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In most cases there is an
extra electrical circuit in the
heart.
This allows the hearts electrical
impulse to go from the top to the
bottom of the heart and then turn
around and go back from the bottom to
the top of the heart. Normally the
impulse can only go from the top to
the bottom of the heart.
Following this a new heartbeat starts
at the top of the heart (from the hearts
own pacemaker or sinus node) and
travel through a junction in the middle
of the heart (AV node) and continue to
the hearts two lower chambers.
Following an electrical impulse which
takes milliseconds, the heart muscle
responds and pumps blood (a
heartbeat).
Sometimes there is an extra
electrical circuit in the
middle of the heart (AV node)
This allows an impulse to spread from
the middle of the heart to the upper
and lower chambers simultaneously.
This is the most common type of
regular rapid heart rate that we see.
On the other hand, some arrhythmias
are common, so-called benign
arrhythmias, and aren't associated with
health problems. These often require
investigation with an ultrasound of the
heart (echocardiogram) to make sure
that the heart muscle and valves are
working normally.
In the past, the only
treatments for abnormally
fast heart rhythms, known as
tachycardias, was
medication or, in extreme
cases, open heart surgery.
Today, radiofrequency catheter
ablation is widely used to cauterise the
abnormal electrical pathway that
causes the condition. The procedure
delivers a pinpoint of heat inside the
heart. Another procedure, called
cryoablation, destroys the abnormal
cells or electrical pathway by freezing.
Arrhythmias
An arrhythmia is an abnormal heart rhythm created by a disturbance in the heart's electrical system. During an arrhythmia, the heart
may beat too fast, too slow or in an irregular pattern. In most arrhythmias the heart beats rapidly for seconds, minutes or rarely hours
at a time
Normal Heart beat (50 - 100)
Bradycardia (<60 beats per min)
Tachycardia (>100 beats per min)
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Tel: +353 (0) 91720170 brendan.ocochlain@galwayclinic.com