Heart Arrhythmia Treatment in Singapore

What Are the Different Types of Arrhythmia?

Arrhythmia may be classified into different types based on whether they cause slow, fast, or irregular heart rate or the heart's affected part.

• Tachycardia – This refers to a fast heartbeat, with a heart rate faster than 100 beats per minute.
• Bradycardia – This is a slow heartbeat where the resting heart rate is slower than 60 beats per minute.
• Premature Heartbeat – Sometimes referred to as extra heartbeat, this occurs when the signal to beat comes too early, causing a pause followed by a stronger beat as the heart returns to its regular rhythm.
• Supraventricular Arrhythmias – These arrhythmias arise in the upper chambers of the heart, called the atria. This can manifest in several forms:
  • Atrial Fibrillation – This is the most common type. Here, the atria quiver irregularly instead of contracting effectively. This can lead to a rapid and irregular heart rate.
  • Atrial Flutter – A similar condition to atrial fibrillation, atrial flutter involves rapid, but more organised, electrical impulses in the atria. It can sometimes progress to atrial fibrillation.
  • Supraventricular Tachycardia – This is characterised by a very fast heart rate originating above the ventricles. SVT episodes can come and go suddenly.
• Ventricular Arrhythmias – These arrhythmias take root in the heart's lower chambers, the ventricles. Common types include:
  • Ventricular Tachycardia – This involves a rapid heartbeat originating in the ventricles. Ventricular tachycardia does not always cause problems, especially for those with healthy hearts. However, it may last longer for individuals with heart problems, leading to ventricular fibrillation.
  • Ventricular Fibrillation – This is a chaotic electrical activity in the ventricles, causing the ventricles to quiver instead of pumping blood effectively. This is a medical emergency, as it can rapidly lead to cardiac arrest.

How Is Arrhythmia Diagnosed?

Arrhythmia diagnosis may involve a medical history review, physical examination and ECG. Depending on the symptoms, we may recommend extended rhythm monitoring or imaging to assess your heart’s structure and function. Common diagnostic tests include:

Arrhythmia Treatment Options in Singapore

The most appropriate treatment for arrhythmia depends on the type of abnormal heart rhythm, the severity of symptoms, any underlying heart conditions, stroke risk and your overall health. Your cardiologist will recommend a personalised treatment plan based on these factors.

What is Recovery Like After Arrhythmia Treatment?

Recovery after arrhythmia treatment depends on the type of treatment received and the underlying heart condition. Many patients can resume their normal daily activities within a few days after minimally invasive procedures, while others may require a longer recovery period following device implantation or surgery.

Your cardiologist will provide personalised advice on returning to work, exercise and other activities. Regular follow-up appointments may also be recommended to monitor your heart rhythm, assess treatment effectiveness and adjust medications or implanted devices where necessary.

Potential Complications of Untreated Arrhythmia

Some arrhythmias are harmless and may not require treatment. However, persistent or untreated arrhythmias can reduce the heart's ability to pump blood effectively, increasing the risk of serious complications over time. These may include:

How to Prevent Arrhythmia

Adopting a heart-healthy lifestyle is helpful in managing or lowering the risk of arrhythmias.

• Diet and Exercise – A balanced diet with fruits, vegetables, whole grains, and lean proteins supports heart health. Additionally, foods rich in omega-3 fatty acids can also lower blood pressure and reduce inflammation. Regular physical activity helps control weight, strengthens the heart, and improves overall cardiovascular function.
• Stress Management – Chronic stress can contribute to heart problems. Incorporate relaxation techniques like meditation, yoga, or deep breathing into your routine.
• Limiting Stimulants – Excessive caffeine and alcohol consumption can affect heart rhythm.
• Practise Good Sleep Habits – Adequate sleep is vital for overall health, including heart health. Aim for 7-9 hours of quality sleep each night.

Visiting a Heart Specialist for Arrhythmia Treatment

Occasional changes in your heartbeat may not always indicate a serious condition. However, persistent, recurring or worsening symptoms should be assessed by a cardiologist, particularly if they are accompanied by chest pain, shortness of breath, dizziness or fainting.

You should also seek medical evaluation if you have underlying cardiovascular risk factors, such as coronary artery disease, heart failure, high blood pressure, diabetes or a family history of heart disease, as these may increase your risk of clinically significant arrhythmias.

At EH Heart Specialist, Senior Consultant Cardiologist & Internal Medicine Physician Dr Eric Hong provides comprehensive cardiac assessment, advanced diagnostic testing and personalised treatment plans to identify the underlying cause of your arrhythmia and recommend the most appropriate management.