The Medical Minute: Putting the freeze on abnormal heart beats

Feb 25, 2009 By Mario D. Gonzalez

(PhysOrg.com) -- In some people, the heart has a tendency to race due to abnormal electrical signals that tell the heart muscle when to contract. Abnormal electrical activation of the heart with changes in the rate or regular pace is called arrhythmia. This may happen even though the heart is otherwise normal.

The problem may be a short circuit due to an abnormal electrical connection between the upper and lower chambers of the heart. This is called Wolff-Parkinson-White syndrome. In some people, the short circuit develops in the normal electrical connection located between the upper and lower chambers. This is called AV node re-entry. Still others are born with or develop an extra pacemaker that sometimes fires very rapidly, also called atrial tachycardia.

As we get older, the normal electrical activation in the heart’s upper chambers may become chaotic, which results in an arrhythmia called atrial fibrillation. Atrial fibrillation results in a rapid and irregular rhythm that is associated with palpitation, shortness of breath and other symptoms. The most serious complication of this arrhythmia is stroke, which may occur in some people.

A patient who has suffered one or more heart attacks over the years may develop an arrhythmia that originates from the heart’s main pumping chamber—the left ventricle. This arrhythmia is called ventricular tachycardia and can result in fainting and even sudden death.

Many of the abnormal electrical signals that result in arrhythmias can now be cured or improved with a procedure called catheter ablation. This procedure is done in an electrophysiology laboratory under sedation. Thin wires (catheters) are placed in veins in the groin and precisely advanced inside the heart.

First, specialized doctors (electrophysiologists) pinpoint the abnormal electrical connections or scar tissue that is causing the arrhythmia. Then the catheter delivers freezing temperatures, or in most cases heat, to these abnormal areas to destroy them, thus preventing the recurrence of the arrhythmia. The success of this procedure ranges from 65-95 percent, depending on the type of arrhythmia and the extent of the problem.

Once corrected, most patients can resume a normal life within days of the procedure. Penn State Hershey Heart and Vascular Institute has the most advanced equipment and experienced electrophysiologists who perform these procedures on a daily basis. To learn more, visit www.PennStateHershey.org/rhythm .

Mario D. Gonzalez is a professor of medicine at Penn State Hershey College of Medicine and program director of electrophysiology at the Penn State Hershey Heart and Vascular Institute.

Provided by Penn State

Explore further: High prevalence of HCV in baby boomers presenting to ER

add to favorites email to friend print save as pdf

Related Stories

Satellite gearing up to take EPIC pictures of Earth

9 minutes ago

The Deep Space Climate Observatory (DSCOVR) satellite is on its way to do something epic. NOAA's spacecraft, sent to monitor space weather, will use its Earth Polychromatic Imaging Camera (EPIC) to capture ...

CT scan taken of mummified remains in statue

1 hour ago

(Phys.org) —A CT scan and endoscopy have revealed a master's mummy inside a Buddha statue. These were mummified remains of an ancient Buddhist monk who lived during the 11th or 12th century. Investigations ...

Recommended for you

The hidden burden of dengue fever in West Africa

7 hours ago

Misdiagnosis of febrile illnesses as malaria is a continuing problem in Africa. A new study shows that in Ghana, dengue fever is circulating in urban areas and going undiagnosed. The authors of the study hope to use the findings ...

Teenager with stroke symptoms actually had Lyme disease

7 hours ago

A Swiss teenager, recently returned home from a discotheque, came to the emergency department with classic sudden symptoms of stroke, only to be diagnosed with Lyme disease. The highly unusual case presentation was published ...

Understanding lung disease in aboriginal Australians

8 hours ago

A new study has confirmed that Aboriginal Australians have low forced vital capacity—or the amount of air that can be forcibly exhaled from the lungs after taking the deepest breath possible. The finding may account for ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.