Conditions
Arrhythmias range from harmless to life-threatening. The first job is knowing which is which. These are the problems we see every week.
Most common
The upper chambers quiver instead of squeezing. That raises stroke risk and often leaves people exhausted, short of breath, or off-balance. Treatment can be medication, cardioversion, pulsed field ablation, or a combination — plus a clear plan for anticoagulation.
Often curable
A fast but organized circuit in the atrium. Typical flutter has a predictable path, which is why catheter ablation resolves it for the large majority of patients in a single procedure.
Sudden racing
Episodes that start above the ventricles and can hit without warning. Many SVTs are cured with a targeted ablation, which can mean no lifelong medication.
Needs urgency
A fast rhythm from the lower chambers. It can be dangerous. Evaluation may lead to medication, ablation, an ICD, or treatment of the underlying heart muscle problem.
Too slow
A pulse that cannot keep up — fatigue, lightheadedness, or fainting. Pacemakers, including leadless and conduction-system pacing, correct the problem directly.
Capture the event
Skipped, fluttering, or pounding beats. Most are benign. The work is to record the rhythm during a symptom and prove what it is — then decide whether it needs treatment.
Rule out electrical cause
Fainting or near-fainting. Some causes are reflex and harmless; some are electrical and serious. Ambulatory monitoring or an implantable loop recorder often settles it.
Burden matters
Extra ventricular beats are common. A high burden can weaken the heart over time and is worth treating with medication or ablation.
Bring prior ECGs, monitor reports, and a list of symptoms. We will sort the tracing before we talk about procedures.
