1) What are the symptoms of Rhythm Disorder? How do we know that we have such a disease
?
The most common symptom of arrhythmia is palpitations. In addition, frequent symptoms include feeling of stuttering, irregular heartbeats, dizziness, blackout, faintness, feeling of tightness in the chest, pressure or pain, and loss of consciousness called syncope. When one or more of these symptoms occur, arrhythmia
should be suspected and the relevant specialist should be consulted.
2) How is heart rhythm ensured? How does this perfect order work?
The part of the heart that ensures its non-stop rhythmic beats is the energy power plant called the "sinus node", which is located in the right atrium of the heart and consists of specialized cells. This power plant is like a very long-lasting battery. It produces electrical energy. This
energy spreads to the entire heart through certain pathways, initiating and controlling first the electrical movement and then
mechanical movement. This center is the management center of the heart.
3) How is the heart rhythm disrupted? What are the causes of rhythm disorders?
Heart rhythm can be caused by either malfunctions in the management center of the heart, or interruptions in the conduction pathways
or excesses in the conduction pathways, or a community of cells in any part of the heart acting according to their own mind, not listening to the center. It deteriorates due to
.
There are many reasons for deterioration. Some diseases affecting the heart muscle, such as myocarditis and cardiomyopathy, may damage the cells in the management center, or cells damaged in another region may lose their normal functions and create irregular
rhythms. Tachycardia in hyperthyroidism and anemia, bradycardia and
blocks in hypothyroidism are common rhythm disorders. In coronary insufficiency, bradycardia and blocks due to inadequate nutrition of the rhythm
center, and uncontrolled tachycardias originating from infarct or ischemia areas in the heart muscle are among the important and common
rhythm disorders. Some defects in the conduction pathways may be congenital
. Tachycardias related to these can be treated radically with RF catheter
ablation after electrophysiological procedure. Severe bradycardia or blocks can be treated by installing a pacemaker.
4) What are the difficulties in the diagnosis of this disease? r (if any), who should
doubt themselves?
Differential diagnosis is very important because rhythm disorders are very diverse, their treatments vary widely and
some of them are life-threatening. Sometimes
patients may take medication unnecessarily for many years, and sometimes they may die because they do not receive appropriate treatment
. The arrhythmia patient should be evaluated very carefully
, the main cause of the arrhythmia, if any, should be revealed and the treatment
should be planned accordingly.
5) What is the prevalence rate/incidence of this disease? Approximately how many people have it in our society and at what ages (if there is a rate)
Rhythm disorders are common in society. It can be seen at almost any age.
6) What are the treatment methods for this disease, and what are their
effectiveness? What are the side effects?
In the treatment, first of all, if there is an underlying cause, it should be eliminated. We use some drugs called "antiarrhythmics" in the treatment. Which drug will be used on which patient
and how long the treatment will continue is a matter of expertise. Medications are generally suppression therapy; they almost never provide a cure. Side effects are generally
high, so they should be closely monitored.
7) What are electrophysiological methods in the treatment of arrhythmia, how
are they applied, what are the results, what is their effectiveness?
Electrophysiological Study and RF catheter ablation generally provides
cure and relieves the patient from chronic drug use. This treatment has no significant
side effects. The treatment is completed in the laboratory and within 1-2 hours on average.
The patient returns to his normal life the next day.
8) What are pacemakers and defibrillators (ICD) used for, how does the quality of life of patients change, what do they cause? What should they pay attention to?
Pacemakers are generally used in the treatment of bradyarrhythmias, that is, excessive
slowing of the heart rhythm or the development of heart block. If bradyarrhythmias are not due to a temporary cause, they generally do not benefit from drug treatment and a pacemaker must be inserted. Some tachyarrhythmias (such as ventricular tachycardia or ventricular fibrillation) do not respond to drug
treatment. . RF ablation also possible for some It is not. These
patients need to be fitted with a cardiac defibrillator. These devices are similar to pacemakers
, but they save lives by terminating the life-threatening rhythm and turning it back to normal
by giving shock energy.
10) What is the quality of the procedure in pacemaker, ICD and electrophysiological applications?
The quality of the procedure is determined by good equipment and an electrophysiologist who has received good training on this subject and trained in a good center
. Arrhythmia is integral to cardiology, that is, it is its most complicated subject. The arithmologist must be very patient, very careful and long-term.
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