Best rated NYC cardiologist, Dr. Ghalchi of Manhattan Cardiovascular Associates provides an effective diagnosis, treatment and monitoring for irregular heartbeat and underline symptoms such as chest pain and difficulty breathing. It’s always best to seek immediate treatment from one of the most experienced cardiologists and best heart doctors in NYC especially if you diagnosed with Ventricular Tachycardia.
Arrhythmia, in simplest terms, is a irregular or abnormal heartbeat. That is, your heart may not follow the stereotypical “dub-glub” pattern, as it is often described. You may feel like you’re having heart palpitations or experiencing dizziness. There are several types of heart arrhythmias, either benign or malignant in type:
- Bradycardia is an irregular heartbeat, heartbeat that’s too slow, usually at a rate of less than 60 beats per minute (BPM). This rate varies from person to person, depending on a number of factors, including your age and physical condition. So what may be a slow heart rate for your mother or grandfather wouldn’t necessarily be a slow heart rate for you. When bradycardia is asymptomatic it is often benign, unless left untreated for a prolonged period of time. Only a qualified cardiovascular doctor can properly diagnose this condition. In that case, the result can be:
- Tachycardia is, alternately, irregular heartbeat, a heart rate that’s too fast. “Too fast” is usually rated at 100 BPM or higher. There are several types of tachycardia:
- Atrial or Supraventricular Tachycardia (SVT) cardiovascular doctors refer to a condition in which the fast heart rate begins in the upper chambers of the heart. Other forms include Paroxysmal Atrial Tachycardia (PAT) or Paroxysmal Supraventricular Tachycardia (PSVT). SVT is considered benign — although symptoms, such as palpitations, dizziness, difficulty breathing, and chest pain, can sometimes be debilitating.
- Sinus Tachycardia is a irregular heartbeat when your heart is beating rapidly but in normal rhythm. This finding often can be benign — for example, when you’re frightened or anxious — but may also point to an underlying condition such as anemia, increased thyroid activity, damage from a heart attack or severe bleeding.
- Ventricular Tachycardia is a heart arrhythmia that starts in the lower chambers of the heart. This is the most dangerous of the types of fast-heart-rate conditions because it can progress from benign to malignant very quickly. If there are other cardiac issues diagnosed and the arrhythmia is in any way symptomatic or unstable, this irregular heartbeat is a medical emergency and you should seek immediate attention.
- Atrial Fibrillation is a fairly common heart arrhythmia that starts in the upper chambers of the heart. Sometimes described as a quivering of the heart, this abnormality disrupts the normal, steady beating of the heart. While this is a common condition, it’s also serious enough to fall into the malignant category. According to the American Heart Association, atrial fibrillation, if irregular heartbeat left untreated, doubles the risk of heart-related deaths. If you have it, you’re four to five times more likely to suffer a stroke.
Symptoms and Indicators
It’s not unusual to find out from your cardiologist in NYC or heart doctor that you have a heart arrhythmia because often, there are no symptoms for you to report. Those patients who do experience symptoms may feel:
- A speedy or slow heart beat, which may mean your blood is not being pumped in a consistent way, leading to symptoms like:
- Feeling a fluttering in your chest
- Chest pains
- Difficulty breathing
- Feeling faint
- Feeling lightheaded
If you’ve been diagnosed with a heart arrhythmia and your NYC heart doctor or cardiologist feels you need treatment, you will most likely to be advised to steer clear of things that can trigger your irregular heartbeat. Cardiovascular doctor Michael Ghalchi suggest you to:
- Being checked for high blood pressure and keeping it under control
- Checking your cholesterol levels, which also need to be managed
- Losing weight if you are overweight, which can be very taxing on the heart; your doctor should be able to recommend programs for you to follow
- Treating sleep apnea if it exists
- Changing your diet to eat foods that are heart-healthy, so your doctor may refer you to a knowledgeable nutritionist
- Quitting cigarette smoking for the health of both the heart and the lungs — and this includes eliminating second-hand smoke
- Exercising and moving every day because your heart needs exercise to stay healthy
There are several tests that can be performed to check on the health of your heart. Your NYC cardiologist or a heart doctor at Manhattan Cardiovascular Associates may order one or more of them, but don’t worry. None are invasive and all are routine.
- Electrocardiograms allow the cardiovascular doctor to see patterns in the electric pulses your heart is sending out. Also known as an EKG or an ECG, this test uses electrodes to monitor the electrical system of your heart.
- Echocardiogram, or Echo, uses sound waves to paint a picture of the heart so the cardiovascular doctor can view real-time images of the chambers of the heart, looking at the size and shape of the heart for abnormalities.
- Heart Monitor, one version of which is called a Holter Monitor, is a portable device that monitors your heart. It’s small enough to be carried with you at all times, even while you sleep. It monitors your heart for a specified length of time, usually 24–48 hours. This gives the doctor a clear pattern of your heart rate as you change activities throughout the day.
- Stress Tests are a little more involved. To take one, you have to put your body through a rigorous activity, such as walking or running on a treadmill. While you move, your heart’s reaction and function are monitored through the use of electrodes and echocardiography.
Treatment for Heart Arrhythmias
Once you have a definitive diagnosis, it’s time for your doctor to devise a specific treatment plan for you, which will vary based on the cause of your heart arrhythmia. You should learn how to take your pulse, and you should take any and all medications as prescribed. In addition, your doctor may want to:
- Prevent blood clots with medication, if you are at high risk for stroke
- Try to control your heart rate and keep it within a normal range, if possible
- Treat any underlying conditions, heart disease and triggers that have been found to be causing your arrhythmia
- Require that you do not:
- Take in excessive caffeine
- Use tobacco products
- Drink excessive alcohol
- Use certain cough and cold medications or appetite suppressants
- Use certain psychotropic drugs
- Abuse street drugs
Even some anti-arrhythmia drugs, if used improperly, can cause a heart arrhythmia to occur. Please tell your cardiologist if another cardiovascular doctor has prescribed anti-arrhythmia drugs for you.
Heart Arrhythmias should definitely be diagnosed and monitored by an experienced NYC heart doctors, such as the cardiologists at Manhattan Cardiovascular Associates. However, most cases aren’t life-threatening, especially if you and your NYC cardiologist are able to catch it early. To be sure, schedule an appointment today.
Dr. Michael Ghalchi, Cardiologist (Cardiologist NYC, Midtown)
New York, NY10010
(Between Madison Ave & Park Ave)
☎ (212) 686-0066