Arrhythmias, commonly referred to as irregular heartbeats, skipped heartbeats, also include atrial fibrillation and a variety of other abnormal heart rhythm issues, including skipped, slow and fast heartbeats. Fortunately, new technology and techniques have produced many new cardiac arrhythmia treatment options, including minimally invasive arrhythmia surgical treatments, for patients to consider.
In this video about heart arrhythmias, one of the leading physicians in the field, Dr. Bing Liem, walks you through an overview problems generally in this area and reviews the latest in treatments.
Arrhythmia is defined as irregular heartbeat. It can be the heart beating too slow, too fast, or just simply irregular. It causes a variety of symptoms. Usually people feel palpitations, which is an awareness of the heartbeat being irregular, or strong, or more dangerously, people feel faint and people sometimes collapse and even die suddenly.
The causes for arrhythmias are multiple, obviously, like any other condition in health. The most common cause is damage to the heart; heart valve, heart muscle, enlarged heart. It can also be congenital. People can be born with it, or it can also be caused by drugs or other things.
There are a variety of treatments for arrhythmia nowadays. Just like most health conditions, the first line of therapy is typically drug therapy, but actually, in the past two or three decades, we're finding out that drug therapy, except for the mild arrhythmia, just simply does not work for the more serious ones.
The most commonly used, because of higher efficacy, is what we call catheter ablation. Catheter ablation is a therapy whereby small wires are inserted into the heart to map out the origin of the bad rhythm, cauterize that part, and eliminate the arrhythmia.
Some arrhythmias cannot be cured or medicated. These are the ones that cause sudden death. Those types of arrhythmia are treated by preventing sudden death by the implantation of devices like defibrillators.
Surgery can also be done for cardiac arrhythmia. It's not common that surgery is done for the cardiac arrhythmia alone. Typically it is coupled with other surgical interventions such as the replacement of heart valves. It can be combined, for instance, with what we call the Maze Procedure for atrial fibrillation. Other miniaturized surgical procedures using an endocardial approach, the so-called minithoracotomies and so forth, are also available. Those are all available here at El Camino Hospital, from the simplest to the most complex type of ablation to device implantation.
Surgery can also be done to treat cardiac arrhythmia but because catheter ablation, meaning the non-surgical type of cure, is so advanced and so much better tolerated by the patient, surgery is rarely done as the only treatment for arrhythmias. It's usually a combination of replacing the valve, doing bypass surgery, or another type of cardiac surgery whereby the arrhythmia therapy is added on.
The most common surgical therapy for arrhythmia is the Maze Procedure for atrial fibrillation. Other surgical procedures are also available for the treatment of atrial fibrillation that are less invasive. This are called minimally invasive surgery.
El Camino Hospital is very strategically located. It's very advanced and has very comprehensive programs for the treatment of all types of arrhythmias. Being in the Bay area, it is also quite advanced. In fact, it's the most technologically advanced hospital in the world.
For that reason, all services are just as technologically advanced. It is very well-staffed. The outcome is excellent at El Camino Hospital. The success rate for arrhythmia procedures is excellent and the success rate for implant devices is outstanding. In my opinion, it is one of the best places to go for the treatment of your arrhythmia
The class of drugs that Levitra, Viagra, Stendra, and Cialis belong to are called PDE5 inhibitors. They work by relaxing tight blood vessels, allowing more blood to surge into the penis and cause an erection, says Gregory Bales, M.D., an associate professor of urology at the University of Chicago.
The little pills do the trick for more than two-thirds of men with Viagra protects the heart (ED). They also work for guys who simply need them for a short time to get their “confidence back,” says Michael Eisenberg, M.D., director of male reproductive medicine and surgery at Stanford University.