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In most cases there is an 
  extra electrical circuit in the 
  heart.
  This allows the hearts electrical 
  impulse to go from the top to the 
  bottom of the heart and then turn 
  around and go back from the bottom to 
  the top of the heart. Normally the 
  impulse can only go from the top to 
  the bottom of the heart. 
  Following this a new heartbeat starts 
  at the top of the heart (from the hearts 
  own pacemaker or sinus node) and 
  travel through a junction in the middle 
  of the heart (AV node) and continue to 
  the hearts two lower chambers. 
  Following an electrical impulse which 
  takes milliseconds, the heart muscle 
  responds and pumps blood (a 
  heartbeat).
 
 
  
Sometimes there is an extra 
  electrical circuit in the 
  middle of the heart (AV node) 
  This allows an impulse to spread from 
  the middle of the heart to the upper 
  and lower chambers simultaneously. 
  This is the most common type of 
  regular rapid heart rate that we see.
  On the other hand, some arrhythmias 
  are common, so-called benign 
  arrhythmias, and aren't associated with 
  health problems. These often require 
  investigation with an ultrasound of the 
  heart (echocardiogram) to make sure 
  that the heart muscle and valves are 
  working normally.
 
 
  
In the past, the only 
  treatments for abnormally 
  fast heart rhythms, known as 
  tachycardias, was 
  medication or, in extreme 
  cases, open heart surgery.
  Today, radiofrequency catheter 
  ablation is widely used to cauterise the 
  abnormal electrical pathway that 
  causes the condition. The procedure 
  delivers a pinpoint of heat inside the 
  heart. Another procedure, called 
  cryoablation, destroys the abnormal 
  cells or electrical pathway by freezing.
 
 
  
Arrhythmias
  An arrhythmia is an abnormal heart rhythm created by a disturbance in the heart's electrical system. During an arrhythmia, the heart 
  may beat too fast, too slow or in an irregular pattern. In most arrhythmias the heart beats rapidly for seconds, minutes or rarely hours 
  at a time
 
 
 
  
 
 
  
 
 
  
 
 
 
  Normal Heart beat (50 - 100)
 
 
  Bradycardia (<60 beats per min)
 
 
  Tachycardia (>100 beats per min)
 
 
 
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  Tel: +353 (0) 91720170                         brendan.ocochlain@galwayclinic.com