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if your pulse is irregular it will be seen on ecg and the cause and treatment can be decided after seeing ecg. please post it for review

Hi, Low heart rate may be due to strenuous regular exercise. It is common in athletes. Not a concern.

Multiple cardiac arrests be the reason behind the sudden demise of former CM of Delhi Mrs. Sheila Dikshit at the age of 81. Her last breath on 20th July at 3:55 pm was at Fortis Escorts Heart Institute, in Delhi.

Certain cardiac arrests followed her way since a year or two now. Being well a day before and waking up with breathlessness was the initial symptom noticed by Sheila Dikshit on Saturday morning, after which she was admitted to Fortis. She was in critical condition with Cardiac Arrhythmia, said the doctor.

The unfortunate demise of Mrs. Sheila Dikshit has shaken the roots of Delhi. Many renowned politicians offered condolences on her demise. Current CM Mr. Arvind Kejriwal said Dikshit's death is a huge loss for Delhi and her contribution will always be remembered.

Let's know more about Sudden Cardiac Arrest!

Blocked arteries stop oxygen-rich blood from reaching the heart chamber and cause a heart attack. In case the blockage is not removed, it can kill the artery taking blood to the heart, which can stop the nourishment of the heart chamber.

A heart attack may have immediate and intense symptoms, which initiate slowly and can last for hours to days in some situations. But in case of Sudden Cardiac Arrest, the heart stops beating at once.

What is Sudden Cardiac Arrest (Arrhythmia)?

A sudden arrhythmia (irregular heartbeat) complications faced by heart causing breathlessness due to an electrical malfunction of the heart is a reason behind Sudden Cardiac Arrest. The interrupted blood flow to the brain, lungs and other organs makes a person unconscious and lose pulse.

Causes of Cardiac Arrest -

Ventricular Fibrillation - On inefficient pumping of blood by lower chambers of the heart called ventricles, leads to abnormal blood flow and finally no blood flow in the body causing a sudden heart attack.

Atrial Fibrillation - The upper two chambers of the heart called atria stops beating after an arrhythmia. The SA node (sinoatrial) located on the right atrium doesn't send proper electrical impulses, which regulates the flow of blood in the body. During atrial fibrillation, ventricles don't pump blood leading to sudden cardiac arrest.

Symptoms of Sudden Cardiac Arrest -

Dizziness

Shortness of breath

Fatigue

Nausea

Palpitation

Chest Pain

Pulse loss

Sudden Collapse

Risks of Sudden Cardiac Arrest -

Coronary Heart Disease

Irregular Heart Valves

Congenital Heart Disease

Smoking

Obesity

High blood pressure

Family history of heart disease

Substance abuse

Emergency treatment -

CPR in case of sudden cardiac arrest can be helpful as it aims at delivering oxygen-rich blood to all vital organs of the body before any other treatment can be initiated.

Are you experiencing irregular and fluctuating heartbeats? Is your heartbeat too fast or too slow? If yes, then it signifies that you are suffering from arrhythmias or abnormal heart rhythms. This is a disorder which affects the heart rate or heart rhythm and the heartbeat becomes irregular.

Causes of abnormal heart rhythms
Arrhythmias occurs due to problems with the electrical conduction system of the heart. In this case, abnormal signals might occur; the electrical signals might get blocked or slowed down, or the electric signals may travel in different paths throughout the heart. Abnormal heartbeats are commonly caused by the following:

Abnormal potassium levels in the body
Heart attacks or due to a damaged heart muscle, owing to a previous heart attack
Inborn heart diseases
Cases of an enlarged heart and heart failure
Overreaction of the thyroid gland
Several other substances or medicines may lead to arrhythmias, such as alcohol, stimulant drugs, caffeine, nicotine, and antidepressant medicines or blood pressure medicines.
Common symptoms of this condition apart from irregular heartbeat patterns include chest pain, fainting, dizziness and light-headedness, trouble in breathing and paleness.

Diagnosis of abnormal heart rhythms
For the diagnosis of arrhythmias, your doctor will use a stethoscope to listen to your heartbeat. Several health monitoring devices are used to detect abnormal heart rhythms. These include the Holter monitor and the event monitor, or a loop recorder.

Other diagnosis tests which are required to be carried out include coronary angiography, ECG or electrocardiogram, and an echocardiogram. A test known as an electrophysiology can be undertaken for getting a closer look at the electrical system of the heart.

Treatment for abnormal heart rhythms
When a case of arrhythmias is severe, urgent treatment is required for restoring the heart s rhythm to normal. The different forms of treatment are as follows:

Electrical shock therapy such as defibrillation or cardioversion
Implanting of a heart pacemaker for a short term
Certain medications which are given through the veins or orally
A group of medicines known as anti-arrhythmic drugs is used for the prevention of recurrence of the condition and to keep the heart rate from fluctuating continually.
Cardiac ablation may be carried out for destroying some areas in the heart from where the rhythm problems are caused.
An implantable cardiac defibrillator is used in people who are at a risk of facing cardiac death.
In case you experience abnormal heart rhythm, you must consult a doctor immediately. You should only start taking medicines and follow a treatment after it has been recommended by a doctor.

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A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia.

When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.



If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

What is Heart Arrhythmias?

An arrhythmia is a problem with the rate or rhythm of the heartbeat. Heart arrhythmias are often harmless. Most people have occasional, irregular heartbeats that may feel like a fluttering or racing heart.

Symptoms of Heart Arrhythmias-

A fluttering in your chest
A racing heartbeat
A slow heartbeat
Irregular pulse
Fatigue
Chest pain
Shortness of breath
Lightheadedness
Dizziness
Fainting
Causes of Heart Arrhythmias-

Scarring of heart tissue
Changes to your heart s structure, such as from cardiomyopathy
Blocked arteries in your heart
High blood pressure
Diabetes
Hyperthyroidism
Smoking
Drinking too much alcohol or caffeine
Drug abuse
Mental Stress
Medications

Risk factors of Heart Arrhythmias-

Coronary artery disease
Previous heart surgery
High blood pressure
Thyroid problems
Congenital heart disease
Obstructive sleep apnea
Drinking too much alcohol
Diabetes
Obesity
Caffeine or nicotine use
Complications of Heart Arrhythmias-

Stroke
Heart failure
Diagnosis of Heart Arrhythmias-

Diagnosis of Heart Arrhythmias involves the following tests:

Electrocardiogram
Holter monitor
Event monitor
Stress test
Echocardiogram
Cardiac catheterization
Electrophysiology study (EPS)
Head-up tilt table test
Precautions & Prevention of Heart Arrhythmias-

Eat vegetables and fruits, fish, and plant sources for protein
Avoid saturated and trans fats
Control your cholesterol and high blood pressure
Quit smoking
Maintain your weight
Get regular exercise
Treatment of Heart Arrhythmias-

Homeopathic Treatment of Heart Arrhythmias
Acupuncture & Acupressure Treatment of Heart Arrhythmias
Psychotherapy Treatment of Heart Arrhythmias
Conventional / Allopathic Treatment of Heart Arrhythmias
Surgical Treatment of Heart Arrhythmias
Dietary & Herbal Treatment of Heart Arrhythmias
Other Treatment of Heart Arrhythmias
Homeopathic Treatment of Heart Arrhythmias-

Homeopathy is very effective and safe option of treating heart arrhythmia. Homeopathy has role in prevention of heart disease and in the management of patients after heart attack. Homeopathic medicines can control and prevent various causes of heart arrhythmia. Some of the homeopathic medicines for treatment of heart arrhythmia are:

Ars alb
Nat M
Crataeg
Digitalis
Ox ac
Acupuncture & Acupressure Treatment of Heart Arrhythmias-

Heart arrhythmias are either due to not enough Qi (energy) or too much Qi causing the heart to beat irregularly. There are many acupuncture points which can help either supplement the heart s Qi or help reduce it to help balance your condition.

Conventional / Allopathic Treatment of Heart Arrhythmias-

Many types of tachycardias respond well to anti-arrhythmic medications. Some medications can slow down your heart so much that you may need a pacemaker. It s very important to take any anti-arrhythmic medication exactly as directed by your doctor, in order to avoid complications.

Surgical Treatment of Heart Arrhythmias-

Surgical Treatment of Heart Arrhythmias involves the following procedures:

Maze procedure
Ventricular aneurysm surgery
Coronary bypass surgery
Dietary & Herbal Treatment of Heart Arrhythmias

Eat small, frequent meals
Limit cholesterol in diet
Avoid fad diets
Reduce salt in your diet
Eat enough dietary fiber
Eat plenty of fresh fruit and vegetables

You have ectopic heart beats and need detailed cardiology checkup. You may need holter test as decided by cardiologist.

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.