Dr. Sanjay Bhojraj
speaker
557 appearances
1 recordings
1 series
first heard Dec 2025
last heard 20 Dec
Dr. Sanjay Bhojraj’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Dec 2025 with 1.
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Cynthia, it's great to see you again and just connect with you.
Such a great time.
Last time, I hope we have as much fun and are as informative this time for your audience.
Yeah, perfect.
So and you kind of intuitively said a classification system that I don't know if I came up with, but that I'd often talk about with patients.
If you can imagine a two by two kind of Punnett square or matrix on the top, I think of arrhythmias as either fast or slow and on the side, annoying or dangerous.
Right now, these are the arrhythmias, not the patients.
I'm not calling a patient annoying.
Something that's not necessarily fatal or would not necessarily have consequences, but just you feel them and they just get you anxious and amped up.
And so with the framework of that matrix, we can really kind of fill out all the different types of arrhythmias and things.
But before we even jump into that, let's talk about what a palpitation is, because a lot of people might not be aware.
And your heart is like the thankless organ in your body.
It beats 60, 80 times a minute.
you know 60 minutes an hour 24 hours a day do the math i mean it is hundreds of thousands of times per day but you should never really be aware of it right you shouldn't have to think beat beat would be a big problem you'd never get anything accomplished during your day so we have this autonomous nervous system autonomic nervous system that drives our heart rate up and down but
every once in a while you will be aware or you can feel a heartbeat whether it's early whether there's a pause whether it just is kind of beating out of your chest and those are the sensations when you're more aware of the heart beating that people refer to as palpitations they can either be a single beat they can feel like a skipped beat they can feel like a you know my heart is about to jump out of my chest so a lot of different things fall under that that moniker of palpitation
But again, with that framework, fast or slow, annoying, dangerous, we can figure out what's going on.
And the origin of these palpitations can come from a few different things.
But generally, what's happening is there is an electrical system in your heart that starts in the top right and then sends an impulse down to the bottom left of your heart.
And anywhere along the way, you can get interruptions of that electrical system.
So you can have little short circuits there.
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