Category: Congestive Heart Failure

Understanding Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) – Symptoms, Causes, and Treatment


Arrhythmogenic right ventricular cardiomyopathy is a form of heart disease that usually appears in adulthood. Heart disease includes many heart problems which means it includes heart and blood vessel disease. The heart is a muscular organ which pumps blood through the blood vessels of the circulatory system. In humans, the size of the heart is approximately the size of a fist which is located between the lungs in the middle compartment of the chest. Usually, the heart is divided into four chambers: upper left and right atria and lower left and right ventricles.

In a healthy heart, blood flows one way through the heart due to heart valves which prevent backflow. The walls of the heart are made up of three layers epicardium, myocardium and endocardium. The deoxygenated blood enters the heart through the right atrium from the superior and inferior vena cava and further passes to the right ventricle. Cardiovascular diseases are the most common cause of death. It is situated in the mediastinum at the level of T5-T8, a double membrane sc known as pericardium surrounds the heart and attaches to the mediastinum. An adult heart has a mass of 250-350 gm. The fibrous cardiac skeleton gives the structure to the heart and the cardiac skeleton provides the boundary in the heart’s electrical conduction system. In this article, we are going to discuss the causes, symptoms and ayurvedic management of ARVC (arrhythmogenic right ventricular cardiomyopathy).


ARVC (Arrhythmogenic right ventricular cardiomyopathy) is a disorder of the myocardium which is the muscular layer of the heart. This condition causes the part of the myocardium to break down and increases the risk of abnormal heartbeat (arrhythmia) and causes sudden death. It is known as Arrhythmogenic cardiomyopathy (ACM), Arrhythmogenic right ventricular dysplasia (ARVD), which is inherited heart disease. It can be found in association with diffuse palmoplantar keratoderma and wooly hair which is an autosomal recessive condition known as Naxos disease. It is predominantly seen in males, 30-50% have familial distribution. The main clinical hallmark of this disease is ventricular arrhythmias which is arising from the right ventricle. The fatty fibrous tissue replaces the normal heart muscle which interrupts the normal signals in the heart and causes an irregular and life-threatening heart rhythm. Usually begins in the right ventricle (as the right ventricle stretches out and becomes thin and poorly contracts)  but after some time affects the left ventricle, so there is irregular heart pumping so blood backs up in the circulatory system which causes the fluid to build up in the soft tissues and sometimes in the lungs which further causes oedema and shortness of breath and results in heart failure. ARVC is a rare genetic disease which shows symptoms between the age of 10-50 years of age.



The cause is unknown, but apoptosis (cell death) plays an important role. This disease starts in the subepicardial region and moves towards the endocardial surface which leads to transmural involvement.  There are 2 pathological patterns which are seen in ACM/ARVC- Fatty infiltration and fibro-fatty filtration.

  1. Fatty infiltration-
  2. It is confined to the right ventricle and involves a partial and near complete substitution of the myocardium with fatty tissue without thinning of the walls.
  3. There is evidence of myocyte degeneration and death is seen in 50% of fatty infiltration.
  4. Fibro Fatty Infiltration-
  5. It is the replacement of myocytes with fibrofatty tissues.
  6. Myocardial atrophy is due to injury and apoptosis which leads to thinning of the RV free wall.
  7. These areas are prone to aneurysm formation


There are 3 stages of ARVC (Arrhythmogenic right ventricular dysplasia)-

  1. Concealed Stage- There are no symptoms of abnormal heart rhythm while exercising.
  2. Electrical Stage- There is a high risk of ventricular arrhythmias and risk of sudden cardiac death, ECG shows abnormal heart rhythm issues.
  3. Structural Stage- They are at even higher risk of abnormal ventricular rhythm and sudden cardiac death.  


  1. It results from a genetic defect. 60% of people have genetic mutations. Due to mutations in the desmosomes, genes impair the functions of desmosomes, without normal desmosomes, cells of the myocardium detach and die so heart muscles come under pressure. The damaged myocardium gets replaced with fat and scar tissue. As the abnormal build-up walls of the ventricle get stretched out it prevents the flow and leads to changes in arrhythmia.
  2. There are 2 patterns of inheritance for ARVC-
  3. Autosomal Dominant- when one of the parents has a genetic mutation, it is more prevalent in Italy and other geographic areas
  4. Autosomal Recessive- When both the parents have genetic mutations but show no symptoms. It can be seen in Naxos disease which causes the thickening of the skin.
  5. Viral and inflammatory myocarditis
  6. Birth abnormalities which affect the right ventricle


  1. ARVC causes chest pain which seems like a heart attack
  2. Ventricular arrhythmias- The irregular heart rhythms start in the ventricles or the lower chamber of the heart, the most common rhythm is ventricular tachycardia. Almost 77% of people are in this condition.  
  3. Supraventricular arrhythmias are most often in atrial fibrillation
  4. Heart Palpitations- that is the fluttering of the chest which forms abnormal rhythms of the heart.
  5. Chest pain
  6. Sudden cardiac death
  7. Shortness of breath
  8.  Swelling in the legs, ankles and abdomen
  9.  Fainting
  10. Lightheadedness


  1. Electrocardiogram (ECG/EKG)
  2. A Signal averaged ECG (SAECG)
  3. Cardiac MRI
  4. Holter monitor
  5. Cardiac magnetic resonance imaging (MRI)
  6. Biopsy
  7. Cardiac Computed Tomography
  8. Transthoracic echocardiogram


  1. Congenital heart disease-
  2. Partial anomalous venous return
  3. Atrial septal defect
  4. Repaired tetralogy of Fallot
  5. Acquired heart disease-
  6. Tricuspid valve disease
  7. Pulmonary hypertension
  8. Right ventricular infarction
  9. Miscellaneous-
  10. Sarcoidosis
  11. Idiopathic RVOT tachycardia  


  1. Antiarrhythmic drugs (amiodarone
  2. Blood pressure medications such as Beta blockers and diuretics
  3. Anticoagulant (Warfarin)
  4. Radiofrequency (catheter ablation)
  5. Implantable cardioverter defibrillator (ICD)
  6. Heart Transplant


In ARVC (Arrhythmogenic right ventricular cardiomyopathy) this is due to the consumption of causative agents, the doshas get vitiated. These doshas contaminate the rasa dhatus (nutritional fluid in the circulation) and then enter the hridya (heart). On entering the heart through rasa dhatus, the doshas get troubled and cause hrid roga.

  1.  Due to imbalance  Vata doshas cause irregular heartbeat.
  2. As the pitta doshas get aggravated that is responsible for an increased heartbeat.
  3.  As the Kapha dosha gets imbalanced it results in a slow down of heartbeat.


  1. Consumption of too hot foods
  2. Excessive consumption of sour, bitter foods
  3. Excessive thinking, stress
  4. Excessive physical activity
  5. Administration of a strong enema
  6. Excessive indulgence in sexual activity
  7. Frequent vomiting
  8. Excessive formation of ama (toxins)
  9. Forcibly withholding the natural urges
  10. Fear
  11. Panic
  12. Emaciation


Hrid rogas is of 5 types

  1. Vataja Hrid Rogas- heart disease is caused by vitiation of Vata
  2. Pittaja Hrid Rogas- Heart disease is caused by vitiation of pitta
  3. Kaphaja Hrid Rogas- Heart disease due to vitiation of Kapha
  4. Tridoshaja Hrid Rogas- This is caused by the vitiation of three doshas (Vata, Pitta, Kapha)
  5. Krimija Hrid Rogas- Heart disease is caused by worms, bacteria (infections)

1. Vataja Hridrogas – It causes

  • Expansion of heart
  • Churning type of pain
  • Tearing type of pain
  • Cutting type of pain

2. Pittaja Hridrogas – It causes

  • Severe thirst, sucking pain
  • Excessive tiredness
  • Excessive sweating
  • Dryness in the oral cavity
  • Sucking pain

3. Kaphaja Hridrogas – It causes

  • Heaviness in the body
  • Loss of appetite
  • Stiffness
  • Rigidity
  • Excessive salivation

4. Tridosha HridRogas

Whole doshas will be seen in tridosha hridrogas

5. Krimija Hrid Rogas

This is seen in patients who consume apathya ahara vihara, which manifests kleda. Experience the toda (pricking type of pain) in the heart region.

  • Nausea
  • Vomiting
  • Tastelessness
  • Excessive dryness in the body     

HERBS USEFUL IN ARVC (Arrhythmogenic right ventricular cardiomyopathy)


Arjuna (Terminalia arjuna) helps to balance pitta and Kapha doshas and has a great effect on cardiac diseases so known as a cardiac tonic (strengthens the heart and is useful in angina and in high blood pressure). It is used in the treatment of aconite poisoning. Because its kshaya ras is useful in the healing of fractures. Helps to reduce fat and cholesterol levels, useful in chest injuries and in many bleeding disorders./p>


Brahmi (Bacopa monnieri) helps to improve intelligence, acts as an excellent anti-ageing herb and has antioxidant properties. It acts as a nerve tonic which promotes the growth of the brain and helps to improve the coordination between the tongue and limbs. Useful in many psychiatric disorders which improve the quality of life and in many spleen disorders. It is also good for heart disorders so known for its cardiac tone property.


Shankhpushpi (Convolvulus pluricaulis) helps to improve intelligence and memory.  It is known for its natural detoxification property, improves strength, induces sleep and helps to improve the quality of hair and promotes hair growth. Shankhpushpi is known for its rasayan property. It helps to improve the complexion of the skin and is used in many skin disorders.


Vacha (Acorus calamus) helps to balance Vata and Kapha doshas. Vacha helps to relieve the ama dosha so helpful in the digestion process and useful against many psychological imbalances and disorders. It is extensively used in the treatment of obesity which relieves syphilis and in Vata doshas imbalances. Helps to induce uterine contraction so it is useful in dysmenorrhea. Improves speech, memory and intelligence.

HERBAL REMEDIES BY PLANET AYURVEDA FOR ARVC (Arrhythmogenic right ventricular cardiomyopathy)

Planet ayurveda is an ayurvedic manufacturing company that makes all the formulations from its natural resources. They have many branches overseas. Planet ayurveda is a GMP certified company, all products made are free from any preservatives, colors and additional resins. Ingredients are free from any adulterations. Products cause no side effects but provide many health benefits to patients.




1. Arjuna Capsules

Arjuna Capsules are single herbal capsules which are made by planet ayurveda using a single standardized extract of Arjuna (Terminalia arjuna). These capsules help to balance the tridoshas in the body, Help to support the healthy circulation of the heartwhich maintains healthy blood cells and healthy metabolism. Taking these capsules supports the healthy cholesterol level in the body.

Dosage-2 capsules twice daily with plain water after meals


Arjuna Tea is a herbal tea formulation which is made by planet ayurveda using various ingredients such as Arjuna (Terminalia arjuna), Dalchini (Cinnamomum zeylanicum), Chhoti Elaichi (Elettaria cardamomum) and many more. This herbal tea is an effective remedy for maintaining heart and blood pressure. It is also helpful in high cholesterol, congestive heart failure and many heart problems. This tea is rich in antioxidants and provides support to the vascular system.

Dosage– 2 cups twice daily

3. Total Heart Support

Total heart support are polyherbal capsules made by planet Ayurveda using ingredients such as Arjuna (Terminalia arjuna), Shankhpushpi (Convolvulus pluricaulis) and many more. This capsule is helpful in balancing Vata and pitta doshas. Helpful in heart disease in the treatment of high cholesterol levels and in congestive heart failure. Due to weakness in heart muscles, there is breathlessness so it is an effective remedy for heart disorders.

Dosage– 2 capsules twice daily with plain water after meals.

4. Hridayarnava Rasa

Hridayarnava Rasa is a tablet formulation which is prepared by planet Ayurveda using ingredients such as Shuddh Parad (Purified mercury), Tamra Bhasma, Shuddh Gandhak and many more. This tablet is helpful in cardiac disorders which further cause breathlessness. Heaviness in the chest and in many heart-related problems. This helps to balance Kapha doshas.

Dosage– 1 tablet twice daily.

5. Brahmi Vati

Brahmi Vati is a classical ayurvedic formulation which is made by planet ayurveda in the form of tablet using ingredients such as Brahmi (Bacopa monnieri), Vacha (Acorus calamus), Swarna Makshika bhasma and many more. These tablets are useful in panic attacks and in maintaining normal blood pressure. It is used in sleeplessness, in chronic fever and anxiety.

Dosage- 1 tablet twice daily with lukewarm water.


Arrhythmogenic right ventricular cardiomyopathy is a form of heart disease that usually appears in adulthood. ARVC (Arrhythmogenic right ventricular cardiomyopathy) is a disorder of the myocardium which is the muscular layer of the heart. This condition causes the part of the myocardium to break down and increases the risk of abnormal heartbeat (arrhythmia) and causes sudden death.   ARVC is a rare genetic disease which shows symptoms between the age of 10-50 years of age. On entering the heart through rasa dhatus, the doshas get troubled and cause hrid roga. We discussed many herbal remedies by planet ayurveda which are really effective and cause no side effects.

Ayurvedic Treatment for Atrial Flutter – Causes, Symptoms & Herbal Remedies


Atrial flutter is a heart condition which is described by the increased tactile and regular ventricular rates along with atrial fibrillation. It is classified under cardiac tachyarrhythmia and is characterized by palpitations, shortness of breath and many others. Usually the prevalence of this condition increases with the increase in age and is also associated with the number of associated conditions like diabetes mellitus, respiratory disorders, hypertension, excessive alcohol intake and sometimes a person indulging in sports. In Ayurveda all the conditions of the heart are kept under the category of hridya roga and is classified under vata, pitta,kapha and krimi hridya roga. In this we will discuss Atrial flutter in detail along with its Ayurvedic management.


Atrial flutter can be defined as the supraventricular tachycardia (abnormal heart rhythm) which is generally the result of inflammation of atrium myocardium. As mentioned above it is characterized by a fast heart beat or feeling of skipping beats. But in addition can also present with shortness of breath leading to temporary unconsciousness. The ECG presentation in this condition is given  a particular name and is called a saw tooth pattern. The reason for this presentation is the impaired ventricular functioning of about 200-300 beats per minute. Mentioning the clinical aspects, it is represented by increased beats, palpitations, lowered blood pressure  along with angina and syncope in some patients. For months it can remain asymptomatic for months and in the end has a tendency to lead to heart failure.

Atrial flutter

Causes of Atrial flutter

  • The most common statement given to understand atrial flutter is increased rate of electric impulse prematurely in atria. It can be understood as one ventricular contraction followed by 4 atrial signaling.
  • Secondly why does the above mentioned condition occur? This situation is commonly observed in people having associated problems like pre existing heart conditions, diabetes which generally affects every system in the body or certain substances that can change the way of electrical transmission going inside the heart.

The Heart Condition Mostly Leading Towards Atrial Flutter are

  1. Ischemia leading to hardening of arteries supplying to heart
  2. Cardiomyopathy which affects muscles of heart
  3. Abnormal heart valves like defects in mitral valve.
  4. Hypertrophy of heart chambers

Substances Which can Contribute in Atrial Flutter:

  • Alcohol like beer, hard liquor, excessive wine
  • Some illegal stimulants like cocaine, amphetamines (central nervous system stimulants), cold medicines and even caffeine.

Symptoms of Atrial Flutter

Many patients with atrial flutter remain asymptomatic. On the other hand some may show or describe following symptoms:

  1. Palpitations (feeling a rapid heart beat or fluttering or pounding sensation in the centre of chest)
  2. Shortness of breath (In this case can be only on exhaustion or even while on rest)
  3. Anxiety (Triggered by a lot of factors like fear, tension, anger)
  4. Confusion (Classical symptom appears after breathlessness)
  5. Tiredness (Generally always present)

In addition patients with pre existing heart condition scan have more significant symptoms that includes:

  • Angina pectoris, in common understood as heart pain
  • Feeling faint or lightheaded
  • Fainting

Diagnosis of Atrial flutter

Diagnosis is generally made based on the patient’s history and examination. This includes:

  • ECG, which represents a saw tooth pattern.
  • Patients proper history and  differential diagnosis with other arrhythmias.
  • Differentiation from atrial fibrillation
  • Detailed Examination and history of patients with no symptoms.
  • In advancement of technology some 24 hrs devices can be worn by the patients and monitoring can be done like holter monitoring, event monitoring and others.

Risk Factors

  1. Old age: Older the patient the more is the risk.
  2. Patients with diabetes mellitus
  3. Patients with various heart conditions like Coronary heart disease, heart valve disease,past history of open heart surgery etc.
  4. People with habitual addiction to cocaine, alcohol, caffeine and others.

Treatment of Atrial flutter

Antiarrhythmic drug treatment can be used to convert atrial flutter to sinus rhythm by using three drugs. These are:

  1. Ibutilide (only through intravenous route)
  2. Flecainide
  3. Propafenone

Or currently atrial flutter is successfully treated with radiofrequency catheter ablation.

But the side effects of above mentioned ways are also present like catheter ablation can lead the patients towards allergies, atrial fibrillation, stroke and if not done properly can result in tissue damage. On the other hand, continued use of antiarrhythmic drugs has the potential of creating situations like hypotension, impairment in ventricular functioning, vasodilation, pulmonary fibrosis etc.

Herbal Formulations for Atrial Flutter by Planet Ayurveda

Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs which are really effective in managing many conditions related to the whole circulatory system. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are really potent to manage various conditions related  to the heart especially and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of Yellow bumps pinguecula is as follows:

  1. Arjuna capsules
  2. Total heart support
  3. Saral Ghan vati
  4. Arborium plus


1. Arjuna Capsules

Arjuna capsules are prepared with the standardised extract of Terminalia arjuna. All the parts of the plant are used to prepare the standardised extract and hence makes it really effective. The arjuna has many properties like it is a cardiotonic,  has hepatoprotective effect  and also has an immunomodulatory effect. The capsules have potential in relieving many symptoms which are significantly related to atrial flutter and balances the electrical impulse of the heart.

Dosage: One capsule twice a day after meals with lukewarm water.

2. Total Heart Support

Total heart support has ingredients like arjuna (Terminalia arjuna), brahmi (Bacopa monnieri), ashwagandha (Withania somnifera) and shankhpushpi (Convolvulus prostratus). The arjuna as mentioned above helps in treating various problems like angina, shortness of breathness due to atrial flutter, congestive heart failure and even high cholesterol. On the other hand ashwagandha helps in strengthening heart muscles, deals with arterial weakness and supports the entire system of the body. In addition, brahmi and shankhpushpi work with their rasayanic actions which means they rejuvenate cells and tissue and also protect the heart from tactile ventricular rates.

Dosage: Two capsules twice a day after meals with lukewarm water.

3. Saral Ghan Vati

Saral ghan vati has only one ingredient which is saral (Pinus roxburghii).  The formulation is prepared using saral bark especially which is known for its marvelous properties. It works as a diuretic, diaphoretic, behaves as a general tonic, has antiseptic effects and helps in reduction of spasm. It can help in maintaining the regular ventricular rates and thus helps in relieving pressure and inflammation. Moreover, it is very effective in all types of heart disease. It is rich in antioxidants, fights inflammation and also is very helpful in liver conditions.

Dosage: Two tablets twice daily after meals with lukewarm water.

4. Arborium Plus

The formulation is in syrup form and is a wonderful herbal medication which has two key ingredients. One is arborium (Rhododendron) flower juice and another is sea buckthorn flower juice (Hippophae rhamnoides). Arborium plus syrup can help in increasing the blood supply, expand blood vessels by opening the blockages, detoxifies the body and helps in lowering the blood cholesterol and blood triglyceride levels. It helps in boosting the immune system of the body.

Dosage: Two tsp twice a day after meals.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – or call at +91-172-5214040 Or Check Website –


Today’s lifestyle and faulty diet intake has led to the increase in the incidence of cardiovascular diseases. Ayurveda because of its multidimensional aspect of ‘Swasthya-rakshanam’ and ‘vikara prashamanam’ gifted us with Ahara-vihara and Codes of conduct (Achara Rasayana) that  on practising are very effective in prevention of heart diseases. Following pathya apathya for particular disease not suppressing the natural urges(Vega), keeping check on negative emotions, use of certain Rasayana in daily routine, etc. are helpful for overcoming the pathological basis that is  ama and strotosanga. In this way, a number of drugs of different groups like Cardiotonics, Deepana & Amapachana and Rasayana ( Antioxidants) etc. have great efficacy in the management of arrhythmias like atrial flutter and atrial fibrillations.