{"id":158,"date":"2024-06-22T16:25:51","date_gmt":"2024-06-22T14:25:51","guid":{"rendered":"https:\/\/grossicardiologo.it\/?p=158"},"modified":"2026-03-09T10:14:42","modified_gmt":"2026-03-09T09:14:42","slug":"visita-aritmologica","status":"publish","type":"post","link":"https:\/\/grossicardiologo.it\/en\/visita-aritmologica\/","title":{"rendered":"The arrhythmological visit"},"content":{"rendered":"<div class=\"kb-row-layout-wrap kb-row-layout-id158_519829-53 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n\n<div class=\"wp-block-kadence-column kadence-column158_3b4667-93\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has--font-size\">What is meant by arrhythmological visit?<\/h2>\n\n\n\n<p class=\"translation-block\"><strong>Arrhythmology <\/strong> is the branch of cardiology that deals with arrhythmias. The doctor who performs it is an <strong>arrhythmologist <\/strong> who is the cardiologist specialized in <strong>rhythm disorders <\/strong> . The arrhythmologist who also deals with performing electrophysiological study procedures and <strong>transcatheter ablation is an electrophysiologist <\/strong>.<\/p>\n\n\n\n<p>The arrhythmological visit is therefore a cardiological visit carried out by a cardiologist specializing in arrhythmias aimed at a patient with rhythm disorders.<\/p>\n\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_2f0cb6-a6 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n\n<div class=\"wp-block-kadence-column kadence-column158_c98277-46\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has--font-size\">What does the arrhythmological visit consist of?<\/h2>\n\n\n\n<p class=\"has--font-size has-theme-palette-1-color has-text-color has-link-color wp-elements-c5dadfb816e15c3bd21ece9df6b90eb9\"><strong>Phase 1 \u2013 Collection of patient history and clinical data (anamnesis)<\/strong><\/p>\n\n\n\n<p class=\"translation-block\">In this phase of the arrhythmological visit, the doctor performs the so-called <strong>anamnesis <\/strong> which consists of a comprehensive assessment of the patient's health status. Each disease must be evaluated in the general clinical context of a patient which includes <strong>age, sex, activities performed, presence of cardiovascular risk factors, presence or absence of previous or current concomitant diseases and their possible pharmacological or surgical treatments. <\/strong><\/p>\n\n\n\n<p>We then turn to the rhythm disorder that led the patient to the current visit by reconstructing the onset times of the disorders themselves, the ways in which the symptoms manifest, their frequency, the impact they have on the performance of daily activities and their psychological implications.&nbsp;<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-column kadence-column158_3430af-ca\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/grossicardiologo.it\/wp-content\/uploads\/Screenshot-2023-11-09-alle-11.03.02.png\" alt=\"cos'\u00e8 la visita aritmologica\" class=\"wp-image-1297\" style=\"width:597px;height:auto\"\/><\/figure>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p>At this point the arrhythmologist will review all of the patient's previous medical documentation in great detail: previous visits, electrocardiograms, holter monitors, echocardiograms, cardiac magnetic resonance imaging, coronary angiography, medical records or discharge letters from previous hospitalizations in order to precisely frame the patient's condition up to that point.&nbsp;<\/p>\n\n\n\n<p>It is essential that the patient has with him, at the time of the visit, all previous cardiac and non-cardiological clinical documentation.<\/p>\n\n\n\n<p class=\"has--font-size has-theme-palette-1-color has-text-color has-link-color wp-elements-34efb4febc5e4fd4058eedeab835535c\"><strong>Phase 2 \u2013 Cardiovascular Objective Examination<\/strong><\/p>\n\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_0c2134-ba alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n\n<div class=\"wp-block-kadence-column kadence-column158_c096c1-71\"><div class=\"kt-inside-inner-col\">\n<p>The arrhythmologist is first of all a cardiologist and will carry out a cardiological examination which includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>blood pressure measurement<\/li>\n\n\n\n<li>palpation of peripheral pulses to assess arterial circulatory status<\/li>\n\n\n\n<li>search for peripheral edema and\/or presence of jugular turgor to evaluate a possible state of congestive heart failure<\/li>\n\n\n\n<li>lung auscultation to assess any signs of decompensation or associated lung disease<\/li>\n<\/ul>\n\n\n\n<p>Auscultation of the heart will guide you towards the presence or absence of structural, valvular, muscular or congenital heart pathologies.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-column kadence-column158_e916c0-72\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/grossicardiologo.it\/wp-content\/uploads\/Screenshot-2023-11-09-alle-11.12.51.png\" alt=\"auscultazione durante la visita aritmologica\" class=\"wp-image-1298\"\/><\/figure>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p class=\"has-theme-palette-1-color has-text-color has-link-color wp-elements-3024f87ab039a948fcd9ef94ec0df9d5\"><strong>Phase 3 \u2013 Electrocardiogram<\/strong><\/p>\n\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_cdb73c-c8 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n\n<div class=\"wp-block-kadence-column kadence-column158_752ada-13\"><div class=\"kt-inside-inner-col\">\n<p>There is no arrhythmological visit without an electrocardiogram.<\/p>\n\n\n\n<p>Born more than a century ago, the electrocardiogram has made the history of cardiology and even more of arrhythmology. Easy and quick to perform, it provides a whole series of information on the state of health of the heart.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has--font-size\">In order to diagnose an arrhythmia, it is necessary to record it with an electrocardiogram.<\/h2>\n\n\n\n<p class=\"has--font-size\">In the absence of this recording we cannot establish with certainty the rhythm disorder the patient is suffering from. During the arrhythmological examination the arrhythmia may not be present, however the examination still provides the cardiologist with very precise indirect information.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/grossicardiologo.it\/wp-content\/uploads\/Screenshot-2023-11-09-alle-11.19.31.png\" alt=\"cos'\u00e8 l'elettrocardiogramma per la visita aritmologica\" class=\"wp-image-1302\"\/><\/figure>\n\n\n\n<p class=\"has--font-size has-theme-palette-1-color has-text-color has-link-color wp-elements-d5b29f49cf8362a7d7679059cba113f8\"><strong>Phase 4 \u2013 Diagnostic-therapeutic formulation<\/strong><\/p>\n\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_10963c-ae alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n\n<div class=\"wp-block-kadence-column kadence-column158_3fbd62-11\"><div class=\"kt-inside-inner-col\">\n<p>Based on the information gathered from the clinical data, the visit and the electrocardiogram, the arrhythmologist can in some cases already reach a definitive diagnosis. In other situations, however, he will only be able to formulate diagnostic hypotheses that, to be confirmed or excluded, will require the execution of other tests that will be prescribed at this time and reassessed in a subsequent visit.<\/p>\n\n\n\n<p>Once a certain diagnosis has been reached, the arrhythmologist will set up the therapeutic strategy that he deems optimal for the patient and which may include pharmacological and non-pharmacological treatments such as ablative procedures or the implantation of pacemakers or defibrillators.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-column kadence-column158_34fe64-c9\"><div class=\"kt-inside-inner-col\">\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/grossicardiologo.it\/wp-content\/uploads\/Screenshot-2023-11-09-alle-11.22.38.png\" alt=\"diagnosi dopo la visita aritmologica\" class=\"wp-image-1305\"\/><\/figure>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_800079-31 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n\n<div class=\"wp-block-kadence-column kadence-column158_bf34ed-79\"><div class=\"kt-inside-inner-col\">\n<h2 class=\"wp-block-heading has--font-size\">Who is an arrhythmological visit indicated for?<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Patients without previous diagnosis of arrhythmias&nbsp;<\/strong><\/li>\n<\/ol>\n\n\n\n<p>There are many symptoms that can be the consequence of a rhythm disorder: a feeling of palpitation, heart in the throat, skipped beat, but also shortness of breath, weakness, chest tightness, up to dizziness and fainting. In the presence of these symptoms, an arrhythmological visit can allow us to reach a diagnosis and adequately treat the heart rhythm disorders that cause it, or by excluding an arrhythmia, guide the patient towards a different cause.<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>&nbsp;Patients with previous diagnosis of arrhythmias<\/strong><\/li>\n<\/ol>\n\n\n\n<p>Patients who already have a diagnosis of arrhythmia should undergo regular arrhythmological follow-up visits in order to evaluate the clinical course, the response to treatment and, if necessary, modify\/optimise the therapy.&nbsp;<\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>&nbsp;Patients at risk of sudden death<\/strong><\/li>\n<\/ol>\n\n\n\n<p class=\"translation-block\">Patients affected by structural heart disease such as dilated cardiomyopathy, hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, hypokinetic ischemic heart disease, or ion channel diseases, such as long QT, short QT, <a href=\"https:\/\/grossicardiologo.it\/en\/disturbi-del-ritmo-sindrome-di-brugada\/\" target=\"_self\">Brugada Syndrome<\/a> , even if they have never manifested symptoms or rhythm disturbances, have an increased risk of sudden arrhythmic events, even serious ones.<\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<div class=\"kb-row-layout-wrap kb-row-layout-id158_405125-f2 alignnone kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n\n<div class=\"wp-block-kadence-column kadence-column158_89db2c-37\"><div class=\"kt-inside-inner-col\">\n<h3 class=\"kt-adv-heading158_a0ab64-b7 wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color\" data-kb-block=\"kb-adv-heading158_a0ab64-b7\">An adequate arrhythmological evaluation allows to establish the patient's degree of arrhythmic risk and to set up a correct prevention strategy if indicated.<\/h3>\n\n\n\n<h3 class=\"kt-adv-heading158_708ec0-ae wp-block-kadence-advancedheading has-theme-palette-9-color has-text-color\" data-kb-block=\"kb-adv-heading158_708ec0-ae\">In summary, the arrhythmological visit is fundamental for the diagnosis and treatment of all rhythm disorders and for the prevention of sudden death.<\/h3>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-158_5cc764-11\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Cosa si intende per visita aritmologica? La aritmologia \u00e8 la branca della cardiologia che si occupa delle aritmie.&nbsp; Il medico che la esegue \u00e8 un aritmologo che \u00e8 il cardiologo specializzato in disturbi del ritmo.&nbsp; L\u2019aritmologo che si occupa anche di eseguire delle procedure di studio elettrofisiologico ed ablazione transcatetere \u00e8 un elettrofisiologo. La visita [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":124,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,6],"tags":[],"class_list":["post-158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aritmie-disturbi-del-ritmo","category-disturbi-del-ritmo"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La visita aritmologica - Dr. Stefano Grossi<\/title>\n<meta name=\"description\" content=\"La visita aritmologica\u00a0\u00e8 una visita cardiologica effettuata da un cardiologo specialista in aritmie ad un paziente con disturbi del ritmo.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/grossicardiologo.it\/en\/visita-aritmologica\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La visita aritmologica - 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