Arrhythmia

Abnormal heart rhythms range from benign ectopic beats to life-threatening ventricular tachycardia and fibrillation. The Arrhythmia session provides a comprehensive framework for understanding how disturbances in impulse formation and conduction present across the spectrum of cardiovascular disease. Participants will review common and complex rhythm disorders, from supraventricular tachycardias and atrial fibrillation to inherited channelopathies and scar-related ventricular arrhythmias. Emphasis is placed on practical ECG interpretation, risk stratification, and stepwise diagnostic evaluation that can be applied in emergency, inpatient, and outpatient settings.

Clinicians worldwide frequently look for an cardiology conference to clarify when to reassure, when to monitor, and when to intervene aggressively. This session explores how to combine clinical history, ECG findings, ambulatory monitoring, and imaging to reveal the mechanism and significance of rhythm disturbances. Attendees will see how to tailor testing based on symptom burden, structural disease, and associated conditions such as syncope, heart failure, or ischemia. Case discussions will span situations from palpitations in young adults to recurrent syncope in older patients, illustrating how different patterns signal different degrees of risk.

Modern management requires a nuanced approach to cardiac rhythm disorders that integrates lifestyle modification, pharmacologic therapy, catheter ablation, and device-based strategies. Participants will examine indications for antiarrhythmic drugs, rate versus rhythm control decisions, and when to consider pacemakers, ICDs, or cardiac resynchronization therapy. The session highlights how comorbidities—thyroid disease, sleep apnea, cardiomyopathy, electrolyte abnormalities—shape the arrhythmia landscape and must be addressed to achieve durable control. Guidance is also provided on counseling patients about exercise, occupation, and driving restrictions where relevant.

The session concludes with a focus on systems of care: arrhythmia clinics, syncope units, and electrophysiology networks that streamline referral and follow-up. Attendees will explore how digital tools, remote monitoring, and wearable ECG devices can extend surveillance beyond the clinic and enable timely intervention. By connecting mechanism, risk, and treatment options in a coherent way, this session prepares clinicians to manage arrhythmias confidently across diverse patient populations.

Key Clinical Themes in Arrhythmia

Mechanisms of Rhythm Disturbance

  • Understanding abnormalities in impulse generation, automaticity, and re-entry that underlie different arrhythmias.
  • Recognizing how structural disease, ischemia, and genetics interact to create vulnerable substrates.

ECG Interpretation and Pattern Recognition

  • Developing a systematic approach to rate, rhythm, intervals, and morphology on surface ECG.
  • Distinguishing supraventricular from ventricular rhythms and identifying high-risk features.

Diagnostic Monitoring Strategies

  • Choosing between Holter, event recorders, patch monitors, and implantable loop recorders.
  • Aligning monitoring duration and intensity with symptom frequency and clinical risk.

Integrated Management Approaches

  • Balancing drugs, ablation, and device therapy based on arrhythmia type and comorbidities.
  • Embedding arrhythmia care within broader heart failure, ischemia, and prevention programs.

Practice Impact and Patient Benefits

More Accurate Risk Stratification
Better identification of patients at risk for syncope, sudden death, or deterioration.

Targeted Use of Ablation and Devices
Interventions are directed to patients most likely to benefit from invasive therapies.

Reduced Symptom Burden
Structured management alleviates palpitations, fatigue, and exercise limitation.

Improved Safety in Everyday Activities
Clear guidance supports safe return to work, sport, and driving where appropriate.

Efficient Use of Monitoring Resources
Appropriate device selection avoids over-testing while capturing key events.

 

Enhanced Long-Term Follow-Up
Standardized pathways ensure consistent review and timely escalation of care.

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