Heart Rhythm Disorders

A heart rhythm, also known as an arrhythmia, is when the heart beats abnormally. This can be too quickly, too slowly, or irregularly. This can lead to symptoms like dizziness, fatigue, chest pain, palpitations, or fainting. Certain arrhythmias can be serious and increase chances of heart complications. 

If you think or know you have an arrhythmia, our expert team at Coastal Cardiovascular is here to help! We offer advanced, personalized care and state-of-the-art technology to diagnose, manage, and treat heart rhythm disorders.

What are Arrhythmias?

Arrhythmias occur when the electric signals that regulate your heartbeat get disrupted, altering the speed/frequency of your heart beat. 

Common arrhythmias include:

  • Atrial Fibrillation (AFib). This is the most common arrhythmia. Upper chambers of your heart beat irregularly. This can increase your risk of a stroke. 
  • Ventricle Tachycardia. This is a faster than normal heartbeat that begins in the lower chambers of your heart. It can be life-threatening without proper care. 
  • Bardycardia. This is a slower than normal heartbeat that can cause dizziness or fainting.
  • Premature beats. This is early heartbeats that alter the normal rhythm of your heart. Often, this is felt as skipped heartbeats.

Diagnosis

Early, expert diagnosis of heart rhythm disorders is imperative to reduce risk and create a strong treatment plan. At Coastal Cardiovascular in Wilmington, NC, we can catch and monitor arrhythmias using the following:

  • Holter monitors
  • Event Monitors
  • Implantable Loop recorders

Holter Monitors

A holter monitor is a portable device that continuously records your heart’s electrical activity for 1-2 days. This non-invasive monitoring allows us to listen and detect arrhythmias that may occur as you go about your day. This data is very valuable to identifying heart rhythms, frequency, and any potential triggers.

Holter monitors are a great test for patients that experience occasional symptoms that may not occur while you’re actually in the office.

Event Monitors

Event monitors are similar to holter monitors but they’re worn for a longer period of time, up to 1 month. Event monitors record your heart’s electrical activity when triggered by symptoms. This is especially useful for patients whose arrhythmias are less frequent and difficult to capture within 24-48 hours. 

Event monitors are a great test for patients that experience sporadic, often infrequent symptoms like fainting.

Implantable Loop Recorders

Implantable loop recorders are small devices that get surgically placed in your chest. They continuously monitor your heart’s rhythm for up to 3 years. Implantable loop recorders are ideal for whose arrhythmias may be harder to diagnose externally and within 1 month. 

Implantable loop recorders are a great test for patients with unexplained symptoms that occur very infrequently and require long-term monitoring to capture valuable data.

Treatment

Once we use the above tools to identify and properly diagnose your arrhythmias, we’ll craft a tailored treatment plan. Your plan will depend on the arrhythmia type, severity, triggers, and symptoms.

Your treatment plan may include:

  • Medication. Anti-arrhythmic medicines can help restore a normal heart rhythm. Blood thinners may also be prescribed depending on your conditions. 
  • Cardioversion. This is a procedure that utilizes electrical shocks or medication to help restore a normal rhythm. 
  • Catheter Ablation. This is a minimally invasive procedure that destroys small areas of tissue in your heart that are responsible for your irregular heart beat. For some arrhythmias, this is a long-term solution. 
  • Pacemakers or Implantable Carioverter Defibrillators (ICDs). These are devices that help regulate your heartbeat by delivering electrical impulses. If you have a slow heartbeat, a pacemaker might be right for you. If you have an irregular, life-threatening arrhythmia, an ICD may be advised.
  • Lifestyle Modifications. Other risk factors like high blood pressure, obesity, alcohol, and stress may contribute to your arrhythmia. Our comprehensive treatment plan will assess these factors. We may recommend sustainable lifestyle changes for continuous improvement of your heart rhythm disorder.

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Diagnose and Treat Your Arrhythmia with Coastal Cardiovascular

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