{"id":1138433,"date":"2023-11-30T12:25:05","date_gmt":"2023-11-30T17:25:05","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?post_type=service&#038;p=1138433"},"modified":"2023-11-30T12:28:20","modified_gmt":"2023-11-30T17:28:20","slug":"ventricular-arrhythmias","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/services\/ventricular-arrhythmias\/","title":{"rendered":"Ventricular Arrhythmias"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Ventricular arrhythmias (ven-TRI-kyuh-lar uh-RITH-mee-uhs) are problems with the electrical signals in your heart. These conditions make your heart beat too fast or cause the heart\u2019s rhythm to become out of sync. Arrhythmia means a change in the heart\u2019s rhythm or force.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A healthy heart at rest beats at a steady rhythm of 60 to 100 times per minute. Ventricular arrhythmias cause problems with the heart\u2019s electrical system, leading it to beat too fast, or sometimes, chaotically.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your heart has four rooms, or chambers. The lower two chambers are called ventricles (VEN-tri-kulls). When an arrhythmia occurs in the ventricles, the heart has a hard time pumping enough blood to the body.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Left untreated, some types of ventricular arrhythmias may lead to fainting, dizziness, lightheadedness, a loss of consciousness and sudden cardiac arrest or death.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are several types of ventricular arrhythmias, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Premature ventricular contractions<\/li><li>Ventricular tachycardia<\/li><li>Ventricular fibrillation<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-types-of-ventricular-arrhythmias\">Types of Ventricular Arrhythmias<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Arrhythmias are caused when the electrical signals in the heart don\u2019t fire as they should. If the heart does not squeeze and release in a certain way at a certain time, blood can\u2019t move through the body. This can cause symptoms such as lightheadedness, dizziness, shortness of breath and fatigue. There are different types of arrhythmias, depending on where the arrhythmia starts from and how the muscles move. Ventricular arrhythmias only affect the lower two chambers of your heart.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Premature ventricular contractions<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Premature ventricular contractions (PVC) are extra heartbeats that start in the ventricles. It may feel as if your heart has skipped a beat and then beats very hard for one or two beats. This feeling is caused by an electrical impulse sent too soon to the heart\u2019s ventricles, so that extra beat occurs before a normal heartbeat would.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After a PVC, blood begins to fill the ventricle. The additional amount of blood in the heart gives the next beat extra force, making it feel stronger. Symptoms include heart palpitations that feel like a fluttering or flip-flopping in the chest.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This arrhythmia is not dangerous in healthy people because it usually doesn\u2019t affect the heart. But in people with heart problems, such as a heart valve disease, or those who have had a heart attack, PVC can trigger more dangerous arrhythmias. These can include <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/services\/ventricular-tachycardia\/\">ventricular tachycardia<\/a> or ventricular fibrillation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Premature ventricular contractions can be caused by:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Alcohol intake<\/li><li>Stimulants such as caffeine or pseudoephedrine, which can make the heart beat faster<\/li><li>Emotional or physical stress<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ventricular tachycardia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ventricular tachycardia (VT) is when your heart beats very fast \u2013 more than 100 beats per minute. A healthy heart rate is about 60 to 100 beats a minute while you are at rest.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During VT, the chambers can\u2019t fill up with enough blood. When the heart muscle squeezes and pushes out what little blood there is. This means the body isn\u2019t getting enough oxygen, which leads to very serious problems. VT requires immediate medical attention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Causes of ventricular tachycardia:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>A previous heart attack, which can create scar tissue that interferes with the heart\u2019s electrical signals<\/li><li>Cardiomyopathy (car-dee-oh-mahy-AH-puh-thee), a condition in which the heart enlarges, thickens or stiffens, reducing its ability to pump blood to the body<\/li><li>Idiopathic (id-ee-oh-PATH-ik) ventricular tachycardia, which is an electrical disorder that can occur in patients who do not have heart disease<\/li><li>Using recreational drugs such as cocaine, which is a stimulant<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms of ventricular tachycardia:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Heart palpitations (pal-pit-TAY-shunz), which is when you feel like your heart is beating too fast or too hard, fluttering or skipping beats<\/li><li>Chest pain<\/li><li>Lightheadedness or dizziness<\/li><li>Shortness of breath<\/li><li>Fainting or passing out<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Treatment for ventricular tachycardia<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Some types of VT require an implantable cardioverter-defibrillator, which checks your heart rhythms and sends an electrical signal to bring your heart back into a normal rhythm as needed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Your health care provider may recommend you have a <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/treatments\/ventricular-tachycardia-ablation\/\">ventricular catheter ablation<\/a>. This is a minimally invasive procedure that uses hot or cold energy to scar the part of the heart that causes the misfiring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; There are also some medications that might help correct your arrhythmia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ventricular fibrillation<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ventricular fibrillation is a life-threatening condition. The heart\u2019s electrical signals become irregular. The ventricles then quiver, rather than squeezing and releasing. Blood gets trapped in the heart and cannot circulate to the body. Left untreated, VT can lead to sudden cardiac arrest, and in severe cases, death.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A heart attack is the most common cause of VT. Other causes of ventricular tachycardia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Heart surgery \u2013 VT can occur during some kinds of heart surgery<\/li><li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/services\/cardiomyopathy\/\">Cardiomyopathy<\/a><\/li><li>Genetic heart rhythm disorder, such as <a href=\"https:\/\/www.nhlbi.nih.gov\/health\/long-qt-syndrome#:~:text=Long%20QT%20syndrome%20(LQTS)%20is,records%20your%20heart's%20electrical%20activity.\">long QT syndrome<\/a> or <a href=\"https:\/\/rarediseases.info.nih.gov\/diseases\/1030\/brugada-syndrome\">Brugada syndrome<\/a><\/li><li>Recreational drug use, including cocaine<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms of ventricular tachycardia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Heart palpitations<\/li><li>Chest pain<\/li><li>Lightheadedness or dizziness<\/li><li>Nausea<\/li><li>Shortness of breath<\/li><li>Fainting or loss of consciousness<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Survival is possible with immediate treatment, using either an automated external defibrillator (AED) found in public places or a defibrillator in an emergency department.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-causes-and-risk-factors\">Causes and Risk Factors<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Besides some of the causes listed above, ventricular arrhythmias can also be caused or affected by:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Coronary artery disease, other heart problems and previous heart surgery.<\/strong>&nbsp;Narrowed heart arteries, a heart attack, enlarged or smaller than average heart valves, prior heart surgery, heart failure, cardiomyopathy and other heart damage are risk factors for almost any kind of arrhythmia.<\/li><li><strong>High blood pressure.<\/strong>&nbsp;This condition increases the risk of developing coronary artery disease. It may also cause the walls of the left lower heart chamber (left ventricle) to become stiff and thick, which can change how electrical signals travel through the heart.<\/li><li><strong>Congenital (cuhn-JEN-it-all) heart disease.<\/strong>&nbsp;Being born with a heart condition may affect the heart\u2019s rhythm.<\/li><li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/endocrinology-diabetes\/services\/\"><strong>Thyroid disease<\/strong><\/a><strong>.<\/strong>&nbsp;Having an overactive or underactive thyroid gland can raise the risk of irregular heartbeats.<\/li><li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/sleep-medicine\/services\/sleep-apnea\/#:~:text=It%20is%20a%20sleep%20disorder,pressure%2C%20heart%20attack%20or%20stroke.\"><strong>Obstructive sleep apnea<\/strong><\/a><strong>.<\/strong>&nbsp;This condition causes pauses in breathing during sleep. It can lead to a slow heartbeat (bradycardia) and irregular heartbeats, including atrial fibrillation.<\/li><li><strong>Electrolyte imbalance.<\/strong>&nbsp;Substances in the blood called electrolytes \u2014 such as potassium, sodium, calcium and magnesium \u2014 help the heart send electrical impulses. An imbalance in electrolytes \u2014 for example, if they are too low or too high \u2014 can interfere with heart signaling and lead to irregular heartbeats.<\/li><li><strong>Certain drugs or medicines.<\/strong>&nbsp;Some prescription drugs and certain over-the-counter cough and cold medications can cause arrhythmias.<\/li><li><strong>Excessive alcohol.<\/strong>&nbsp;Drinking too much alcohol can affect the electrical impulses in your heart and can increase the chance of developing an arrhythmia.<\/li><li><strong>Caffeine, nicotine or illegal drug use.<\/strong>&nbsp;Stimulants can cause your heart to beat faster and may lead to the development of a more serious arrhythmia. Illegal drugs, such as amphetamines and cocaine, may greatly affect the heart and cause many types of arrhythmias or sudden death due to ventricular fibrillation.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnosis-of-ventricular-arrhythmias\">Diagnosis of Ventricular Arrhythmias<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you have symptoms of ventricular tachycardia, your health care provider will start with a physical examination and ask questions about your symptoms, your family and personal medical history, and your lifestyle habits such as diet and exercise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tests<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have signs or symptoms of tachycardia, tests can be done to evaluate the heart and help confirm the diagnosis. Tests can also help determine if another health problem is contributing to ventricular tachycardia. There are many types of test your physician may order.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Electrocardiogram (EKG)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An electrocardiogram (e-LEK-troh-CAR-dee-oh-gram) is the most common test used to diagnose tachycardia. This painless exam detects and records the heart\u2019s electrical activity using small sensors on to the chest and arms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An&nbsp;EKG&nbsp;records the timing and strength of electrical signals as they travel through the heart. Patterns in the signals help physicians see where the problem might be coming from.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are also many types of <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/electrophysiology\/heart-device-monitoring\/\">portable heart rhythm machines<\/a> you can use at home to get more information about your heart rate. These devices include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Holter monitor<\/strong> This is worn for a day or more to record your heart rate during daily activities. It may be recommended if a traditional&nbsp;EKG&nbsp;doesn\u2019t give your care provider enough information about your heart\u2019s condition.<\/li><li><strong>Event monitor <\/strong>This can be worn for up to 30 days or until you have an irregular heart rhythm (arrhythmia) or symptoms. You typically press a button when symptoms occur. However, some monitors automatically sense arrhythmias and then start recording.<\/li><li><strong>Implantable loop recorder<\/strong>&nbsp;This implantable device has no wires and can sit underneath the skin for up to three years to continuously monitor the heart rhythm.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Heart (cardiac) imaging<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Chest X-ray<\/strong>&nbsp;can show the condition of the heart and lungs and can help diagnose an enlarged heart.<\/li><li><strong>Echocardiogram<\/strong>&nbsp;uses sound waves to create a picture of the heart in motion. It can identify areas of poor blood flow and heart valve problems.<\/li><li><strong>MRI<\/strong>&nbsp;provides still or moving pictures of how blood flows through the heart.<\/li><li><strong>CT scan<\/strong>&nbsp;combines several X\u2011ray images to provide a more detailed cross-sectional view of the heart.<\/li><li><strong>Coronary angiogram<\/strong>&nbsp;is a test that checks for blockages in the heart\u2019s arteries. It uses a contrast dye and special X-rays to show the inside of the arteries around the heart.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-treatment-for-ventricular-arrhythmias\">Treatment for Ventricular Arrhythmias<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Like many other things in life, ventricular fibrillation will affect you differently than it affects someone else. It\u2019s important that you see your own health care team to get a personalized treatment plan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are many kinds of treatment for ventricular arrythmia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ventricular fibrillation that lasts longer than 30 seconds usually requires urgent medical treatment, as this condition may sometimes lead to sudden cardiac death. If you or a loved one is experiencing an abnormal heartbeat for longer than 30 seconds, seek immediate care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Since VT is a condition based on abnormal heartbeats, the goal of treatment is to slow a fast heartbeat and to stop episodes from happening. This can be done with medications, lifestyle modifications and surgical procedures. Or it may be done by figuring out if there is an underlying condition causing the arrhythmia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">VT can be treated with medication, but there are some reasons why a ventricular ablation is right for you. You will talk to an <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/electrophysiology\/\">electrophysiologist<\/a> (eh-LEK-troh-fi-zee-AHLL-uh-just), who has an expertise in understanding your heart\u2019s electrical signals. Before recommending ablation, the physician will check:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your VT cannot be treated well with medication<\/li><li>How well medication works for you<\/li><li>If you have or have had heart failure<\/li><li>If you have reduced ejection fraction (low EF), which is the amount of blood the lower left chamber (ventricle) of your heart pushes out with each heartbeat<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Your physician will also take into consideration your age.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have a device that sends electrical signals to your heart to get it to beat correctly, called an implantable cardioverter-defibrillator, ablation can reduce the number of times this device needs to send signals to your heart to get it to beat correctly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The ablation procedure typically has a higher success rate than medication alone, which means there is less risk of symptoms returning. There is a low risk of complications with this procedure, as well as a quick recovery time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment for ventricular tachycardia involves managing any diseases that causes the condition, as well as the symptoms of VT. Common treatments for ventricular tachycardia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Radiofrequency&nbsp;catheter ablation&nbsp;(RCA)<\/strong>: After locating the point where an irregular rhythm starts in the heart, your health care provider will destroy tissue in that area with an electrical current.<\/li><li><strong>Implantable cardioverter-defibrillator&nbsp;(ICD)<\/strong>: This small machine monitors and controls your heart\u2019s rhythm. A battery is inserted below the collarbone, usually on the left side just underneath the skin. It is connected to leads, which are passed through the blood vessel to the heart.&nbsp;The ICD monitors and controls your heart\u2019s rhythm. If it detects an episode of ventricular tachycardia, it quickly sends an electrical signal to get your heart back to a normal rhythm.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Medications<\/strong>: These can slow heart rate and may help your heart to maintain a safe rhythm. Your health care provider can help you understand the pros and cons of medications. Sometimes medicines called anti-arrhythmics can help with irregular abnormal heart rates. Your physician may also prescribe calcium channel blockers or beta blockers. These improve your heart\u2019s ability to relax, pump blood and maintain a normal heart rate. Examples of beta blockers are carvedilol (Coreg) and metoprolol succinate (Toprol-XL).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cardioversion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This medical procedure is generally used when emergency care is needed for a rapid heart rate, such as that seen with sustained ventricular tachycardia. Cardioversion sends electrical signals to the heart through sensors (electrodes) placed on the chest. This affects the heart\u2019s electrical signals and restores a regular heartbeat. It\u2019s also possible to do cardioversion with medications.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When appropriate, a shock can also be delivered to the heart using an automated external defibrillator (AED).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-preventing-ventricular-arrhythmia\">Preventing Ventricular Arrhythmia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">As we know, everyone is affected differently by their ventricular arrhythmia. Most of the time, the best thing you can do is take your medication as instructed and see your provider regularly. You should also pay attention to your symptoms and report any changes to your provider, especially if symptoms suddenly change or get worse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are a few lifestyle habits that can help reduce the number and severity of an episode, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Limit alcohol and caffeine. Caffeine can increase heart rate and alcohol can cause electrolyte imbalances, which may make you more likely to have an abnormal heart rhythm.<\/li><li>Avoid using recreational drugs like cocaine and methamphetamine. These are stimulants which make your heart beat faster and harder.<\/li><li>Avoid certain over-the-counter medicines that contain pseudoephedrine, which is a stimulant.<\/li><li>While it\u2019s important to exercise, limit any strenuous or extreme physical activity. Discuss which types of exercise are safe with your provider.<\/li><li>Manage any underlying conditions such as diabetes, heart disease, hyperthyroidism and other diseases can help reduce episodes of arrhythmia.<\/li><li>Avoid any form of tobacco use \u2013 including smokeless tobacco products.<\/li><li>Maintain a healthy weight and eating a heart-healthy diet can also reduce the number of episodes you might have.<\/li><li>Manage your mental health. Stress and anxiety can cause physical problems.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-living-with-ventricular-arrhythmia\">Living With Ventricular Arrhythmia<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The outlook is good for people who get an early diagnosis and prompt treatment, and who follow the health care provider\u2019s recommendations. You should also:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Take all&nbsp;medicines&nbsp;exactly as prescribed.<\/li><li>Never stop taking any prescription medication without consulting your health care professional.<\/li><li>Tell your health care professional about any side effects you have.<\/li><li>Tell your health care professional about all your other drugs and supplements, including over-the-counter medications and vitamins.&nbsp;<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Follow your treatment plan, ask your provider when you have questions and make the lifestyle changes you need to stay healthy. Tell your family and friends about your treatment plan. Often, people with ventricular arrythmias don\u2019t look sick, and others can assume you\u2019re healthy. Educate them on your condition and ask for support. The experts at the <a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/electrophysiology\/\">Norton Healthcare Heart Rhythm Center<\/a> can help you do all this and more.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"card card-callout    \">\n\t<div class=\"card-body\">\n\t\t\n\n<h2 class=\"wp-block-heading\" id=\"h-about-norton-heart-amp-vascular-institute\">About Norton Heart &amp; Vascular Institute<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Norton Heart &amp; Vascular Institute offers advanced care at all of our adult-service hospitals to save hearts and lives.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-awards-and-accreditations\">Awards and Accreditations<\/h2>\n\n\n<div class=\"wp-bootstrap-blocks-row row my-5 justify-content-center align-items-center\">\n\t\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"211\" src=\"https:\/\/nortonadultstg.wpenginepowered.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center.png\" alt=\"\" class=\"wp-image-978421\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center.png 150w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Chest-Pain-Center-107x150.png 107w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"157\" height=\"211\" src=\"https:\/\/nortonadultstg.wpenginepowered.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab.png\" alt=\"\" class=\"wp-image-978420\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab.png 157w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/Seal-Heart-ACOC-Cath-Lab-112x150.png 112w\" sizes=\"auto, (max-width: 157px) 100vw, 157px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"211\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25.png?wsr\" alt=\"\" class=\"wp-image-1160383\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25.png 211w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/nde_25-150x150.png 150w\" sizes=\"auto, (max-width: 211px) 100vw, 211px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1.png\" alt=\"\" class=\"wp-image-1163192\" style=\"width:170px\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1.png 150w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/gold-plus-badge-150x211-1-107x150.png 107w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"162\" height=\"211\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl.png?wsr\" alt=\"\" class=\"wp-image-1160384\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl.png 162w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2019\/04\/dnv-gl-115x150.png 115w\" sizes=\"auto, (max-width: 162px) 100vw, 162px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"237\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26.png\" alt=\"\" class=\"wp-image-1169656\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-copd-badge-2025-26-150x142.png 150w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"262\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169668\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-heart-bypass-badge-2025-26-143x150.png 143w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n\n\n<div class=\"col-6 col-lg-2\">\n\t\t\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"250\" height=\"260\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26.png?wsr\" alt=\"\" class=\"wp-image-1169669\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26.png 250w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/2022\/05\/usnwr-pacemaker-badge-2025-26-144x150.png 144w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><\/figure>\n<\/div>\n\t<\/div>\n\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Five of Norton Healthcare\u2019s&nbsp;<a href=\"https:\/\/nortonadultstg.wpenginepowered.com\/location\/?type=570\">adult-service hospitals<\/a>&nbsp;in Louisville have received Chest Pain Center accreditation from the American College of Cardiology (ACC).<\/li>\n\n\n\n<li>Norton Audubon Hospital has been named a&nbsp;<a href=\"https:\/\/nortonadultstg.wpenginepowered.com\/news\/best-cardiology-hospitals\">HeartCare Center National Distinction of Excellence<\/a>&nbsp;year after year by the American College of Cardiology. This is the only hospital in Louisville to be recognized for this distinction.<\/li>\n\n\n\n<li>Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all are recognized as having ACC Chest Pain Center with Primary PCI accreditation.<\/li>\n\n\n\n<li>Norton Audubon Hospital earned ventricular assist device accreditation from DNV and the Centers for Medicare &amp; Medicaid Services.<\/li>\n\n\n\n<li>Three of Norton Healthcare\u2019s adult-service hospitals have received the American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital.\n<ul class=\"wp-block-list\">\n<li>Norton Audubon Hospital received Gold Plus<\/li>\n\n\n\n<li>Norton Brownsboro Hospital received Gold Plus<\/li>\n\n\n\n<li>Norton Hospital received Silver Plus<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-leading-the-region-in-advanced-care\"><strong>Leading the Region in Advanced Care<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Norton Healthcare is recognized by U.S. News &amp; World Report on its \u201cBest Hospitals\u201d list as No. 1 in the Louisville area, with \u201chigh performing\u201d ratings in chronic obstructive pulmonary disease (COPD), heart bypass surgery and pacemaker implantation through Norton Heart &amp; Vascular Institute.<\/li>\n\n\n\n<li>First in Louisville to implant a dual-chamber leadless pacemaker<\/li>\n\n\n\n<li>First in Louisville to use PASCAL and MitraClip to\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/treatments\/mitral-valve-repair\/\">replace and repair heart valves<\/a><\/li>\n\n\n\n<li>First health care system in Louisville to offer CathWorks FFRangio System in a minimally invasive procedure used to treat clogged arteries and advance heart disease<\/li>\n\n\n\n<li>Highest survival rate in the nation for\u00a0<a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/heart-failure\/\">extracorporeal membrane oxygenation (ECMO) interventions<\/a>\u00a0for treating heart failure<\/li>\n\n\n\n<li>Among the highest survival rates in the nation for treatment of cardiogenic shock in heart failure<\/li>\n\n\n\n<li>Over 100 transcarotid artery revascularization (TCAR) procedures performed for heart disease patients<\/li>\n\n\n\n<li>System with the most facilities across the city of Louisville with the ability treat a life-threatening heart attack<\/li>\n\n\n\n<li>More than 100 board-certified physicians and advanced practice providers with specialized heart and vascular training and experience at nearly 30 locations in Louisville and Southern Indiana<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-comprehensive-heart-care-for-the-whole-person\">Comprehensive Heart Care for the Whole Person<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\">Norton Heart &amp; Vascular Institute offers patient resources<\/a>&nbsp;to support you and your family, including free classes for people of all ages who want to improve cardiovascular health or are living with a heart condition.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/programs\/cardiac-rehab\">Cardiac rehabilitation<\/a>: Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\/connecting-hearts-support-group\">Connecting Hearts for Support group<\/a>: The group provides education and support to individuals who have had a heart attack, are living with a heart condition or are at risk for cardiovascular disease.<\/li>\n\n\n\n<li><a href=\"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/patient-resources\/screenings\">Heart health screenings<\/a>: Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.<\/li>\n<\/ul>\n\n\n\t<\/div>\n<\/div>","protected":false},"featured_media":1138435,"parent":276,"menu_order":9,"template":"","class_list":["post-1138433","service","type-service","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What are different types of ventricular arrhythmias? 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