arrhythmology

There are a large number of different types of heart arrhythmias, which arise for different reasons and at different ages and manifest themselves in different ways, and can be treated both medically and surgically.

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Tachyarrhythmias

Supraventricular - a group of diseases that occur in the upper chambers of the heart (atria), which include such diseases as atrial fibrillation, atrial flutter, and paroxysmal tachycardia (AVVT, AVVT, including WPW). In rare cases, they pose a direct threat to life.

Symptoms: they are most often manifested by sudden attacks of palpitations, a feeling of the heart not working properly, compression in the chest, neck, with prolonged attacks, symptoms of shortness of breath, swelling of the lower extremities are added. They respond well to both medical and surgical treatment (catheter ablation).

Ventricular diseases are a group of diseases of different etiology that occur in the lower chambers of the heart (left and right ventricles). This group includes: ventricular tachycardia, fibrillation and flutter. Sometimes they occur as a complication of other diseases (ischemic heart disease, myocardial infarction, hypertrophic cardiomyopathy, etc.) and often pose a direct threat to life and health. Sometimes it will be necessary to install a cardioverter-defibrillator, catheter ablation. Idiopathic ventricular tachycardia is a group of benign ventricular rhythm disorders that occur in younger people, they are subject to both medical and surgical treatment.

Bradyarrhythmias

A group of so-called blockades (atrioventricular, sinoatrial) - heart attacks that occur more often in the elderly, or as a complication of other heart pathologies (ischemic disease, valvular pathology, myocarditis). They are often manifested by shortness of breath, sudden dizziness, loss of consciousness, and a decrease in tolerance to physical exertion.

The standard of treatment is the installation of a permanent artificial pacemaker.

What are electrophysiological research and RFA

EFD (electrophysiological study) is a test to evaluate the electrical signals of the heart. It is used to identify the exact cause and localize the place of origin of the arrhythmia.

How the test is conducted:

To perform this test, electrodes are inserted into the heart. These electrodes measure the electrical activity of the heart.

The procedure is performed in the catheterization laboratory of the hospital. The team of medical specialists includes a cardiologist, operators and nurses.

How are these procedures carried out?

Usually, after anesthesia (local anesthetic), a puncture (puncture) of veins in the groin and/or neck is performed. After that, the cardiologist will insert several venous catheters (introducers) into the groin or neck area. Next, special wires or electrodes are inserted through them into your body. The doctor uses moving X-ray images (fluoroscopy) to guide the catheter, introduce it into the heart and place the electrodes in the right places.

Electrodes record electrical signals of the heart. During the procedure, the doctor can provoke the appearance of arrhythmia to confirm or refute the diagnosis. You may also be prescribed medication for the same purpose.

What is radiofrequency catheter ablation?

Radiofrequency catheter ablation (RFA) is a surgical procedure to treat an irregular heart rhythm (arrhythmia). It has been used in the world for more than 40 years to treat cardiac arrhythmia. Depending on the type of irregular heart rhythm and the place to be treated, your cardiologist will choose the appropriate form of energy. Electrical energy is radiated at the tip of the catheter to the abnormal heart tissue, which leads to intentional minor damage in the area, within which the conductive property is lost. This is aimed at successful treatment of arrhythmia.

Why is RFA needed?

The heart rhythm is mainly controlled by the conduction system of the heart. Any deviation in the conduction system can lead to an irregular heart rhythm (arrhythmia). Based on the results of EPS, which is a procedure to identify the underlying cause and mechanism of the irregular heart rhythm, catheter ablation is aimed at treating the arrhythmia that causes symptoms of pulsation, dizziness, or chest discomfort, and you may avoid taking long-term antiarrhythmic drugs if catheter ablation successfully treats the arrhythmia.

Recovery after intervention is fast. Strict bed rest is mandatory on the day of the intervention. Usually the next day the patient can move freely. It is recommended to limit moderate loads for 1-2 weeks to heal the spots. In the future, there are no restrictions.

What is a cardiac pacemaker (PIC)

These are usually devices for the treatment of bradyarrhythmias (so-called blockades, slow heart contractions), sometimes such devices are recommended for patients with heart failure.

They consist of electrodes that are fixed in the heart and a generator (the size of a matchbox) that is fixed subcutaneously in the inguinal area. The surgeon installs it in the operating room with local and sometimes general anesthesia.

What are the recommendations after this intervention?

Usually, the patient is discharged home for 1-2 days after the device is implanted. Early care is carried out up to 7-10 days. It is advisable to limit physical work to the limb on which the device is installed for 1 month. There are no further restrictions. Depending on the type and complexity of the device, the doctor will inform the patient of additional restrictions and recommendations in everyday life.

Контакти

м. Тернопіль, вул. Романа Купчинського 14 КНП «Тернопільська комунальна міська лікарня №2» Кардіологічний корпус, 2 Поверх

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