Understanding Different Types of Heart Disease

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

Arrhythmia

Arrhythmia (also known as Cardiac Arrhythmia)

Your heart rate naturally speeds up during exercise and remains steady at rest. However, if your heartbeat suddenly becomes too fast, too slow, or skips a beat without a reasonable cause, it may be a symptom of arrhythmia. Although arrhythmia is usually not immediately life-threatening, it doubles the risk of death, triples the risk of heart failure, and increases the chance of stroke by up to five times.

Fortunately, with advances in medical technology, there are more treatment options for arrhythmia than ever before. Therefore, if you have experienced suspected symptoms of arrhythmia, such as sudden rapid or slow heartbeat, you can first learn more about the causes, symptoms, and treatment plans of arrhythmia.

What is Arrhythmia?

Arrhythmia refers to any abnormal heartbeat or heart rhythm disorder. What constitutes an abnormal heartbeat? First, at normal rest, the heart rate of a healthy adult is 60 to 100 beats per minute, maintaining a steady rhythm. Arrhythmia includes a heart rate below 60 beats per minute (bradycardia), above 100 beats per minute (tachycardia). In addition, even if the heart rate is within the normal range, an irregular, chaotic heartbeat is also classified as arrhythmia.

Types of Arrhythmia

The heart has a complex structure, and its beating sustains blood supply to the entire body. Different structural problems lead to different types of arrhythmia, which directly determine the treatment plan selected by specialists. Below is a detailed classification:

 

1. Ventricular Fibrillation (VF) (Tachycardia):

This is the most dangerous and severe type of arrhythmia, as most sudden cardiac deaths are caused by ventricular fibrillation. During an attack, the ventricular muscles contract rapidly and irregularly, causing a chaotic, quivering heartbeat. As a result, the heart cannot pump blood effectively. When blood fails to reach body organs, the brain is deprived of oxygen, leading to loss of consciousness within seconds and eventual cardiac arrest. Without prompt treatment, the patient may die within minutes.

 

The causes of this arrhythmia include myocardial ischemia, heart failure, and coronary artery disease. Among them, myocardial ischemia is the most common cause—insufficient oxygen supply to the heart muscle triggers ventricular fibrillation.

 

2. Atrial Fibrillation (AF) (Irregular Heartbeat):

Atrial fibrillation is the most common type of arrhythmia. While not as immediately fatal as ventricular fibrillation, it can lead to serious conditions such as stroke and heart failure. Some patients experience obvious symptoms like irregular, extremely rapid heartbeat, while others have no symptoms at all, increasing hidden risks.

The upper chambers of the heart are the left and right atria. The "sinoatrial node" on the wall of the right atrium acts as a natural pacemaker, regulating the heartbeat. This arrhythmia occurs when abnormal heart cells emit chaotic electrical signals, causing the atria to quiver and contract rapidly and irregularly, out of the node’s control. This impairs the heart’s pumping function; blood may pool in the atria and form clots. If a clot enters the bloodstream, it can block vessels and cause diseases such as stroke.

 

3. Ventricular Tachycardia (VT) (Tachycardia):

This arrhythmia stems from abnormalities in the ventricles. Patients experience a rapid heartbeat, sometimes exceeding 200 beats per minute. (Episodes may be brief, lasting less than 30 seconds, with no other symptoms, so it is often overlooked.)

However, the danger of this arrhythmia should not be underestimated, as ventricular tachycardia can progress to more severe, fatal arrhythmias such as ventricular fibrillation (VF). Therefore, any heart rhythm abnormality requires timely testing and treatment as needed, even without severe symptoms.

 

4. Sick Sinus Syndrome (SSS) (Bradycardia):

Also known as sinus node dysfunction, this condition arises from abnormalities in the sinoatrial node—the natural pacemaker that generates and regulates the heartbeat. During an attack, patients experience irregular heartbeat, bradycardia, or even temporary cardiac arrest.

The main cause is aging, so it is more common in elderly patients. However, certain heart diseases can also affect the node’s function, meaning young people may also develop bradycardia due to sick sinus syndrome.

 

5. Supraventricular Tachycardia (SVT) (Tachycardia):

This is a relatively low-risk type of arrhythmia. During an attack, abnormal electrical signals disrupt the atrioventricular junction, causing sudden rapid heartbeat that stops abruptly. Episodes can last from minutes to hours.

Most cases are congenital, though symptoms may not appear until adulthood. Some cases develop later in life alongside other diseases. Symptoms include shortness of breath, palpitations, chest pain, and dizziness. While low-risk, untreated SVT can rarely lead to shock or sudden death.

Symptoms and Warning Signs of Arrhythmia

Below are common symptoms of arrhythmia:

1. Tachycardia:

A resting heart rate exceeding 100 beats per minute. Patients may experience:

Shortness of breath or difficulty breathing
Palpitations
Chest pain or tightness
Dizziness
In severe cases, loss of consciousness or sudden death

Types causing tachycardia include ventricular fibrillation, atrial fibrillation, ventricular tachycardia, and supraventricular tachycardia.

 

2. Bradycardia:

A resting heart rate below 60 beats per minute. Patients typically feel:

Weakness
Persistent fatigue
Dizziness
Shortness of breath
In severe cases, confusion or sudden death

The main type causing bradycardia is sick sinus syndrome.

 

3. Irregular Heartbeat:

The heart rate is within the normal range but fluctuates erratically or skips beats. Patients may feel:

Chest tightness
Palpitations
Dizziness
In severe cases, shock or sudden death

The main type causing irregular heartbeat is atrial fibrillation.

 

Since the heart beats continuously all day, subtle symptoms are hard to detect. Some patients have no symptoms or warning signs and are only diagnosed during routine check-ups. Additionally, symptoms like shortness of breath, palpitations, or dizziness resemble those of anxiety or panic attacks, which may delay diagnosis and treatment. Therefore, anyone with suspected arrhythmia symptoms should consult a professional promptly to identify the cause and receive appropriate treatment.

What Causes Arrhythmia?

Besides congenital factors in some patients, there are many high-risk factors for arrhythmia, many closely related to other cardiovascular diseases and personal lifestyle:



  • Genetic disorders or family history


  • Coronary artery disease, other heart conditions, or previous heart surgery are high-risk factors for arrhythmia


  • High blood pressure, which overburdens the heart and disrupts rhythm


  • Thyroid disorders


  • Diabetes—poor control can lead to high blood pressure and arrhythmia


  • Electrolyte imbalance, as electrolytes in the blood regulate heart signals


  • Drug abuse—controlled or illicit drugs like cocaine severely damage the heart and may cause fatal arrhythmia


  • Smoking or excessive caffeine intake—nicotine and caffeine are stimulants that speed up the heartbeat


  • Mental tension and excessive stress


  • Aging—body degeneration increases the risk of bradycardia


  • Excessive alcohol consumption—contrary to the myth of "alcohol protecting the heart", heavy drinking causes severe arrhythmia


  • Anemia—insufficient oxygen-carrying capacity overburdens and damages the heart, triggering arrhythmia


  • Sleep apnea—temporary breathing pauses during sleep cause slow heartbeat and arrhythmia

  • BMI是身型的指標,超標就是有肥胖問題,而肥胖是其中一個重要的冠心病原因。雖然肥胖並不等於病人一定會患上冠心病,但卻會帶來莫大風險,因為肥胖長期會增加患上糖尿病、高血壓及高膽固醇的風險,因而又大幅增加患冠心病危機。所以,如果BMI偏高或超標,都應開始調節生活習慣,以減低肥胖有可能成為冠心病成因。

  • 可以,但不應太激烈。冠心病治療之中,適量而恆常的帶氧運動有助患者減低冠心病發作的次數,而且運動有助控制肥胖問題,由根源去減輕一些冠心病成因。不過,由於確診病人的心血管情況各異,病人應先咨詢醫護意見,並定立合適的運動計劃。

  • 糖尿病只是其中一種冠心病成因,病人不一定會因此患上冠心病。但是糖尿病患者患病比率較一般人高出2-3倍。而且由於糖尿病有可能破壞病人的心臟神經,令病人感覺不到心絞痛,病人亦會因此不能及時發現患病而導致延誤冠心病治療。

  • 前者只能記錄短時間內的心電活動,如在檢驗時病人沒出現發作,結果便未能反映病人實況。包括血液指標等,雖然可以為醫護提供一些數據作評估,但由於這些數據對於冠狀動脈評估未必足夠,而且病人可以在已患病情況下卻沒有任何冠心病症狀,所以定期做這兩項檢驗並不足以作為足夠的冠心病檢查,病人亦不能以結果作定論。

  • 如果壓力問題已經導致生理健康問題,病人就必須同步處理生理及心理問題。由於冠心病嚴重時可危及性命,無論冠心病原因是什麼,病人都應及時求醫,並與專家商量最佳的治療方案。

  • 飲食講究均衡及有營養,大量攝入酒精是導致冠心病成因,但只要控制飲用量,就不至於有太大問題。不過由於酒精始終是刺激性物質,飲用後會影響心跳,即使飲用,亦只宜少酌。至於「飲酒強心」一說,醫學上未有實論證明,如此一來,如果病人已確診冠心病,仍以戒酒為最好。

  • 兩種都是病人可自行購買的藥物,但病人服藥,無論是什麼藥物,其實都應在醫護指示下進行。病人不應在未求醫或未確診下胡亂服藥。另外,由於脷底丸在開蓋後只可存放8 星期,病人要特別留意購買渠道,以確保藥物安全有效。

  • 由於脷底丸的作用原理是讓血管擴張以緩解冠心病症狀,服用後病人有機會出血壓低、頭暈的症狀。其他副作用包括頭痛、面部發熱或發紅及心跳加速等。

  • 如果本身沒有任何病徵,而在多項冠心病成因中又屬低風險人士,每年都應最少做包括心電圖及驗血等的基本項目。如果病人已有一些長期疾病,或本身已有一些高危冠心病風險,就應選擇一些進階的項目,例如電腦血管掃描。但如果病人已經出現冠心病症狀,就應該盡早求醫,由專家建議合適的方案。

  • 專家一般會從病人的胸腔或腿部中取出合適的血管來用。

  • 缺乏女性荷爾蒙雖然是其中一個間接的冠心病成因,但年長老化的影響同樣不容忽視,所以單靠荷爾蒙藥物未必可防止患上冠心病。

  • 由於一些冠心病成因如性別及年齡等是不可改善的,良好的生活習慣亦只可把患病機率大大減低,而不能完全避免。

  • 首先,請留意係是否已經曾出現一些冠心病症狀。如果有,就應盡早求醫,由專家建議你應做的冠心病檢查或治療。如果沒有,由於部分病人可以沒有明顯的冠心病症狀,最穩妥亦是及早向醫護人員查詢合適的檢驗方案。

  • 有。由於此病多是年月累積,而且與生活習慣及年齡有關,如病人不從源頭改善身體又或是病人年老,老化無可避免,冠心病都會有可能復發。

  • 由於部分藥物可能出現相沖,特別冠心病常用的抗血小板藥,病人應在醫護處方藥物時留意囑咐。另外,飲食習慣與導致冠心病原因有直接關係,病人不論是否在進行治療都應作適度調整,以保持心血管健康。

    • 用力過度或躺下時會感到呼吸困難
    • 疲倦及虛弱
    • 夜間容易咳嗽
    • 心跳快
    • 心律不整
    • 食慾下降
    • 下肢水腫

    • 心臟衰竭導致瓣環擴張
    • 心臟組織變壞脫垂
    • 先天性心瓣異常
    • 風濕性心臟病
    • 年長退化

    • 心臟超聲波

    • 藥物
    • 外科手術
    • (二尖瓣/三尖瓣)鉗夾微創心瓣修補手術

    • 心臟衰竭
    • 心律不整
    • 中風

  • 早年未必有明顯症狀,但之後可能出現:

    • 氣促
    • 容易疲勞,尤其是運動後
    • 腿、腳或腹部腫脹
    • 心律不整

  • 心房間隔缺損是一種先天性結構問題。

  • 心臟超聲波

    • 外科手術
    • 心房間隔缺損介入修補術

    • 充血性心臟衰竭
    • 心律不整
    • 心律不整
    • 中風
    • 肺動脈高血壓