JawaPos.com – Heart rhythm disturbances are known as arrhythmias. When the heart continues to beat with an abnormal beat, it will trigger complaints that are uncomfortable to the point of fainting. Then what is a normal heart rate? What are the symptoms of an arrhythmic disorder?
Cardiology and Vascular Specialist, Electrophysiological Intervention Subspecialist (arrhythmia consultant) at the Heartology Cardiovascular Center dr. Sunu Budhi Raharjo, Sp.JP(K), said that impaired heart rhythm function is caused by abnormal heart electrical activity. This is what is called an arrhythmia.
“That is a condition when the heartbeat is irregular, faster or slower than it should be,” he told reporters, Monday (30/1).
What’s a normal heart rate?
According to him, in resting conditions, a normal heart rate ranges from 60-100 x/minute. If the heartbeat is super fast, he said, the condition could be fatal.
“If super fast can die suddenly,” explained dr. Sunu.
Irregular beats have a small risk of leading to death, but 5 times the risk of triggering a stroke. On the other hand, if it was too slow, then one would be dizzy to the point of fainting.
“If the beat is only 40-50 keliingan. Slower again hisa fainted. It could collapse more slowly,” he said.
Young Age Begins to Feel Symptoms
Complaints that are often felt by patients with arrhythmic disorders are very diverse, for example a feeling of palpitations, chest discomfort, shortness of breath, fatigue, or dizziness or staggering. In more severe conditions, symptoms can include stroke, fainting, and even sudden death.
“We treat many arrhythmia cases, both young and elderly patients, both male and female. Young patients often come with complaints of palpitations or chest discomfort, which appear suddenly. Because of its sudden appearance, its detection is often not easy,” he said.
Detection and Treatment
In addition to recording the heart using electrocardiography (EKG), continuous recording is sometimes needed for several days in order to be able to detect arrhythmic disturbances suffered by a patient with a Holter Monitor device. One case example, an arrhythmic disorder occurred in a young man aged 30 years.
Complaints of palpitations have been felt since a year ago, but when doing the ECG recording they are often found to be normal. Continuous recording of heart rhythms for 24 hours was successful in detecting arrhythmias in the form of extra beats of nearly 25 percent of the total heart rate.
The drugs have been consumed, even the procedure for catheter ablation has been attempted in another city. But the complaints have not improved. Daily activities and work are very disturbed by this disease.
“After going through a thorough examination, we finally decided to perform a 3-dimensional catheter ablation procedure for more precise and maximum results,” said dr. Sunu.
Catheter ablation is a non-surgical intervention using a catheter that is used to guide doctors to map, localize and destroy tissue that causes abnormal electrical impulses in the heart. In these patients, after conventional ablation, the heart rhythm disturbances have not improved.
“However, with 3D technology, Alhamdulillah, the arrhythmia disorder has been successfully cured, so that the patient’s quality of life is much more comfortable and he does not need to take medication anymore,” said dr. Sunu.
In cases of more complex arrhythmias, for example atrial fibrillation (AF) which increases the risk of stroke up to 5x, or ventricular tachycardia (VT) which can threaten the patient’s life, doctors combine 3D technology at the Heartology Cardiovascular Center with HD Grid 3D Mapping System technology to improve success of the action and reduce the recurrence of the arrhythmia disorder. HD Grid uses multipolar and multidirectional catheters that allow combining magnetic and impedance mapping simultaneously, so that 3D ablation catheter actions have a high level of precision and accuracy. Clinical data shows that the use of this technology can reduce the recurrence rate of AF to only about 10 percent a year after the procedure (several times better than conventional technology).
Editor: Nurul Adriyana Salbiah
Reporter : Marieska Harya Virdhani
