Varieties of abnormalities in the atrial rhythm and ways to treat them
This type of heart disease manifests itself against the background of problems in the sinus node. If his activity is weakened or completely stopped, then an ectopic rhythm arises. This type of contraction is due to automatic processes that occur under the influence of disorders in other parts of the heart. In simple words, one can characterize such a rhythm as a substitute character process. The dependence of the frequency of ectopic rhythms is directly related to the remoteness of rhythms in other cardiac regions.
- Atrial arrhythmia
- Symptoms of atrial rhythm
- Diagnostic techniques
- Treatment of ectopic rhythm
Since the manifestation of ectopic rhythms is a direct derivative of disorders of the sinus node, the occurrence occurs under the influence of changes in rhythm in the heart impulses or rhythm myocardium. Frequent causes of ectopic rhythm are diseases:
- Cardiac ischemia.
- Inflammatory processes.
- High blood pressure in the heart.
- Neurocircular dystonia.
- Sclerosis and its manifestations.
The impetus to the development of the disease can become other cardiac malformations, for example: hypertension. The strange regularity of the appearance of ectopic right-atrial rhythms is manifested by the appearance in people with excellent health. The disease is transient, but there are cases of congenital pathology.
Among the features of the ectopic rhythm, the characteristic frequency of cardiac contractions is noted. People who are sick with this defect are diagnosed with high heart rates.
With the usual measurement of pressure, it is easy to confuse the ectopic atrial rhythm with an increase in the number heart attacks on the background of high fever, with inflammatory diseases or the usual tachycardia.
If the arrhythmia does not last a long time, they talk about the constancy of the disorder. Paroxysmal disturbances of the accelerated atrial rhythm mark a separate point. A special feature of this type of disease is sudden development, the pulse can reach 150-200 per minute..
The peculiarity of such ectopic rhythms is the sudden onset of an attack and an unexpected cessation. Most often occurs with atrial tachycardia..
On a cardiogram, such abbreviations are reflected at regular intervals, but some forms of ectopic look different. To the question: is it a norm or a pathology, you can answer by studying different types of deviations.
Uneven changes in the intervals between the atrial rhythms are of two types:
- Extrasystoles - extraordinary atrial contractions against the background of a normal heart rhythm. The patient can physically feel a pause in the rhythm that arose on the background of myocarditis, a nervous breakdown or bad habits. There are cases of unreasonable extrasystole. A healthy person can feel up to 1500 extrasystoles per day without harm to health, you do not need to seek medical help.
- Atrial fibrillation is one of the cyclic stages of the heart. Symptoms may be absent completely. Atrial muscles cease to rhythmically contract, and chaotic flicker arises. Vesicles are shaken out of rhythm by the effects of scintillation.
The risk of atrial rhythm exists regardless of age and may appear in the child. Knowing that this deviation from the norm can be observed for several days or months will help to identify it more easily. Although medicine refers to such deviations as a temporary manifestation of the disease.
In childhood, the appearance of an ectopic atrial rhythm can occur under the influence of the virus. This is the most dangerous form of the disease, usually the patient is in a serious condition, and exacerbations of the atrial rhythm of the heart in children can manifest even when the position of the body changes.
Symptoms of atrial rhythm
External manifestations of the disease are manifested only against the background of arrhythmia by another complication. The ectopic rhythm itself does not have any characteristic symptoms. Although you can pay attention to the long-term disruption of cardiac rhythmicity. Having discovered such a deviation, you should immediately consult a doctor.
Among the indirect symptoms indicative of heart problems, it can be noted:
- Increased attacks of dyspnea.
- Thoracic pain.
- An intense sense of anxiety and panic.
Important! A characteristic feature of the beginning of the attack ectopic rhythm is considered to be the desire of the patient to take a posture in which the discomfort will pass..
In the event that the attack does not last a long time, there may be a profuse sweating, blurred vision, bloating, hands shaking.
There are such deviations in the heart rhythm, which begin with problems with the digestive system, there are sharp emetic gusts and the urge to urinate. The urge to empty the bladder occurs every 15-20 minutes regardless of the amount of fluid drunk. As soon as the attack stops, the urges will stop and the general well-being will improve.
A bout of the extrasystole can occur at night and be triggered by a dream. As soon as it is completed, heart failure may occur, after which its work will enter the normal regime. During sleep, the symptoms of fever and burning in the throat may manifest.
Identification is made on the basis of data obtained in the course of anamnesis. After this, the patient is sent to the electrocardiogram to detail the data. According to the patient's internal sensations, one can draw conclusions about the nature of the disease.
With the help of ECG, the features of the disease are revealed, with an ectopic rhythm of the heart being specific. Characteristic signs are manifested by a change in the indications on the tooth P, can be positive and negative, depending on the lesion.
Determine the presence of atrial rhythm on the ECG can be based on the indicators:
- Compensatory pause does not have a full view.
- The interval "P-Q" is shorter than it should be.
- The configuration of the "P" tooth is uncharacteristic.
- The ventricular complex is excessively narrow.
Treatment of ectopic rhythm
To select an acceptable treatment, an accurate diagnosis of the deviation is required. The lower atrial rhythm can affect the heart disease to different degrees, which makes the tactics of treatment change.
Sedatives are prescribed to combat vegetative disorders. A rapid heart rate involves the administration of beta-blockers. For relief of extrasystoles, Panalgin and Potassium chloride are used.
Manifestations of atrial fibrillation cause the appointment of drugs that arrest the manifestation of arrhythmia during attacks. The control of the reduction of cardiac impulses with the help of medications depends on the age group of the patient.
Massage of the carotid sinus, located near the carotid artery, is necessary after diagnosis of the supraventricular form of disturbance of the rhythm of heart beats. To do the massage, do a slight pressure in the neck on the carotid artery for 20 seconds. To remove the manifestation of unpleasant symptoms at the time of an attack will help rotational movements of the placenta on the eyeballs.
If the seizures are not stopped by a carotid massage and pressure on the eyeballs, a specialist can prescribe medication..
Important! Repetition of seizures 4 times in succession or more, severe deterioration of the patient's condition can lead to serious consequences. Therefore, to restore the normal operation of the heart doctor applies electromagnetic therapy..
Although the extrasystole is infrequent and irregular, the appearance of ectopic arrhythmia is a dangerous form of heart disease development, as it entails serious complications. In order not to become a victim of unforeseen seizures, which resulted in a disturbed heart rhythm, regular examinations and diagnostics of the cardiovascular system should be carried out. Adherence to this approach avoids the development of dangerous diseases... .