Cardiovascular Medicine Book

Tachycardia

Coronary Artery Disease

Extrasystole

Bradycardia

Atrial Fibrillation

Approach

Pulseless

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Cardiac Arrhythmia

Aka: Cardiac Arrhythmia, Cardiac Dysrhythmia, Arrhythmia, Dysrhythmia
  1. See Also
    1. Sudden Cardiac Death
    2. Arrhythmias in Athletes
    3. Syncope
    4. Tachycardia
    5. Bradycardia
    6. Cardiac Arrest
  2. Causes: Pulseless (Cardiac Arrest)
    1. Pulseless Electrical Activity
    2. Ventricular Fibrillation or Pulseless Ventricular Tachycardia
    3. Asystole
  3. Causes: Tachycardia
    1. See Tachycardia
    2. Narrow Complex Tachycardia
      1. Sinus Tachycardia
      2. Irregular Supraventicular Tachycardia
        1. Atrial Fibrillation
      3. Regular Supraventricular Tachycardia
        1. Sinus Tachycardia (rarely >150-160 in non-exercising adults)
        2. Paroxysmal Supraventricular Tachycardia (PSVT)
        3. Atrial Flutter
    3. Wide Complex Tachycardia
      1. Ventricular Tachycardia (>120 beats per minute)
      2. Supraventricular Tachycardia with aberrancy
      3. Torsade De Pointes
  4. Causes: Bradycardia
    1. See Bradycardia
    2. Sinus Bradycardia
    3. Sinus Arrhythmia
    4. Sick Sinus Syndrome
    5. Atrioventricular Block
      1. First Degree Atrioventricular Block
      2. Second Degree Atrioventricular Block Type 1 (Wenckebach AV Block, Mobitz I AV Block)
      3. Second Degree Atrioventricular Block Type 2 (Mobitz II AV Block)
      4. Third Degree Atrioventricular Block
  5. Causes: Syndromes
    1. Reentry Arrhythmia Syndromes (accessory bundles)
      1. See Atrioventricular Nodal Reentry
      2. Wolff-Parkinson-White Syndrome
      3. Long-Ganong-Levine Syndrome
    2. Syndromes associated with Sudden Cardiac Death
      1. See EKG Changes in Syncope due to Arrhythmia
      2. Sudden Arrhythmia Death Syndrome (Brugada Syndrome)
      3. Long QT Syndrome
      4. Arrhythmogenic Right Ventricular Dysplasia (ARVD)
      5. Hypertrophic Cardiomyopathy
    3. Miscellaneous Syndromes
      1. Atrial Fibrillation
      2. Atrial Flutter
  6. Causes: Miscellaneous
    1. Ectopy
      1. Premature Ventricular Contraction
      2. Premature Atrial Contraction
  7. Symptoms
    1. Palpitations
    2. Shortness of Breath
    3. Chest Pain
    4. Syncope
    5. Light Headedness
  8. Diagnostics
    1. See Electrocardiogram
    2. See EKG Changes in Syncope due to Arrhythmia
  9. Management
    1. See ABC Management
    2. See Syncope
    3. See Unstable Bradycardia
    4. See Supraventricular Tachycardia Management in the Adult
    5. See Supraventricular Tachycardia Management in the Child
    6. See Ventricular Tachycardia Management in the Adult
    7. See Ventricular Tachycardia Management in the Child

Cardiac Arrhythmia (C0003811)

Definition (MEDLINEPLUS)

An arrhythmia is a problem with the rate or rhythm of your heartbeat. It means that your heart beats too quickly, too slowly, or with an irregular pattern. When the heart beats faster than normal, it is called tachycardia. When the heart beats too slowly, it is called bradycardia. The most common type of arrhythmia is atrial fibrillation, which causes an irregular and fast heart beat.

Many factors can affect your heart's rhythm, such as having had a heart attack, smoking, congenital heart defects, and stress. Some substances or medicines may also cause arrhythmias.

Symptoms of arrhythmias include

  • Fast or slow heart beat
  • Skipping beats
  • Lightheadedness or dizziness
  • Chest pain
  • Shortness of breath
  • Sweating

Your doctor can run tests to find out if you have an arrhythmia. Treatment to restore a normal heart rhythm may include medicines, an implantable cardioverter-defibrillator (ICD) or pacemaker, or sometimes surgery.

NIH: National Heart, Lung, and Blood Institute
Definition (SNOMEDCT_US) Abnormality in rhythm of heartbeat, including rate, regularity, and/or sequence of activation abnormalities
Definition (SNOMEDCT_US) Abnormality in rhythm of heartbeat, including rate, regularity, and/or sequence of activation abnormalities
Definition (SCTSPA) Anomalía del ritmo cardíaco, que incluye alteraciones de la frecuencia, de la regularidad y/o de la secuencia de activación.
Definition (NCI_NICHD) Cardiac Arrhythmias are heart-rhythm problems - they occur when the electrical impulses to the heart that coordinate heartbeats are not working properly, making the heart beat too fast/slow or inconsistently.
Definition (NCI) Any variation from the normal rate or rhythm (which may include the origin of the impulse and/or its subsequent propagation) in the heart.
Definition (SNOMEDCT_US) A disorder in which there is abnormal electrical activity in the heart.
Definition (CSP) any variation from the normal rhythm or rate of the heart beat.
Definition (MSH) Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.
Concepts Finding (T033)
MSH D001145
ICD9 427.9, 427
ICD10 I49.9
SnomedCT 155373001, 195107004, 53488008, 155369004, 251151005, 266307005, 44808001, 698247007
LNC MTHU020785, LA7414-1, LA15419-7
English Arrythmia, Cardiac dysrhythmias, CARDIAC ARRHYTHMIA NOS, Heart Arrhythmias, Cardiac arrhythmias, Cardiac dysrhythmia, unspecified, Cardiac arrhythmia, unspecified, Dysrhythmia(s), Dysrhythmia, CARDIAC ARRHYTHMIA, Arrhythmias, Cardiac rhythm disturbances, Arrhythmia, Cardiac, Dysrhythmia, Cardiac, Arrhythmias, Cardiac, Cardiac Arrhythmias, Cardiac Dysrhythmia, Arrhythmia, Arrhythmia (NOS), Arrhythmia NOS, Arrhythmia cardiac (NOS), Cardiac arrhythmia (NOS), Cardiac arrhythmia NOS, Dysrhythmias, Cardiac dysrhythmia NOS, cardiac rhythm disorder, cardiac rhythm disorder (diagnosis), Arrhythmia (cardiac) NOS, Cardiac Arrhythmia, cardiac rhythm disturbance, Arrhythmias, Cardiac [Disease/Finding], Abnormal heart rhythms, arrhythmias, cardiac dysrhythmias, Dysrhythmia;cardiac, heart arrhythmias, irregular heartbeat, cardiac arrhythmias, dysrhythmia, heart arrhythmia, Cardiac dysrhythmias NOS, Cardiac dysrhythmia NOS (disorder), Cardiac dysrhythmia (disorder), Arrhythmia (finding), Cardiac rhythm irregular, Irregular heart beat, Disorder of heart rhythm, Cardiac arrhythmia (disorder), Cardiac dysrhythmia, Cardiac arrhythmia, ARRHYTHMIA, Cardiac arrhythmia nos, arrhythmia, cardiac arrhythmia, cardiac; dysrhythmia, disorder; rhythm, heart, disturbance; rhythm, heart, dysrhythmia; cardiac, rhythm, heart; abnormal, rhythm; abnormal, rhythm; disorder, Cardiac arrhythmia, NOS, Cardiac dysrhythmia, NOS, Arrhythmia, NOS, Arrhythmias (Heart), cardiac dysrhythmia
French ARYTHMIE, Arythmie cardiaque SAI, Dysrythmies cardiaques, Trouble du rythme cardiaque SAI, Arythmie SAI, Arythmie cardiaque, Dysrythmie cardiaque non précisée, Dysrythmies, ARYTHMIE CARDIAQUE SAI, Arythmie, Troubles du rythme cardiaque
Portuguese ARRITMIA, Arritmia cardíaca, Arritmia cardíaca NE, Disrritmias, Disrritmia cardíaca NE, Disrritmias cardíacas, Arritmia NE, ARRITMIA CARDIACA, Arritmia, Arritmias cardíacas
Spanish ARRITMIA, Arritmia cardiaca, Disritmias cardiacas, Arritmia cardiaca (NEOM), Arritmia NEOM, Disritmia cardiaca no especificada, Disrritmia, Arritmia (NEOM), Arritmia cardiaca NEOM, ARRITMIA CARDIACA SE, Arritmias Cardíacas, arritmia cardíaca, SAI, arritmia cardíaca, SAI (trastorno), disrritmia cardíaca, Cardiac dysrhythmia NOS, arritmia, Arritmia Cardíaca, arritmia cardíaca (trastorno), trastorno del ritmo cardíaco, arritmia cardíaca, Arritmias cardiacas, Arritmia
German ARRHYTHMIE, Arrhythmie Herz (NNB), Herzrhythmusstoerung (NNB), kardiale Dysrhythmien, Arrhythmie (NNB), Herzrhythmusstoerung, unspezifisch, Herzrhythmusstoerung, Dysrhythmien, Arrhythmie NNB, Herzrhythmusstoerung NNB, HERZRHYTHMUSSTOERUNG NNB, Kardiale Arrhythmie, nicht naeher bezeichnet, Arrhythmie, Herzrhythmusstoerungen
Italian Aritmia, Aritmie cardiache, Aritmia cardiaca NAS, Disritmie cardiache, Disritmie, Disturbi del ritmo cardiaco non specificati, Aritmia cardiaca (NAS), Aritmia (NAS), Aritmia cardiaca, Aritmia NAS
Dutch hartdysritmie, niet-gespecificeerd, dysritmieën, aritmie (NAO), hartaritmie (NAO), aritmie NAO, hartdysritmieën, hartaritmie, hartaritmie NAO, Hartritmestoornis nao, cardiaal; dysritmie, dysritmie; cardiaal, hartritme; afwijkend, ritme; abnormaal, ritme; stoornis, stoornis; ritme, Ritmestoornis, niet gespecificeerd, aritmie, hartritmestoornissen, Aritmie, Arrhythmia, Ritmestoornis
Japanese 不整脈、詳細不明, 不整脈, 不整脈ＮＯＳ, 不整脈（ＮＯＳ）, 律動異常, ﾌｾｲﾐｬｸ, ﾌｾｲﾐｬｸNOS, ﾘﾂﾄﾞｳｲｼﾞｮｳ, ﾌｾｲﾐｬｸｼｮｳｻｲﾌﾒｲ
Russian АРИТМИИ СЕРДЕЧНЫЕ
Swedish Hjärtrytmrubbningar
Czech Arytmie NOS, Arytmie (NOS), Srdeční arytmie NOS, Srdeční arytmie, Arytmie, Srdeční arytmie (NOS), Srdeční dysrytmie, blíže neurčená, Dysrytmie, Srdeční dysrytmie, Srdeční poruchy rytmu
Korean 상세불명의 심장성 부정맥
Polish Niemiarowość
Hungarian Cardialis dysrhythmia, nem meghatározott, Arrhythmia k.m.n., Cardialis arrhythmia k.m.n., Cardialis arrhythmia, Ritmuszavar, Cardialis arrhythmia (k.m.n.), Cardialis arrhythmiák, Arrhythmia (k.m.n.), Szívritmuszavar (k.m.n.), Arrhythmia, Szív ritmuszavar
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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