cardiac death caused by abnormal heart rhythms.
- #40https://www.alaskaregional.com/specialties/cardiology/heart-arrhythmia
A heart arrhythmia can be unsettling. We can offer you support if you need treatment. […] At Alaska Regional Hospital, our electrophysiologists and cardiac care specialists are trained to diagnose, treat and correct heart arrhythmias using the latest technology, while taking your full medical history into account. […] Our cardiac specialists offer numerous treatments to help determine the cause of your arrhythmia. Together, we’ll create a personalized treatment plan that is unique to your experience. […] We work to help you recover from a heart arrhythmia episode. Our treatment options vary and are based on your symptoms, lifestyle and overall health. […] CRT-D therapy uses electric shocks to restore normal heart rhythm, while working to improve pumping function through recalibrating ventricle contractions. CRT-D therapy is used if you qualify for an implantable cardioverter defibrillator and also have moderate-to-severe heart failure. CRT-D is generally recommended if you have poor heart-pumping function.
- #41 Heart Arrhythmia Treatment | Los Robles Regional Medical Centerhttps://losrobleshospital.com/specialties/heart-arrhythmia/
Cryoballoon catheter ablation, or cryoablation is an alternative to traditional radiofrequency energy ablation. It uses extreme cold to freeze the heart cells, which means shorter procedure times and less radiation exposure. […] A pacemaker is a device that regulates the beating of the heart by delivering an electrical impulse through electrodes connected to the heart muscle. […] The ICD device monitors the heart for abnormal heartbeats that may be dangerous and put the patient at risk for sudden cardiac death. […] CRT devices are either pacemakers or defibrillators with an extra lead that can pace both ventricles of the heart. This device can be programmed to help the ventricles of the heart to synchronize and improve cardiac function.
- #42 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Pacemaker. If slow heartbeats don’t have a cause that can be fixed, a pacemaker may be needed. […] Implantable cardioverter-defibrillator (ICD). This device is placed under the skin near the collarbone. […] Maze procedure. In the maze procedure, a surgeon makes tiny cuts in the upper half of the heart to create a pattern of scar tissue. […] Coronary bypass graft surgery. If you have severe coronary artery disease with an irregular heartbeat, you may need this type of heart surgery. […] After treatment for irregular heartbeats, it’s important to get regular health checkups. Take your medicines as directed. Tell your healthcare team if your symptoms get worse.
- #43 Heart arrhythmia – Symptoms, Causes, Diagnosis and Treatment | MedPark Hospitalhttps://www.medparkhospital.com/en-US/disease-and-treatment/heart-arrhythmia
An ICD implanted under the skin near the collarbone delivers either a high- or low-energy shock to restore normal heartbeats if it detects abnormal heart rhythms. This method is for people with ventricular tachycardia, ventricular fibrillation, cardiac arrest, or higher risks of sudden cardiac arrest. […] Coronary bypass surgery: It is for people with heart arrhythmia accompanied by severe coronary artery disease. Coronary bypass surgery improves the blood flow to the heart. […] In patients with atrial fibrillation undergoing open heart surgery for other indications, the doctor may consider adding a concurrent maze procedure to cure the atrial fibrillation.
- #44 Arrhythmia Treatment | TriHealthhttps://www.trihealth.com/services/heart-and-vascular-care/treatments-and-services/arrhythmia-treatment
Surgery for arrhythmia is an option for some patients. At the TriHealth Heart Vascular Institute, the maze procedure is available for those who have not found success with medication and ablation, or for patients who require surgery for other reasons in addition to their atrial fibrillation. […] The maze procedure creates scars to stop the arrhythmia in a manner similar to catheter ablation procedures. […] The TriHealth Heart Vascular Institute is the first and only in the region performing robotic-assisted mini-maze procedures. This procedure, offered specifically at Good Samaritan Hospital, provides an alternative treatment option for atrial fibrillation that is substantially less invasive than traditional open heart surgery, meaning less pain and faster recovery for you. […] Another arrhythmia treatment option offered at the TriHealth Heart Vascular Institute is cardioversion. During this non-invasive procedure, an electrical current is delivered to the heart via paddles applied to the chest using low energy levels.
- #45 Heart Rhythm Disorders & Irregular Heartbeat Treatment Serviceshttps://www.upmc.com/services/heart-vascular/services/heart-rhythm-disorders
Hybrid ablation is a minimally invasive treatment that combines surgical and catheter ablation techniques to block abnormal electrical signals on the inside and outside of your heart. […] A pacemaker or an implantable cardioverter-defibrillator (ICD) is surgically placed under your skin to help control your heart rhythm. […] Your surgeon will make tiny cuts on the outside of your heart, creating scars that block abnormal electrical signals. MAZE can be performed in several ways: as an open chest procedure, as a minimally invasive procedure through several small incisions in your chest, or as part of another open procedure such as coronary artery bypass surgery. […] This minimally invasive procedure blocks off part of your heart where blood clots may form, called the left atrial appendage, reducing your risk of stroke.
- #46https://www.mercy.net/service/atrial-fibrillation/6-options-for-treating-afib/
Atrial fibrillation is the most common type of irregular heartbeat, or arrhythmia. […] The treatment for atrial fibrillation depends on several factors, including your age, your symptoms, how often you experience symptoms and if you have other health issues. […] Dr. Larry Weathers with Mercy Clinic Cardiology explains six treatment options for atrial fibrillation. […] Your doctor may prescribe blood thinners to prevent or treat blood clots which can lead to stroke. There are other medications that can help control heart rate and rhythm, which include beta blockers, calcium channel blockers and antiarrhythmic agents. […] Cardioversion is a procedure that uses a brief, mild electrical shock to reset a persons heartbeat. […] During this minimally-invasive procedure, your doctor will selectively destroy heart tissue either to remove the source of the abnormal electrical signals or to reroute the signals that are causing the irregular heartbeat.
- #47 Heart Arrhythmia Types and Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/heart-care/arrhythmia
The Maze procedure is an open heart surgical procedure to eliminate the abnormal electrical circuits of AFib. Because RF ablation has become more common, the Maze procedure is now mostly reserved for patients who already need open heart surgery for other reasons, such as a valve repair or replacement, or coronary artery bypass graft. […] Treatment for atrial flutter may include: Antiarrhythmic medications help suppress the abnormal heart rhythm. Anticoagulation medication helps reduce the risk of blood clots. […] Radiofrequency (RF) ablation for atrial flutter uses a catheter that emits heat energy, guided into the heart to cauterize the abnormal electrical circuit. The procedure is performed in conjunction with an electrophysiology study. […] In AV node ablation and pacemaker insertion, the AV node is cauterized, disconnecting the electrical connections between the hearts top and lower chambers. A heart pacemaker is implanted to set the heart rate of the bottom chambers to correct the heart arrhythmia.
- #48 New wave of arrhythmia treatmentshttps://medicineiowa.org/spring-2024/new-wave-arrhythmia-treatments
Dominic and his colleagues also offer several new minimally invasive treatments for atrial fibrillation (AFib) that doesn’t respond to other therapies. […] The most common heart arrhythmia, atrial fibrillation has long been treated with medications and ablation procedures that use either heat or cold to block abnormal electrical signals responsible for the irregular heartbeat. […] Available in Iowa only at UI Heart and Vascular Center, these new AFib treatments include: The convergent procedure, a hybrid approach that combines minimally invasive heart surgery and traditional catheter ablation. […] Ganglionated plexi ablation, designed for patients with a slow heart rate or whose vagal nerve activity triggers atrial fibrillation. […] Other advanced arrhythmia treatments available at UI Health Care include leadless pacemakers, which don’t require wires to be threaded from the shoulder area to the heart.
- #49 Get Arrhythmia Treatment | Cleveland Clinichttps://my.clevelandclinic.org/services/arrhythmia-treatment
Some arrhythmias respond well to implantable devices like a permanent pacemaker or implantable cardioverter defibrillator (ICD). […] Your provider may also recommend biventricular pacemakers and defibrillators or cardiac resynchronization therapy (CRT). […] There are many reasons why your care team may recommend surgery to treat arrhythmia. […] Another option could be the Convergent procedure (CONVERGE). […] It can take time to find the best medication or treatment for your arrhythmia. […] Your provider will go over what to expect after treatment. […] You’ll have follow-up appointments to make sure your arrhythmia stays under control with medications or treatment. […] Cleveland Clinic’s leading cardiology team will find the best treatment for you.
- #50 Heart Rhythm Disorders & Irregular Heartbeat Treatment Serviceshttps://www.upmc.com/services/heart-vascular/services/heart-rhythm-disorders
Hybrid ablation is a minimally invasive treatment that combines surgical and catheter ablation techniques to block abnormal electrical signals on the inside and outside of your heart. […] A pacemaker or an implantable cardioverter-defibrillator (ICD) is surgically placed under your skin to help control your heart rhythm. […] Your surgeon will make tiny cuts on the outside of your heart, creating scars that block abnormal electrical signals. MAZE can be performed in several ways: as an open chest procedure, as a minimally invasive procedure through several small incisions in your chest, or as part of another open procedure such as coronary artery bypass surgery. […] This minimally invasive procedure blocks off part of your heart where blood clots may form, called the left atrial appendage, reducing your risk of stroke.
- #51 Heart Arrhythmias Treatment – UChicago Medicinehttps://www.uchicagomedicine.org/conditions-services/heart-vascular/arrhythmias/treatments
Hybrid procedure for atrial fibrillation is reserved for patients whose arrhythmia has persisted after standard ablation techniques. These long-standing, complex arrhythmias frequently require ablation on both sides of the heart wall for effective treatment. To offer these patients relief, we perform hybrid atrial fibrillation surgery, which combines surgical ablation with catheter ablation for a highly targeted solution.
- #52 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Pacemaker. If slow heartbeats don’t have a cause that can be fixed, a pacemaker may be needed. […] Implantable cardioverter-defibrillator (ICD). This device is placed under the skin near the collarbone. […] Maze procedure. In the maze procedure, a surgeon makes tiny cuts in the upper half of the heart to create a pattern of scar tissue. […] Coronary bypass graft surgery. If you have severe coronary artery disease with an irregular heartbeat, you may need this type of heart surgery. […] After treatment for irregular heartbeats, it’s important to get regular health checkups. Take your medicines as directed. Tell your healthcare team if your symptoms get worse.
- #53 Cardiac arrhythmias Guide: Causes, Symptoms and Treatment Optionshttps://www.drugs.com/health-guide/cardiac-arrhythmias.html
A-V block – First-degree A-V block typically does not require any treatment. People with second-degree A-V block may be monitored with frequent EKGs, especially if they do not have any symptoms and have a heart rate that is adequate for their daily activities. Some patients with second-degree heart block may require permanent pacemakers. Third-degree A-V block is almost always treated with a permanent pacemaker. […] VT – Non-sustained VT may not need to be treated if there is no structural damage to the heart. Sustained VT always needs treatment, either with intravenous medication or emergency electrical shock (defibrillation), which can restore the heart’s normal rhythm. […] Ventricular fibrillation – This is treated with defibrillation, giving the heart a measured electrical shock to restore normal rhythm. The electrical shock can be delivered on the skin over the heart in an emergency situation. People who have survived ventricular fibrillation and those at high risk are potential candidates for an automatic implantable cardioverter defibrillator. The device is similar to a pacemaker, with wires attached to the heart that connect an energy source placed under the skin. The procedure is done in the operating room.
- #54 Heart Arrhythmias: Diagnosis & Treatment | NewYork-Presbyterianhttps://www.nyp.org/heart/arrhythmias/treatment
Our heart surgeons offer surgical procedures for people with atrial fibrillation that cannot be adequately controlled with medications, ablation, or implanted devices. […] The Maze procedure is commonly performed with mitral valve repair, replacement, and coronary artery bypass graft. […] Surgery can be performed for some patients to remove scar tissue from under the heart’s lining to treat ventricular tachycardia. […] This is a minimally invasive, robotically assisted version of surgical atrial fibrillation ablation.
- #55 Non-Surgical Treatment | Atrial Fibrillation | Pauley Heart Center | VCU Healthic_closeGrouphttps://www.vcuhealth.org/pauley-heart-center/programs-and-expertise/atrial-fibrillation-program/non-surgical-treatment/
Medications […] Blood thinners (anticoagulants) are prescribed to prevent blood clots that could lead to a stroke. […] A new form of therapy called left atrial appendage occlusion is available that in over 95% of patients avoids the need for any blood thinner other than a baby aspirin. […] Rate-control drugs control the heart rate during AFib and rhythm control drugs (anti-arrhythmics) try to bring the heart back into normal rhythm. […] Cardioversion […] For most individuals with chronic atrial fibrillation, or those whose symptoms do not improve with medications, a normal heart rhythm can be restored by applying a controlled electric shock to the heart. […] Pacemaker […] A pacemaker is a small device implanted under the skin near the collarbone that monitors the heart’s rhythms and sends a controlled electrical pulse to the heart muscle if it identifies a slow rate.
- #56 Arrhythmia Treatment | Kansas City Heart Rhythm Institutehttps://kcheartrhythm.com/treatments/electrophysiology-treatment.dot
Procedure time: 1-3 hours […] Hospital stay: Will usually require an overnight stay for monitoring […] Follow-up care: After implantation, your defibrillator will be checked every three months to ensure it is functioning properly and is effectively treating your condition. Your defibrillator will need to be replaced every five to eight years. […] Left Atrial Appendage Closure […] For AFib patients who cannot tolerate blood thinners on a long-term basis, a minimally invasive left atrial appendage (LAA) closure electrophysiology procedure may be performed to close the left atrial appendage (a small sac in the upper left chamber of the heart where blood can pool and form clots). This electrophysiology procedure has been shown to reduce the risk of stroke. […] Types of LAA closure procedures offered:
- #57 Arrhythmia Treatment | Kansas City Heart Rhythm Institutehttps://kcheartrhythm.com/treatments/electrophysiology-treatment.dot
LARIAT â A catheter-based electrophysiology procedure using a device that looks like a lasso to close off the left atrial appendage from outside the heart. […] WATCHMAN⢠â A catheter-based electrophysiology procedure performed through a small incision in the leg. A cap like device is deployed from inside the heart to seal the pouch. […] AtriClip â Using minimally invasive surgical approach, a clip is placed on the outside of the LAA to permanently prevent blood from entering. […] Procedure time: 1-3 hours […] Hospital stay: Will usually require an overnight stay for monitoring […] This is service is offered at Overland Park Regional Medical Center and Research Medical Center. Learn more about LAA Closure […] Catheter Ablation […] Catheter ablation is a painless, minimally invasive, low-risk electrophysiology procedure used to either treat or cure various rhythm disorders such as:
- #58 Heart Arrhythmia Types and Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/heart-care/arrhythmia
Treatment for AFib may include: Antiarrhythmic medications suppress abnormal heart rhythm. Anticoagulation medications reduce the risk of blood clots. Many patients with AFib have an increased risk of stroke and other problems requiring blood-thinning medications. […] Radiofrequency (RF) ablation for atrial fibrillation uses a catheter that emits heat energy, guided into the heart to cauterize the abnormal electrical circuit. The procedure is performed in conjunction with an electrophysiology study. […] In AV node ablation and pacemaker insertion, the AV node is cauterized, disconnecting the electrical connections between the hearts top and lower chambers. A heart pacemaker is implanted to set the heart rate of the bottom chambers to correct the heart arrhythmia. […] Left atrial appendage closure is the removal of the left atrial appendage from the left atrium with the goal of reducing the risk of stroke, while potentially eliminating the need for anticoagulation (blood thinning) medication.
- #59https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/be-still-my-heart-the-latest-in-arrhythmia-treatment
Blood-thinning (anti-coagulant) medication is often used to prevent or treat the blood clots that might form as a result of arrhythmia. […] In electrical cardioversion, you are temporarily put to sleep, and low-energy electrical shocks are given to your heart to trigger a normal rhythm. […] Cardioversion by medicine is usually done in a hospital, but it also can be done at home or in your doctor’s office. […] Implants can be used to treat arrhythmia. […] The WATCHMAN is an implant placed in the heart’s left atrial appendage (LAA). The device, no larger than a quarter, permanently closes off the small pouch, and thereby reduces the risk of stroke. […] These treatment advances include: […] With this procedure, a thin, flexible tube (catheter) is inserted into an artery in the groin. It is then gently guided through the artery to the heart, where the physician carefully destroys malfunctioning heart tissue using radiofrequency, laser energy, or cryotherapy (freezing) to scar the problematic areas.
- #60 Atrial fibrillation | Heart and Stroke Foundationhttps://www.heartandstroke.ca/heart-disease/conditions/atrial-fibrillation
Your treatment will be based on your risks, medical profile, needs, preferences and how much symptoms are interfering with your quality of life. […] There are two general treatment strategies rate control and rhythm control. Your doctor will determine which strategy is best for you based on your symptoms and other factors. […] Almost every patient with atrial fibrillation will be prescribed a medication to slow their heart rate. For some people, this type of medication is enough to control their symptoms. […] This is an attempt to prevent an irregular heartbeat by restoring and maintaining a normal, regular heartbeat. The first step is medication to prevent the Afib from occurring. Some patients may also require electrical cardioversion. This is a controlled electric shock to the heart to restore a normal rhythm. On rare occasions medications and electrical cardioversion do not work. You may be referred to a specialist and considered for an electrophysiology study and catheter ablation to stop the Afib from recurring.
- #61 Atrial fibrillationhttps://www.nhs.uk/conditions/atrial-fibrillation/
If you have been diagnosed with atrial fibrillation, you will have regular check-ups to make sure your symptoms are under control. […] You may be given medicine to: control the rate and rhythm of your heart, such as beta blockers […] lower the risk of blood clots or stroke (anticoagulants). […] Other possible treatments for atrial fibrillation include: surgery to burn or freeze a section of the heart (ablation) […] using electricity to reset your heart rhythm (electrical cardioversion) […] having a pacemaker or implantable cardioverter defibrillator (ICD) fitted. […] Sometimes atrial fibrillation can be caused by another health condition or medicine. In these cases, treating the condition or stopping the medicine can improve the symptoms. […] There is currently no cure for atrial fibrillation, but treatment should help manage the symptoms and lower the risk of complications like blood clots, stroke and heart failure.
- #62 Atrial Fibrillation (AFib) Treatment Optionshttps://www.webmd.com/heart-disease/atrial-fibrillation/atrial-fibrillation-treatment
AFib causes your heart to beat abnormally, which is a type of arrhythmia, but there are treatments that can help. […] You have treatment options if your symptoms become too severe. […] Treatment for AFib, such as medications, nonsurgical procedures, and surgery, can slow your heartbeat and bring it back into a normal rhythm. AFib treatments can also prevent clots and help keep your heart healthy. […] These can prevent clots and strokes, slow your heart rate, and control your heart rhythm. […] The most common way to treat atrial fibrillation is with drugs that control your heartbeat. These slow your rapid heart rate, helping your heart pump better. […] Antiarrhythmic drugs. These medications slow your heart’s electrical signals to bring your heartbeat into what’s called a normal sinus rhythm.
- #63 Atrial Fibrillation (AFib) Treatment Optionshttps://www.webmd.com/heart-disease/atrial-fibrillation/atrial-fibrillation-treatment
If meds for atrial fibrillation don’t work for you or cause too many side effects, there are surgical and nonsurgical options for treating it. […] During this procedure, you’ll get a mild electric shock to your heart to „reset” your heart back to a more normal rhythm. […] Atrial fibrillation ablation. It works by disrupting irregular electrical pathways in your heart. […] This is a small device that monitors your heartbeat and sends out a signal to stimulate your heart if it’s beating too slowly. […] For some people, ablation restores a normal heart rhythm better than medications. […] If your AFib is a result of problems such as high blood pressure, cholesterol, or an overactive thyroid, you’ll need to treat the root cause. […] Right now, there’s no cure for it. But certain treatments can make symptoms go away for a long time for some people.
- #64 Common Medications for Managing Atrial Fibrillation – AFib Institutehttps://afibinstitute.com.au/common-medications-for-managing-atrial-fibrillation/
Atrial Fibrillation is a life-long condition with no âquick fixes.â Managing and treating your AFib will be an ongoing partnership between you and your medical team, including your GP and cardiologist. […] Working out the right treatment for your Atrial Fibrillation can be a gradual process as there is no âone size fits allâ solution. Your management plan will involve some âtrial and errorâ while you and your doctors find a treatment that works best for you. […] Your treatment plan or strategy may change over time. A medication strategy that once worked well for you may become less effective over time which may prompt your doctor to change your strategy. Some people may experience side effects from certain medications and need to change course. Some medication options may simply be ineffective for your Atrial Fibrillation.
- #65 Arrhythmia – Wikipediahttps://en.wikipedia.org/wiki/Arrhythmia
Arrhythmias are often categorized into four groups: extra beats, supraventricular tachycardias, ventricular arrhythmias and bradyarrhythmias. […] Many arrhythmias can be effectively treated. Treatments may include medications, medical procedures such as inserting a pacemaker, and surgery. […] Medications for a fast heart rate may include beta blockers, or antiarrhythmic agents such as procainamide, which attempt to restore a normal heart rhythm. […] Pacemakers are often used for slow heart rates. […] Those with an irregular heartbeat are often treated with blood thinners to reduce the risk of complications. […] Those who have severe symptoms from an arrhythmia or are medically unstable may receive urgent treatment with a controlled electric shock in the form of cardioversion or defibrillation.
- #66 Cardiac arrhythmias Guide: Causes, Symptoms and Treatment Optionshttps://www.drugs.com/health-guide/cardiac-arrhythmias.html
A-V block – First-degree A-V block typically does not require any treatment. People with second-degree A-V block may be monitored with frequent EKGs, especially if they do not have any symptoms and have a heart rate that is adequate for their daily activities. Some patients with second-degree heart block may require permanent pacemakers. Third-degree A-V block is almost always treated with a permanent pacemaker. […] VT – Non-sustained VT may not need to be treated if there is no structural damage to the heart. Sustained VT always needs treatment, either with intravenous medication or emergency electrical shock (defibrillation), which can restore the heart’s normal rhythm. […] Ventricular fibrillation – This is treated with defibrillation, giving the heart a measured electrical shock to restore normal rhythm. The electrical shock can be delivered on the skin over the heart in an emergency situation. People who have survived ventricular fibrillation and those at high risk are potential candidates for an automatic implantable cardioverter defibrillator. The device is similar to a pacemaker, with wires attached to the heart that connect an energy source placed under the skin. The procedure is done in the operating room.
- #67 Arrhythmia Treatment | Specialized Care for Irregular Heartbeat & Cardiac Rhythms near Cleveland, OH | University Hospitalshttps://www.uhhospitals.org/services/heart-and-vascular-services/conditions-and-treatments/abnormal-heart-rhythm
Our heart specialists are directly involved with developing more advanced catheter ablation therapies, a procedure that guides a wire to the heart and uses heat or cold energy to destroy abnormal heart tissue that may be causing irregular heartbeats. […] Current electrophysiology clinical trials involve innovative treatments for patients with abnormal heart rhythm and heart failure. […] The center offers clinical screening, genetic testing and treatment for inherited arrhythmia syndromes such as: Long QT syndrome (LQTS): Causing fast chaotic heartbeats, this congenital heart rhythm issue is treatable with the proper diagnosis.
- #68 Heart Arrhythmia Types and Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/heart-care/arrhythmia
Treatment options for bradycardia and heart block may include: Heart pacemaker surgery. Bradycardia and heart block arrhythmias are typically treated with implantation of a device called a pacemaker. This is often performed as outpatient surgery with patients discharged the same day of surgery or the following day. Scripps cardiac surgeons work with the newest pacemaker technologies, including devices that do not require lead wires.
- #69 Cardiac arrhythmias Guide: Causes, Symptoms and Treatment Optionshttps://www.drugs.com/health-guide/cardiac-arrhythmias.html
A-V block – First-degree A-V block typically does not require any treatment. People with second-degree A-V block may be monitored with frequent EKGs, especially if they do not have any symptoms and have a heart rate that is adequate for their daily activities. Some patients with second-degree heart block may require permanent pacemakers. Third-degree A-V block is almost always treated with a permanent pacemaker. […] VT – Non-sustained VT may not need to be treated if there is no structural damage to the heart. Sustained VT always needs treatment, either with intravenous medication or emergency electrical shock (defibrillation), which can restore the heart’s normal rhythm. […] Ventricular fibrillation – This is treated with defibrillation, giving the heart a measured electrical shock to restore normal rhythm. The electrical shock can be delivered on the skin over the heart in an emergency situation. People who have survived ventricular fibrillation and those at high risk are potential candidates for an automatic implantable cardioverter defibrillator. The device is similar to a pacemaker, with wires attached to the heart that connect an energy source placed under the skin. The procedure is done in the operating room.
- #70 Care and Treatment Options for Arrhythmias | American Geriatrics Society | HealthInAging.orghttps://www.healthinaging.org/a-z-topic/arrhythmias/care-treatment
Treatment may be needed if the slow heart rate is causing symptoms, such as fainting spells, dizziness, or shortness of breath. […] If the problem continues, a cardiologist might implant an internal electronic pacemaker that sends electrical signals to the heart, to keep it beating at a faster rate. […] Treatment can include: Medications, Lifestyle changes, including exercise, losing weight, and quitting smoking, Special devices to prevent ventricular arrhythmias. […] Sometimes arrhythmias cannot be managed with medications or lifestyle changes alone. A number of procedures are performed by cardiologists to treat arrhythmias that might be concerning and do not respond to medications or when the patient is very sick. […] This procedure involves a cardiologist inserting a catheter into a blood vessel in the thigh, groin, neck, or elbow, and uses X-rays to guide the catheter through the blood vessel and up into the heart.
- #71 Heart Arrhythmia Treatment, St. James – Mayo Clinic Health Systemhttps://www.mayoclinichealthsystem.org/locations/st-james/services-and-treatments/cardiology/diseases/arrhythmia
Treatment for heart arrhythmias also may involve use of an implantable device. […] A pacemaker is an implantable device that controls abnormal heart rhythms. A small device is placed under the skin near the collarbone in a minor surgical procedure. An insulated wire extends from the device to the heart, where it’s permanently anchored. […] If a pacemaker detects a heart rate that’s abnormal, it emits electrical impulses that stimulate your heart to beat at a normal rate. […] An implantable cardioverter-defibrillator is a battery-powered unit that’s implanted under the skin near the collarbone â similar to a pacemaker. One or more electrode-tipped wires from the implantable cardioverter-defibrillator run through veins to the heart. The implantable cardioverter-defibrillator continuously monitors your heart rhythm. […] If it detects an abnormal heart rhythm, it sends out low- or high-energy shocks to reset the heart to a normal rhythm. An implantable cardioverter-defibrillator doesn’t prevent an abnormal heart rhythm from occurring, but it treats it if it occurs.
- #72 Heart arrhythmia – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/diagnosis-treatment/drc-20350674
Pacemaker. If slow heartbeats don’t have a cause that can be fixed, a pacemaker may be needed. […] Implantable cardioverter-defibrillator (ICD). This device is placed under the skin near the collarbone. […] Maze procedure. In the maze procedure, a surgeon makes tiny cuts in the upper half of the heart to create a pattern of scar tissue. […] Coronary bypass graft surgery. If you have severe coronary artery disease with an irregular heartbeat, you may need this type of heart surgery. […] After treatment for irregular heartbeats, it’s important to get regular health checkups. Take your medicines as directed. Tell your healthcare team if your symptoms get worse.
- #73 Prevention and Treatment of Arrhythmia | American Heart Associationhttps://www.heart.org/en/health-topics/arrhythmia/prevention–treatment-of-arrhythmia
Most abnormal heart rhythms, or arrhythmias, are considered harmless and are left untreated. […] If your arrhythmia is abnormal and clinically significant, a treatment plan will be developed. […] Treatment goals include preventing blood clots from forming to reduce stroke risk, controlling your heart rate within a relatively normal range, restoring a normal heart rhythm if possible, treating heart disease/condition that may be causing arrhythmia, and reducing other risk factors for heart disease and stroke. […] If youâre being treated for arrhythmia and use any of these substances, be sure to discuss this with your health care professional. […] Work with your health care team and follow their instructions to control other risk factors. […] The best thing you can do is to follow your treatment plan and take things one day at a time.
- #74 Arrhythmia | Irregular Heartbeat | MedlinePlushttps://medlineplus.gov/arrhythmia.html
Getting treatment and following a heart-healthy lifestyle can help control arrhythmias. It may also help prevent heart damage that can trigger some heart arrhythmias. […] Treatment may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery. Your provider may also recommend avoiding activities that may trigger your arrhythmia. […] The goal of treatment is to restore a normal heart rhythm. If not treated, arrhythmias can damage your heart, brain, and other organs and could be life-threatening. […] To help prevent an arrhythmia, your provider may suggest that you make heart-healthy lifestyle changes and treat health conditions that may cause arrhythmias.
- #75https://www.gleneagles.com.sg/tests-treatments/irregular-heart-rhythm-treatment
If your arrhythmia is serious, you may need a permanent cardiac pacemaker. […] If your arrhythmia is serious, you may need an implantable cardioverter defibrillator (ICD). […] Surgical ablation, also known as a maze procedure, is a major surgery done under general anaesthesia. […] The goal of irregular heart rhythm treatment is to: […] Your doctor may advise irregular heart rhythm treatment if your: […] Studies indicate that catheter ablation for atrial fibrillation successfully improves the condition at a rate of 95 – 98%, even after medication is stopped. […] Clinical studies have also demonstrated that catheter ablation: […] Depending on the treatment, side effects of arrhythmia treatment can include: […] After your treatment, your irregular heart rhythm may recur especially if you: […] If your atrial fibrillation does come back, you may be able to control it with medication now. […] Treat your heart arrhythmias holistically with expert help from our specialists.
- #76 Overview of Cardiac Arrhythmias and Treatment Strategieshttps://pmc.ncbi.nlm.nih.gov/articles/PMC10301085/
Catheter ablation of atrial fibrillation is a widely used therapeutic modality in symptomatic patients with irrepressible or persistent atrial fibrillation that are refractory or intolerant to antiarrhythmic drugs. […] Potent, non-pharmacologic protective interventions for lethal ischemia-reperfusion-injury-mediated arrhythmias have emerged in experimental and clinical studies. […] The identification of risk factors responsible for the pathogenesis of cardiac arrhythmias needs to be addressed.
- #77 New wave of arrhythmia treatmentshttps://medicineiowa.org/spring-2024/new-wave-arrhythmia-treatments
Like the full array of new advances, leadless pacemakers are revolutionary for their ability to offer patients solutions that didn’t exist before, and additional developments are imminent. […] The Farapulse pulsed field ablation (PFA) system received FDA approval in January 2024. UI Health Care cardiac electrophysiologists are the first in Iowa to begin using the system. […] The Farapulse system uses electrical signals that isolate and ablate specific heart cells in a precise pattern, resulting in a quicker and safer procedure.
- #78 Cardiac Arrhythmia (Irregular Heartbeat) | Mass General Brighamhttps://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/cardiac-arrhythmia
The multidisciplinary specialists at Mass General Brigham Heart are known worldwide for their expertise in the diagnosis and treatment of irregular heart rhythms. […] Treatment for arrhythmias can be very technically complex and sophisticated, so patients benefit from the expertise and experience that Mass General Brigham can offer. […] Our specialists are experienced in treating heart rhythm conditions, including all types of bradycardia and tachycardia. […] Once a diagnosis is made, we offer the most advanced treatments and procedures to help manage arrhythmias. Heart arrhythmia treatments can vary significantly between patients and conditions. While most cases may include some lifestyle recommendations, such as healthy exercise and diet, medication and surgery are common treatments. In some cases of cardiac arrhythmia, treatment may not be required to manage symptoms, but in more extreme cases, arrhythmias can lead to life-threatening risks if left untreated.
- #79 Arrhythmia Causes, Symptoms, and Treatmentshttps://www.upmc.com/services/heart-vascular/conditions/arrhythmia
Heart arrhythmia treatments at UPMC include medication, cardioversion, minimally invasive ablation therapy, and surgery. […] At UPMC, the goals of arrhythmia treatment are to: Control heart rate. Minimize stroke risk. Restore normal heart rhythm. […] If you do require treatment, your doctor may prescribe heart arrhythmia medications to control your irregular heartbeat. […] Medications can be used to control your heart rhythm and prevent blood clots that can lead to a stroke. […] Nonsurgical procedures to treat arrhythmia include cardioversion, which uses special paddles or patches attached to your chest to deliver a shock that can restore your normal heart rhythm. […] Minimally invasive procedures to treat arrhythmia include catheter ablation, where a special catheter is threaded through your blood vessels to your heart, using heat or cold to create a small scar to block the electrical pathway that is causing your heart to beat abnormally.
- #80 Heart arrhythmias | healthdirecthttps://www.healthdirect.gov.au/heart-arrhythmias
If your heart is beating in an unusual way and you are concerned, go immediately to your nearest emergency department or call triple zero (000) and ask for an ambulance. […] Treatment can include medicines, catheter ablation, electrical cardioversion and implantable devices. […] Treatment for heart arrhythmia depends on the type of arrhythmia, how it is affecting your health and your medical history. Treatment may include: […] medicines to slow down your heart rate (e.g. beta-blockers), normalise your heart rhythm or blood thinning medicines, if you are at risk of having a stroke […] electrical cardioversion an electric shock to your chest under general anaesthesia to correct your heart’s rhythm […] catheter ablation a procedure where your doctor targets the area in your heart causing the abnormal heart rhythm
- #81 Heart arrhythmias | healthdirecthttps://www.healthdirect.gov.au/heart-arrhythmias
implantable devices pacemaker or implantable cardiac defibrillators (ICD). […] Your treatment may aim to re-establish a normal heart rhythm or minimise the risk of complications, depending on your situation. Your doctor will also consider treatment of any medical conditions that are contributing to your heart arrhythmia. […] Some heart arrhythmias are harmless and do not need to be treated.
- #82 Living With Arrhythmia Treatment | Abbott Newsroomhttps://www.abbott.com/corpnewsroom/healthy-heart/living-with-arrhythmia-treatment.html
If medicine and ablation are not options or are not effective to control arrhythmia, some people require a pacemaker to reduce their symptoms. […] The main goal of any arrhythmia treatment is to restore quality of life. […] Through today’s technology, patients have options to address the symptoms of arrhythmia.
- #83 Understanding Arrhythmia: Causes, Symptoms, and Treatment Optionshttps://www.webmd.com/heart-disease/atrial-fibrillation/heart-disease-abnormal-heart-rhythm
Doctors mainly use ICDs to treat ventricular tachycardia and ventricular fibrillation, two life-threatening heart rhythms. […] Think of this procedure as rewiring to fix an electrical problem in your heart. […] Your doctor will insert a catheter through your leg. It delivers high-frequency electrical energy to a small area inside your heart that causes the unusual rhythm. This energy disconnects the pathway of the unusual rhythm. […] This type of catheter ablation treats arrhythmias by targeting your pulmonary veins, which bring oxygen-rich blood to your heart. […] There are a few surgical treatment options: Coronary bypass surgery, Mitral valve repair or replacement, The maze procedure. […] Alongside different medical treatments, your doctor may also suggest lifestyle changes and techniques to keep your heart healthy and help you manage arrhythmias.