Heart Rhythm Disorders encompass a wide spectrum of arrhythmias ranging from benign ectopic beats to life threatening tachycardias and bradycardias that require urgent intervention. This session offers an integrated overview of mechanisms, classification, diagnostic approaches, and therapeutic options, supporting clinicians who encounter rhythm problems in emergency departments, clinics, operating rooms, and community settings. For many participants, this session functions as a concise Heart Rhythm Disorders reference that connects electrophysiology concepts with real world decision making.

The description reviews major rhythm categories including supraventricular tachycardias, atrial fibrillation and flutter, junctional rhythms, ventricular tachycardia and fibrillation, bradyarrhythmias, conduction blocks, inherited arrhythmia syndromes, and rhythm disturbances secondary to structural heart disease, metabolic imbalance, or drug toxicity. Participants will learn how to link ECG patterns with underlying mechanisms such as reentry, enhanced automaticity, and triggered activity, building a mental map that simplifies rhythm interpretation.

A central emphasis is placed on implementing heart rhythm disorder management strategies that prioritize hemodynamic stability, symptom relief, and long term risk reduction. The session explains when to choose rate versus rhythm control, how to select antiarrhythmic drugs safely, and when to escalate to catheter ablation, device therapy, or surgical intervention. Guidance is provided on anticoagulation in atrial fibrillation, prevention of sudden cardiac death in high risk ventricular arrhythmias, and evaluation of syncope.

Participants will explore practical ECG and monitoring tools, from standard twelve lead ECGs and Holter monitoring to patch devices, implantable loop recorders, and wearable technologies that detect arrhythmias in daily life. Case based discussion highlights challenges such as wide complex tachycardia differentiation, management of arrhythmias in pregnancy, post operative rhythm issues, and arrhythmias associated with heart failure or cardiomyopathy.

The session also addresses lifestyle and comorbidity management, including the impact of sleep apnea, obesity, alcohol intake, stimulants, and thyroid dysfunction on arrhythmia burden. Participants will learn counselling strategies that help patients understand trigger patterns, medication expectations, and the importance of adherence to follow up and monitoring. Special attention is given to vulnerable groups such as older adults with multiple comorbidities, patients with congenital heart disease surviving into adulthood, and individuals with limited access to specialized electrophysiology services, where pragmatic management plans are crucial.

Practical algorithms, example reports, and scenario based checklists will equip attendees with tools they can immediately adapt to their own practice environments, ensuring that even busy, resource constrained clinics can deliver structured, evidence aligned care for patients with diverse rhythm disorders. Future perspectives include AI enhanced ECG interpretation, smartphone based arrhythmia detection, cloud linked device monitoring, and integration of genetic testing for inherited rhythm syndromes. By the end of this session, attendees will understand how a multidisciplinary, heart conference style approach linking electrophysiologists, general cardiologists, emergency physicians, and primary care can transform outcomes for patients living with rhythm disturbances.