Team Approach | Arrhythmia Symptoms | Treatment Options | Lead Management
Irregular heartbeat. Skipped beats. A fluttering heart. When it comes to the beating and rhythm of your heart, it’s important that the heart’s electrical system functions properly. Arrhythmia conditions can be both harmless and life-threatening, which is why a proper diagnosis and personalized treatment plan, is necessary.
At NorthShore Cardiovascular Institute, our Heart Rhythm Program is comprised of a multidisciplinary team of cardiovascular specialists that focus on a wide range of heart rhythm disorders and abnormalities.
Our teams of electrophysiologists have expertise in identifying, diagnosing and treating abnormal heart rhythms that are caused by rapid beating (tachycardia), slow beating (bradycardia) or other heart rhythm disorders including:
Unparalleled Expertise, Team Approach
At NorthShore Cardiovascular Institute, we offer a fully integrated, multidisciplinary approach to treat Afib and other arrhythmia conditions. Our cardiovascular experts understand the complexities involved in caring for patients with arrhythmias and approach their care with collaboration in mind.
Highly collaborative care is essential in treating patients with arrhythmia conditions as many arrhythmias are often the result of other cardiac conditions, such as valvular disease, heart attack and heart failure, and can put patients at an increased risk of stroke and other heart issues. Our electrophysiology experts understand the importance of working as a team to the best treat and care for patients with arrhythmias.
Our cardiovascular specialists have decades of experience managing and treating arrhythmias utilizing medical therapies, implantable devices, ablation and complex surgical procedures. From more traditional cases to those that require complex surgical procedures, our team offers our patients customized care from the moment of diagnosis, through treatment and into recovery.
Common Heart Rhythm Symptoms
The symptoms associated with an arrhythmia will vary based on the specific diagnosis. Some of the most common symptoms associated with heart rhythm disorders, include:
- Palpitations of the heart
- Awareness of heart beating and/or chest discomfort
- Shortness of breath
- Syncope (or momentary passing out)
- Cardiac arrest
Depending on the arrhythmia condition and other health concerns, symptoms may not be easily identified or even noticed. If you suspect you may have an arrhythmia or if you have a family history of heart rhythm disorders, it should be taken seriously and appropriately treated by a cardiovascular expert.
At the NorthShore Cardiovascular Institute, our experts have access to the most advanced treatments for cardiac arrhythmias. Through an integrated, team approach—consisting of cardiologists, electrophysiologists and cardiovascular surgeons—we are able to determine the best treatment option for a patient based on his or her specific arrhythmia condition and needs. We understand that treatment is ongoing and offer comprehensive follow-up care to ensure the best outcome.
The recommended course of action for treatment will vary based on the patient and his or her unique condition. Arrhythmia treatment options available include:
- Medical Therapies—Medical therapy is often considered the first line of treatment for patients with arrhythmias. There are a wide variety of different medical therapies available to treat arrhythmias. Depending on your unique case and medical history, your cardiologist will recommend the best, most effective option for you to manage your symptoms. Common medical therapies may include anti-arrhythmic , anticoagulant and beta-blocker drugs.
- Cardiac Devices—When a patient benefits from having their heart continuously monitored, your cardiovascular team may recommend implanting a device. The type of device used will be determined based on your condition and other medical factors. Devices commonly used for arrhythmia treatment include:
- Implantable Cardiac-defibrillator (ICD) – This device monitors heart rate and helps normalize heart rhythms when it senses any abnormalities by delivering an electrical shock. It can be used to correct irregular, fast and slow heart beats.
- Cardiac pacemaker – A pacemaker helps control abnormal heart beats by electrically stimulating the heart when it is either beating too slowly or not beating.
- Implantable Loop monitor – This device records your heart’s electrical activity and can help both a patient and his or her cardiac care team better understand the cause of abnormal heart beats. It can also help determine the effectiveness of medication, ICD and pacemaker.
- Cardiac resynchronization therapy (CRT) – Used to improve heart rhythm and blood flow in patients with heart failure, this device may help alleviate symptoms.
- Ablation – This minimally-invasive technique, often called catheter ablation, involves inserting a small catheter either in through the groin or vein to reach the heart to repair structural or functional heart problems in order to eliminate or improve arrhythmias. This technique is highly effective at destroying any tissue or potential heart scarring that may cause irregular heart rhythms.
Complex ventricular tachycardia (VT) ablation may be considered in patients with VT that can no longer be effectively managed with medication and already have a defibrillator device to target and correct the life threatening arrhythmia. This procedure also helps prevent recurrent shocks from a defibrillator, which can be especially beneficial to VT patients that require frequent shocks.
Lead Management / Lead Extraction
Our cardiovascular team also has expertise in managing the care of patients with implanted defibrillators and pacemakers. Over time defibrillators and pacemakers may require repair or removal due to device failure or infection. Extraction of an ICD lead (wire) requires collaborative care and clinical expertise only available at specialized centers. At NorthShore, we take a multidisciplinary approach when it comes to lead management and extraction.
Depending on the unique patient case, our team will determine the best course of action to address a lead—either requiring ongoing management or removal. To ensure the highest level of patient safety, we employ a hybrid model for extraction surgery. Through this hybrid model, multiple cardiovascular specialists—including electrophysiologists and cardiac surgeons—are involved in the surgery and can in real-time coordinate and customize care as needed.
Our Heart Rhythm Program at NorthShore puts the patient at the center of care. Through our highly integrated, multidisciplinary approach, we offer some of the most comprehensive, leading edge treatment options available for patients with arrhythmia conditions. To schedule an appointment with one of our electrophysiology specialists, please call 847.86.HEART.