Ecg Holter
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Arrhythmia treatment
Many arrhythmias do not require any treatment. For serious arrhythmias, treating the underlying heart disease sometimes controls the arrhythmia. In some cases, the arrhythmia itself is treated with drugs, electrical shock (cardioversion), automatic implantable defibrillators, artificial pacemakers, catheter ablation, or surgery. Supraventricular arrhythmias often can be treated with drug therapy. Ventricular arrhythmias are more complex to treat. Drug therapy can manage many arrhythmias, but finding the right drug and dose requires care and can take some time. Common drugs for suppressing arrhythmias include beta-blockers, calcium channel blockers, quinidine, digitalis preparations, and pro-cainamide. Because of their potential serious side effects, stronger, desensitizing drugs are used only to treat life-threatening arrhythmias. All of the drugs used to treat arrhythmias have possible side effects, ranging from mild complications with beta-blockers and calcium channel blockers to more serious effects of desensitizing drugs that can, paradoxically, cause arrhythmias or make them worse. Response to drugs is usually measured by ECG, Holter monitor, or electrophysiologic study. In emergency situations, cardioversion or defibrillation (the application of an electrical shock to the chest wall) is used. Cardioversion restores the heart to its normal rhythm. It is followed by drug therapy to prevent recurrence of the arrhythmia. Artificial pacemakers that send electrical signals to make the heart beat properly can be implanted under the skin during a simple operation. Leads from the pacemaker are anchored to the right side of the heart. Pacemakers are used to correct bradycardia and are sometimes used after surgical or catheter ablation. Automatic implantable defibrillators correct life-threatening ventricular arrhythmias by recognizing them and then restoring a normal heart rhythm by pacing the heart or giving it an electric shock. They are implanted within the chest wall without major surgery and store information for future evaluation by physicians. Automatic implantable defibrillators have proven to be more effective in saving lives than drugs alone. They often are used in conjunction with drug therapy. Ablation, a procedure to alter or remove the heart tissue causing the arrhythmia in order to prevent a recurrence, can be performed through a catheter or surgery. Supraventricular tachycardia can be treated successfully with ablation. Catheter ablation is performed in a catheterization laboratory with the patient under sedation. A catheter equipped with a device that maps the heart's electrical pathways is inserted into a vein and is threaded into the heart.High-frequency radio waves are then used to remove the pathway(s) causing the arrhythmia. Surgical ablation is similar in principle but it is performed in a hospital, using a cold probe instead of radio waves to destroy tissue. Ablation treatments are used when medications fail. Maze surgery treats atrial fibrillation by making multiple incisions through the atrium to allow electrical impulses to move effectively. This is often recommended for patients who have not responded to drugs or cardioversion. Since some arrhythmias can be life threatening, a conventional medical doctor should always be consulted first. Acupuncture can correct an insignificant number (1.5%) of atrial fibrillation cases. For new, minor arrhythmias, acupuncture may be effective in up to 70% of cases, but this figure may not differ much from placebo therapy. Both western and Chi-nese herbal remedies are also used in the treatment of arrhythmias. Since hawthorn (Crataegus laevigata) dilates the blood vessels and stimulates the heart muscle, it may help to stabilize arrhythmias. It is gentle and appropriate for home use, unlike foxglove (Digitalis purpurea), an herb whose action on the heart is too potent for use without supervision by a qualified practitioner. Homeopathic practitioners may prescribe remedies such as Lachesis and aconite or monkshood (Aconitum napellus) to treat mild arrhythmias.
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2 months ago an ecg showed up RBBB, just did a 24 hr holter, no RBBB now, why?
i was skipping alot of beats [every 10th beat] this went on for 8 full days, i went to emergency, they did an ecg, and the report said i have RBBB [right bundle branch block]
its now 2 months later, i wore the 24hr holter on saturday and just got my results,,, all perfect, no sign of RBBB, just skipped beats now n then
ive spent 2 months in tears cos i thought i had RBBB. but my dr said that i shouldnt worry bout that 1st ecg and that im fine!!! how did this happen???? i feel so happy xxxxxx
This happens because often RBBB depends on presence of Tachycardia(fast heart rate) or Bradycardia(slow heart rate). A bradycardia-dependent RBBB occurs only when the heart rate is slow and disappears with increased heart rate. The reverse is the case in Tachycardia-dependent RBBB.
Intermittent right bundle branch block frequently occurs when sinus cycles gradually lengthen and sinus impulses get conducted to the ventricles with right bundle branch block (RBBB) in succession. When, thereafter, sinus cycles gradually shorten, sinus impulses get conducted without RBBB.
You must have had one the two types of RBBB and it disappeared 2 month later because of change in heart rate.
http://www3.interscience.wiley.com/journal/121678981/abstract
http://www.jecgonline.com/article/S0022-0736%2803%2900081-5/abstract
New jackets for 24 hour ecg holter monitoring
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