PMID: 6991112Jan 1, 1980Paper

An approach to the management of outpatients with cardiac arrhythmias

Cardiovascular Clinics
J D Maloney

Abstract

A working knowledge of the anatomic and electrophysiologic concepts of the specialized conducting system of the heart combined with an understanding of the hemodynamic consequences of rhythm disorders provides the framework from which the office-based physician can logically approach management of patients with cardiac arrhythmias. The approach includes initial identification of the rhythm disturbance followed by classification on the basis of anatomic site of origin, electrophysiologic mechanism, and rate. The need for therapy is dependent on the presence of unacceptable symptoms and the potential for significant morbidity and mortality. Since intervention has the potential for harm as well as benefit, therapeutic goals should be predefined and then reevaluated so that the decision regarding continuation of specific modes of therapy can be justified. Electrocardiographic recording techniques and other scientific advances have provided the office-based physician with the diagnostic and therapeutic tools that were previously limited to in-hospital practice. There is promise of continued rapid advancement in defining the frequency, significance, mechanism, and appropriate therapy for clinical disorders of the heart beat.

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.