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Some people, like my patient, have dramatic and
life threatening irregularities affecting their heart beat.
Others have less obvious symptoms but nevertheless
need investigation and treatment.
There is a normal electrical cycle of the heart
that occurs with every heartbeat. An arrhythmia occurs when this
electrical cycle is disturbed. Normally, tiny electrical currents
activate the top part of the heart, (the atria), just before the bottom part
of the heart. These are the ventricles, the muscular chambers that
pump the blood to the lungs and around the body.
The most common type of abnormality is atrial
fibrillation. Here the upper chambers of the heart beat fast and
irregular. This arrhythmia gets much more common with old age,
and some 500,000 people in the UK have it. Even where atrial
fibrillation produces few symptoms, it can give rise to an increased risk of
strokes. It is the main reason why a person may find themselves on
warfarin treatment. Most other arrhythmias arising from the top of the
heart - supraventricular - are troublesome, but not life-threatening.
Some new treatments such as using a catheter to 'zap' twitchy heart tissue
now offers a virtual cure.
Many arrhythmias which arise from the bottom
chambers, (ventricles), are potentially life-threatening, they can be harder
to treat, and often require powerful drugs and implantable defibrillators.
Sometimes similar technology called 'pacemakers' are used, here a tiny
current is delivered to ensure that the heartbeat is maintained at a
regular, acceptable rate. Worrying to many people are abnormalities
that affect the young and which have been linked to sudden cardiac arrest
and death. CRY (Cardiac Risk in the Young) a charity devoted to
research and prevention of such deaths will be present at the conference
mentioned above. Families will have the opportunity to discuss worries
concerning the risks of sudden cardiac death in their young people, find our
ways in which at risk individuals can be screened and what treatments are
available.
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