Heart arrhythmia treatments: Diagnosis and options (2024)

Heart arrhythmia is when your heart beats too fast, too slowly, or irregularly.

Home remedies may help manage the condition, but treatments include specific drugs or therapies. In severe cases, a doctor may recommend more invasive treatments.

Heart arrhythmia treatments

Heart arrhythmia treatments: Diagnosis and options (1)

There are several treatment options available for heart arrhythmia.

Drugs

Medications known as beta-blockers and calcium channel blockers can slow down a fast heart rate, while antiarrhythmic drugs can restore the heart’s regular rhythm.

Alongside drugs that aim to regulate your heartbeat, a doctor may also prescribe an anticoagulant, which is a blood-thinning drug, to reduce the risk of serious heart events like blood clots.

For specific arrhythmia types, like those affecting the heart’s upper chambers (supraventricular tachycardia (SVT)) or the ventricles (ventricular tachycardia (VT)), a doctor may also prescribe:

  • atenolol (Tenormin)
  • diltiazem (Cardizem)
  • metoprolol (Lopressor)

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Therapy

In some cases, doctors may suggest therapies to correct arrhythmia:

  • Cardioversion: This is when electric shocks restore the heart’s regular rhythm.
  • Catheter ablation: This is a minimally invasive procedure where the heart is purposely scarred to target specific areas that cause arrhythmia.
  • Vagal maneuvers: These are ranges of movements or interventions, like handstands, coughing, or holding your breath, that aim to alter your heart rhythm.

Device-based and surgical options

In some cases, doctors may recommend device-based therapy to treat heart arrhythmia.

This is where a surgeon will insert a device like a pacemaker, which helps regulate the heartbeat, or an implantable cardioverter-defibrillator (ICD), which is a small device that can help prevent sudden, fatal cardiac events.

Other procedures may include:

A surgeon may only perform some procedures if you require heart surgery for reasons other than arrhythmia.

What is heart arrhythmia?

Heart arrhythmia is when your heart beats too fast, too slowly, or irregularly, and it’s believed that 1.5% to 5% of people worldwide live with the condition.

Arrhythmia has many causes, including:

In some cases, the cause remains unknown.

There are different types of heart arrhythmia, including tachycardia, when your heart beats too fast when you rest. and bradycardia, where the heart beats too slowly.

You can have heart arrhythmia without experiencing any symptoms, but if you do, they may include:

  • palpitations
  • shortness of breath
  • chest pain
  • dizziness and fainting

Seeking medical attention

In some cases, a heart arrhythmia can be life threatening. If you experience any symptoms, it’s important to seek immediate medical attention.

How is heart arrhythmia diagnosed?

Diagnosis of heart arrhythmia typically begins with a physical examination and medical history review.

Your doctor may also order tests, such as:

  • Electrocardiogram (ECG): This is a short, pain-free test where patches stuck to your body measure your heart activity.
  • Echocardiogram: This test produces images of your heart using sound waves.
  • Holter monitor: This wearable device measures your heart activity for 24 to 48 hours.
  • Stress test: This test involves checking your heart using ECG or other imaging techniques while you exercise or take medication to add stress to the heart.
  • Blood tests: These may include tests like a complete blood count, electrolytes, or kidney and thyroid function.

With the help of a cardiologist, most arrhythmia types are manageable. However, outcomes can be more uncertain with specific arrhythmia types or if you have any underlying conditions.

Can lifestyle strategies and home remedies help?

Alongside medical treatment, lifestyle strategies and home remedies can help manage heart arrhythmia. These include:

  • Diet: According to a 2021 review, the heart benefits of the Mediterranean diet are notable in reducing the risk of heart arrhythmia, especially if you also get plenty of fish, extra virgin olive oil, and magnesium.
  • Exercise: Regular exercise can improve the heart’s strength and function. If you have heart arrhythmia, exercise may improve the condition.
  • Quitting smoking: If you smoke, it can increase your risk of heart arrhythmia, and quitting lowers your risk.
  • Managing anxiety and stress: A 2021 review suggests that anxiety stress can sometimes trigger heart issues, so finding ways to manage these conditions may prevent or improve symptoms.
  • Avoiding or limiting alcohol: Alcohol consumption is a known risk factor for heart disease, so reducing your intake can also limit heart arrhythmia risk.
  • Home remedies: A review from 2016 explores how home remedies like garlic may improve heart conditions, including arrhythmias, though more research is needed.

Summary

Heart arrhythmia is when your heart beats too fast, too slowly, or irregularly. Factors like heart damage, lifestyle, and particular medical conditions can cause this.

Heart arrhythmia treatment options include medications, therapy, and in some cases, surgery. Additionally, lifestyle strategies and home remedies may help manage symptoms and reduce risk.

Diagnosis typically begins with a physical examination, a review of your medical history, and different tests, like an ECG.

If you experience symptoms of heart arrhythmia, it’s important to seek medical attention and work with your doctor to find the best treatment plan.

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Heart arrhythmia treatments: Diagnosis and options (2024)

FAQs

Heart arrhythmia treatments: Diagnosis and options? ›

The most effective way to diagnose an arrhythmia is with an electrical recording of your heart rhythm called an electrocardiogram (ECG). If the ECG doesn't find a problem, you may need further monitoring of your heart. This may involve wearing a small portable ECG recording device for 24 hours or longer.

How do you diagnose a heart arrhythmia? ›

The most effective way to diagnose an arrhythmia is with an electrical recording of your heart rhythm called an electrocardiogram (ECG). If the ECG doesn't find a problem, you may need further monitoring of your heart. This may involve wearing a small portable ECG recording device for 24 hours or longer.

What is the most common treatment for an irregular heartbeat? ›

Cardiac resynchronization therapy (CRT) uses a pacemaker to restore normal heartbeat timing. Implantable cardioverter defibrillator (ICD) treatment helps regulate the heartbeat and will send a “shock,” or defibrillation, to reset the rhythm and prevent cardiac arrest.

Does heart arrhythmia go away? ›

Can an irregular heartbeat go back to normal? Yes, heart arrhythmias sometimes go away on their own. But if you notice any of the things mentioned above that go along with your arrhythmia, you should get it checked out as soon as possible.

Can you live normally with heart arrhythmia? ›

Depending on the type of cardiac arrhythmia you have, you may have mild or severe symptoms or none at all. You may not need treatment, but some people need medicine or a procedure. With heart arrhythmia treatment, many people can live full lives.

Is arrhythmia the same as AFib? ›

Atrial Fibrillation, also called AFib, is the most common form of arrhythmia and occurs more frequently as we age. It happens when the upper chambers quiver rather than beating regularly and effectively. People with AFib often experience palpitations, fatigue, chest discomfort or shortness of breath.

Does arrhythmia show up on echocardiogram? ›

Transthoracic echocardiography is used to assist the diagnosis and management of a broad range of heart conditions. The commonest indications are for heart failure, murmur, palpitations/arrhythmias/blackouts and hypertension.

How do they fix arrhythmia? ›

Common arrhythmia treatments include medicines, surgery to implant devices that control your heartbeat, and other procedures to treat problems with electrical signals in your heart.

What should you not do if you have arrhythmia? ›

Mercy Clinic Cardiology has six things that can aggravate arrhythmia:
  1. Too much caffeine. One or two cups of coffee a day is probably fine. ...
  2. Alcohol. Heavy drinking can cause damage to your heart cells and cause extra heartbeats. ...
  3. Sodium. ...
  4. Tyramine. ...
  5. Herbal supplements. ...
  6. Oversized portions.

What do doctors do when you have an irregular heartbeat? ›

Heart arrhythmia treatment may include medicines, devices such as pacemakers, or a procedure or surgery. The goals of treatment are to control or get rid of fast, slow or otherwise irregular heartbeats. A heart-healthy lifestyle can help prevent heart damage that can trigger some heart arrhythmias.

What happens if arrhythmia is left untreated? ›

If not treated, arrhythmias can damage the heart, brain, or other organs. This can lead to life-threatening stroke, heart failure, or cardiac arrest. During cardiac arrest, the heart suddenly and unexpectedly stops beating, causing death if it is not treated within minutes.

Can anxiety cause arrhythmia? ›

Interestingly, not only does stress increase the frequency of cardiac arrhythmias but also the lethality of ventricular arrhythmias [7]. So focussing on prevention or treatment of stress, anger, and depression could be paramount to the electrophysiologists' management of their patients.

How to check for arrhythmia at home? ›

Alternatively, you can purchase an inexpensive stethoscope and listen to the rhythm of your heart directly. Many companies have also developed smartphone apps that can assist in detecting the presence of an irregular heart rhythm.

Does drinking lots of water help with AFib? ›

Dehydration can exacerbate Afib risk by straining the heart and disrupting electrolyte balance. The recommended water intake differs for each person, but drinking eight glasses of water a day is a good start.

What vitamins stop heart palpitations? ›

Vitamin B6 prevents hypercholesterolaemia by decreasing LDL levels. Vitamin B12 counteracts increased heart palpitations which is the side effect of vitamin B2. Vitamin C increases oestrogen levels in the body, it is also involved in endometrial thickening.

How do you feel when you have arrhythmia? ›

It may feel like your heart skipped a beat, added a beat, or is “fluttering.” It might feel like it's beating too fast (which doctors call tachycardia) or too slow (called bradycardia). Or you might not notice anything. Arrhythmias can be an emergency, or they can be harmless.

Does an EKG show heart arrhythmia? ›

An electrocardiogram (ECG or EKG) is a quick test to check the heartbeat. It records the electrical signals in the heart. Test results can help diagnose heart attacks and irregular heartbeats, called arrhythmias.

What can be mistaken for arrhythmia? ›

Conditions That Can Look Like AFib
  • Anxiety and Panic Attacks.
  • Low Blood Pressure.
  • Other Heart Arrhythmias.
  • Coronary Artery Disease.
  • Hyperthyroidism.
  • Heart Valve Disorder.
Mar 14, 2023

How do you self diagnose arrhythmia? ›

If you can't feel a pulse on your wrist, try checking under your jaw. Be careful as this makes some people lightheaded. If your pulse feels irregular, try checking for 60 seconds instead. The beat should be steady and regular.

Can a doctor hear a heart arrhythmia? ›

A doctor can detect an irregular heartbeat during a physical exam by taking your pulse, listening to your heart or by performing diagnostic tests.

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