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Ventricular Arrhythmia

Image of heart

Image of heart

The heart has its own electrical system to regulate how the heart beats. An abnormal change in the rate or pattern of the heartbeat is called an arrhythmia. It can cause the heart to move blood less efficiently. Four chambers hold blood as it moves through the heart. The 2 lower chambers of the heart are called ventricles. Problems with the signals in the heart can make the ventricles beat faster than normal.

Ventricular Tachycardia (VT)

Too many electrical signals may make the heart beat very fast. This is called tachycardia:

  • With VT, abnormal electrical pathways or circuits form in the ventricles. This usually occurs in a part of the heart that’s damaged by a heart attack, also known as acute myocardial infarction, or AMI, or heart disease.

  • Electrical signals enter the abnormal circuit and loop around. With each loop, the signal tells the ventricles to contract. This makes the heart beat very fast. The heart may be beating too fast to pump blood. This can cause you to pass out. It can also cause cardiac arrest, leading to death. 

  • In some cases, VT develops into ventricular fibrillation. This is the most serious type of arrhythmia. 

Ventricular Fibrillation (VF)

At times, electrical signals may be sent so fast and unevenly that the heart muscle quivers and doesn’t beat at all. This is called fibrillation:

  • With VF, the ventricles contain many abnormal circuits. These usually form in damaged heart muscle. They can also form in heart muscle that is starving for oxygen because of a heart attack. 

  • Signals caught in the circuits make the ventricles beat very quickly and unevenly. This keeps the heart muscle from pumping properly.

  • The heart can get to the point that it can’t pump at all. This is called cardiac arrest. Death may occur if emergency treatment isn’t given to return the heart rhythm to normal.

Online Medical Reviewer: Fetterman, Anne, RN, BSN
Online Medical Reviewer: MMI board-certified, academically affiliated clinician
Date Last Reviewed: 2/19/2014
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