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Ventricular Arrhythmia

The heart has its own electrical system to regulate the heartbeat. An abnormal change in the rate or pattern of the heartbeat is called an arrhythmia. It can cause the heart to move blood less efficiently. Four chambers hold blood as it moves through the heart. The 2 lower chambers of the heart are called ventricles. Problems with the signals in the heart can make the ventricles beat faster than normal.

Cross section of heart showing ventricular tachycardia.

Ventricular tachycardia (VT)

Rapid electrical from the ventricles can result in a fast heart rhythm called ventricular tachycardia or VT.

  • With VT, abnormal electrical pathways or circuits form in the ventricles. This can be caused by any disease that damages the heart muscle. It's most commonly seen as a result of a heart attack or coronary artery disease.

  • Electrical signals enter the abnormal circuit and loop around. With each loop, the signal tells the ventricles to contract. This makes the heart beat very fast. The heart may be beating too fast to pump blood. This can cause you to pass out. It can also cause cardiac arrest, leading to sudden death. 

  • In some cases, VT develops into ventricular fibrillation. This is the most serious type of arrhythmia as it is fatal if not promptly treated.

Cross section of heart showing ventricular fibrillation.

Ventricular fibrillation (VF)

At times, electrical signals may be sent so fast and unevenly that the heart muscle quivers and doesn’t beat at all. This is called fibrillation:

  • VF can occur if the ventricles contain several abnormal circuits, or if the heart muscle is acutely injured such as from a heart attack, and becomes electrically unstable.

  • Signals caught in the circuits make the ventricles beat very quickly and unevenly. This keeps the heart muscle from pumping properly.

  • The heart can get to the point that it can’t pump at all. This is called cardiac arrest. Death will occur if emergency treatment isn’t given to return the heart rhythm to normal.

 

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