How is rhythm disorder diagnosed?

When rhythm disorders are mentioned, it is understood that the rhythm of the heart’s ticking work is disrupted. The complaint that occurs in this case is mostly palpitations. Like electricity passing from somewhere; When there is electricity, you feel the electricity, in other words, you are shocked, but after the electricity is cut off, there may be no trace. Palpitation is one such case. You can diagnose a rhythm disorder during palpitations, but diagnosis may be difficult once the palpitation has passed. In these cases, the first and perhaps the most valuable diagnostic method that we heart doctors want is to apply to a health institution and have an EKG (heart electrode) taken during palpitations. It is easy to want but difficult to achieve. Because it is not always possible to have an EKG taken during short-term palpitations. But if it can be done, it gives a lot of information in terms of diagnosis. EKG is a very simple method that can be performed anywhere. By looking at the ECG taken during palpitations, we can easily understand whether there is a rhythm disorder and what type it is.

What to do if EKG cannot be taken?

At this stage, we activate other diagnostic tools at our disposal. One of them is Holter devices that record 24-48 hours ECG. The Holter device is a device that connects to the body with cables the size of a large phone. After the device is connected, the patient returns to his daily life. The device records the person’s heartbeat as long as it remains connected. To detect if a rhythm disturbance occurs while the device is plugged in

What to do if there is no flutter when the device is plugged in?

Unfortunately, it is not easy to diagnose with this type of device, since palpitations may occur 1-2 times a month in a very significant part of the patients. In this case, our other option is to diagnose with electrophysiological study (EPS), which is an interventional procedure. Although this procedure is short, it is a method that involves hospitalization and placing special wires called electrode catheters into the heart using peripheral vascular access (mostly veins in the groin). It is tried to create palpitation of the patient under special laboratory conditions. If the patient has a rhythm disorder, it is possible to reveal it during the procedure. Moreover, it is possible to eliminate such a rhythm disorder with a procedure called “catheter ablation”, which is a continuation of the same procedure. So both diagnosis and treatment can be done at the same time.

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