Hi, guys! How are you? Today I want to talk about the main signs of Arrhythmia.
You know I love talking about this subject. For those who still don't know, besides being a Cardiologist I also do pacemaker implants. I studied for two more years just about arrhythmias and implants of pacemakers, defibrillators and resynchronizers.
So I'm going to talk about five signs that can tell you you're having Cardiac Arrhythmia. Put the vignette! Dr Roberto Yano Cardiologist Physician.
Hello friends of the heart, how are you? I'm Dr Roberto Yano, Cardiologist, Pacemaker Specialist. Today I want to talk about the signs that can predict that you are having an Arrhythmia.
As I've said before, I really like this subject and I studied the pacemaker for two years. I make holter reports every day and I see a lot of Arrhythmia in my office, all the time. A very common question I get: is every Arrhythmia serious?
I have patients who come to my office saying they have arrhythmia just because it speeds up the heart. Could it be that when the heart accelerates is it Arrhythmia? Not always, when we exercise, for example, our heart beats faster, that is, the heart rate goes up when we make an effort and when we are more stressed, for example, this is absolutely normal.
Of course, I've seen people with arrhythmia also making an effort in the treadmill test, for example. That's why Cardiac Exams are made for, to help us with our reasoning and with our doubts regarding the Diagnosis. Usually, the patient who has an Arrhythmia has some signs; these signs should always be investigated by specialists.
So let's go to the five signs that can tell you that you have an Arrhythmia. Signal number 1, this is classic, the palpitation. This palpitation can last for a few seconds, but there are some cases that can bother the patient for days or sometimes even weeks, the electrocardiogram is a simple test that can help in the diagnosis if the patient is feeling the palpitation at that time.
If it is something sporadic, the diagnosis can also be made through other tests such as the 24-hour Holter, for example. The Holter is nothing more than an electrocardiogram device that can be turned on for 24 to 72 hours in the patient. During this period it stores the entire heart rate of the heart.
This is a very important exam, the Holter. We put this device here in our clinic. I have made over 20,000 exams reports in these three years as a doctor.
Symptom #2, fainting or feeling faint, we call it Syncope, or Pre-syncope. Syncope occurs when there is a decrease in blood flow to our brain, there is an abrupt loss of consciousness, loss of muscle tone and usually the patient regains consciousness spontaneously and quickly, that's the definition of Syncope. Have you ever seen someone pass out?
Write down your comments about how this feeling was, it's seems like the person loses strength, flaccid, falls to the ground and there's no one to hold, he recovers spontaneously. Most of the Syncopes are benign, but a minority may be due to some Cardiac Arrhythmia and severe Cardiac Arrhythmias that can lead to death. There are Syncopes related to palpitations and Syncopes related to Bradycardia or blockages in the heart.
I'm going to talk to you in a moment about the main sign of the heart block that leads to fainting. But first, are you enjoying the video? So enjoy and share, let's save the world.
The most important thing to remember is that if you feel faint or if you have already fainted, your Cardiologist is the first doctor you should see. Remember that fainting, Syncope is a symptom of the Cardiologist. Symptom number 3, shortness of breath.
Severe Arrhythmias usually cause shortness of breath associated with an accelerated heartbeat. So stay tuned. Shortness of breath is a sign that should always be investigated; it can be a sign of various diseases, not only Arrhythmia but other heart diseases such as a Heart Attack, Heart Failure, Pneumopathies such as Pneumonia, for example, or even something more serious such as a Pulmonary Thromboembolism, so it's never normal to feel short of breath.
I always see people asking me in the office: is it normal to feel short of breath? Of course not, always go to the doctor to evaluate. Symptom number 4, crashes or slow heartbeat.
In fact, what draws attention is the feeling of fainting or even fainting. Before, the person may feel weakness or nausea, it realizes that there is something strange, put his hand on the wrist and notices that his heartbeats are very slow or even sometimes staying more than 2 seconds without beating his heart. So you take the oximeter and see that your heart rate is 35 beats per minute, if your heart rate is always below 50 beats per minute, you should see the Cardiologist.
The patient may only have Sinus Bradycardia, which is a benign and physiological thing, but the person may also be having a severe Atrioventricular Block, among the blocks there are several causes that can lead to it, it may be due to medications, by the patient being heart disease, such as having a previous Heart Attack or Heart Failure, may be due to the natural aging of the heart. So if you notice your heartbeat is slow, see your Cardiologist. I've had patients who reported fainting or feeling faint but in the emergency electrocardiogram there was no change, no failure, but when this patient went later to my office, for further investigation, in the Holter or some other complementary exam, we managed discovering that the patient had a Blockage, and sometimes a Blockage even with an indication for a Pacemaker, that's very common.
In the emergency room, the electrocardiogram is normal, but we evaluate it properly in the office and the patient is advised to have a pacemaker. Symptom #5, chest pain. All chest pain should be investigated, that I am tired of talking about.
So if you have chest pain, it doesn't matter if it's tightness, twinge, burning, if it comes with shortness of breath, without shortness of breath, with acceleration, without acceleration, you have to go to the Cardiologist. This is also a question that I get in every post about 60 questions talking about it: Is chest pain normal? It's never normal to have chest pain.
Always seek medical advice. It is important to rule out heart diseases such as Coronary Heart Disease, Cardiac Arrhythmias, there are many malignant Arrhythmias that can be caused during an Heart Attack or even Post Heart Attack So that's why, at the time of pain in the emergency room, an electrocardiogram should be done, medications should be given, Cardiac enzymes are usually requested, this in a hospital environment, and it can also happen that the person has a Heart Attack and starts to have Arrhythmia, it starts to feel churned, this can also happen. And let's not forget the other sign that is very important and common in Cardiac Arrhythmias.
But have you already subscribed to the channel? Already activated the bell to receive all notifications? Another important sign, which is the bonus sign, is Dizziness.
This is a very common sign you have to watch out for. When the patient has a more dangerous Arrhythmia, the heart, instead of having an effective beat, he just trembles, he cannot get the blood out of the heart, the fact that it cannot do this causes a low blood flow to the whole body, including for the brain. So it can lead to symptoms like Dizziness, Pre-syncope even Syncope, these Arrhythmias leading to Dizziness.
Well folks, so the bottom line is this: the main symptoms are palpitations or failures, that is, heartbeats are out of step, accelerated or slowed down, shortness of breath, dizziness, feeling faint or faint and also chest pain. So if you have any of these signs I mentioned, see a Cardiologist to rule out Arrhythmias. I receive in my office many patients evaluated in hospitals or evaluated by a Cardiologist who refers me to continue with the treatment of Arrhythmias.
As I've said before, most of the times they are Benign Arrhythmias, which only need clinical follow-up, but more serious Arrhythmias can also occur, it may be that you are having a more severe Arrhythmia and you don't even know, some Arrhythmia that will need medication or sometimes even a pacemaker implant, resynchronizer, defibrillator. But if you are interested to know more about the pacemaker implant backstage leave your comment here. You have to suggest more subjects for me to make videos.
I always look at your comments. Ok guys, so today's message is this, a big hug and see you next time.