Trypotinnya in front of the EKG sign. Atrial fibrillation on EKG, causes and symptoms

Trypotinnya in front of the heart (TP) is one of the supra-mucous tachycardia, if the front of the heart is speeding with even great shvidkistyu - 200 times per chilin, the rhythm of a very fast heart becomes correct.

Tricky in front of the heart in a few times, it is more often to learn from the choloviks, the middle of the children - people who are sick to the age of 60 years and older. Exactly, the widening of the whole type of arrhythmia can be set up smoothly through instability. TP is often short-lived, so the fixation on the EKG and in the diagnosis is easy.

Trivial tripotinnya in front of the heart from decilk seconds and to kilkokh dib (paroxysmal form), rarely - more time. In case of a short-hour breakdown in the rhythm of ailments, there is discomfort, which can be easily passed through anytime. In a part of the children, they try to get along with each other, periodically they change one by one.

The variability of the symptomatology lies in the form of rapidity in front of the heart: what is more, what is more, what is the amount of hemodynamic changes. Particularly not safe for arrhythmia in patients with important structural changes in the lynx, with the manifestation of chronic heart failure.

In a large number of vipads, when the front of the heart is twitching, the rhythm is renewed by itself, ale tweeter, but the progress is broken, the heart cannot cope with its function, but a sick person needs a term medical aid... Antiarrhythmic drugs are far from being expected to give a necessary effect, because TP - that kind of vipadok, as far as the nutritional information about cardiohirurgical assistance is fully provided.

Trying to the front of the heart is a serious pathology, if they are not just ailing ailments, but they do not get proper respect for the episodes. The result is the expansion of the heart chambers with progressive deficiency, thromboembolism, as there is a lot of life, be it any attack, a broken rhythm is not guilty of losing it without respect, and when it appears, it’s a cardiologist.

How is it that there is a thrill in front of the heart?

Trypotinnya at the front is a variant of the supraventricular tachycardia, so that the middle of it is in the atriums, wiping out at the same time part of the speed.

The rhythm of the heart when the front of the heart is twitching becomes regular, at a time (blinking arrhythmia), if the front of the heart is speeding up quickly and chaotically. Most of the speed of shlunochkiv can be reached by a partial blockade of impulses to the myocardium of shlunochkiv.

The reasons for the frustration of the front of the heart to complete the development of mental health, but the basis is based on the organic ear of the heart tissue, so that the change in the very anatomical structure of the organ is. It is possible to tie up the frequency of pathology in young people, at that time in young people the arrhythmias are more functional and dismetabolic in nature.

Sered zhvoryuvan, which is supervised by TP, it is possible to mean:

• Ischemic ailment in viglyadi diffuse, post-infarction scar abo;
• Ignition processes in i;
• , Especially, with strong.

Inadvertent diseases of the atrium of the atrium in ailments with legeny pathology - chronic obstructive ailments (bronchitis, asthma, emphysema),. Screwed up to the widening of the right side of the heart legendary artery on aphid sclerosis of parenchyma and sudin legeny.

The development of cardio-surgical operations in the first generation of a high type of rhythm disturbance. Yogo diagnostics for corrections of vodzhenih vad, aorto-coronary bypass.

Riziku TP factors vvazayut diabet, Destruction of electrolyte exchange, excess of hormonal functions thyroid gland, Rіzni іntoksikatsії (liquors, alcohol).

As a rule, the reason for the forehead twitching is clear, it’s a little tricky, but the arrhythmia is practical great people, Todi mova yde about idiopathic forms of TP. The role of a recessionary official is not possible.

At the heart of the mechanism is the appearance of the atrium twitching - the bagatorazovy repeating the stimulation of the atrium fibers after the macro-re-entry type (the impulse is like walking on the cola, the fibers are drawn into the fast speed, as the fibers were already quick to blame). "Repeated input" to the impulse and the stimulation of the cardiomyocytes of the authorities by the very structural ones (scar, necrosis, blistering), if there is an overshoot for the normal expansion of the impulse along the fibers of the heart.

Having appeared in the anterior heart and wicked, the speed of the first fibers is repeated, the pulse is still within reach of the atrio-lowering (AV) institute, but since it is not possible to carry out such parts of the pulses, then the winners - half of the pulses in front of the pulses can reach half of the pulses.

The rhythm is kept regular, and the number of pulses is very fast in front of the heart and in proportion to the number of pulses to the ventricular myocardium (2: 1, 3: 1, etc.). If half of the impulses reach the slums, then the patient will have tachycardia up to 150 strokes in the slime.

tripotinnya in front of the heart, go from 5: 1 to 4: 1

It is even more important, if all the anterior impulses reach the same level of systoles, and the reduction of systoles of all types of heart rate is 1: 1. In general, the frequency of the rhythm reaches 250-300, blood circulation is severely impaired, the patient consumes evidence and signs of heart failure.

TP can mimicly pass at fibrillation of the anterior, for which a regular rhythm is not characteristic and readability of the number of midwives is very fast to the anterior.

In cardiology, there are two types of tripoints in front of the heart:

type i zorotne type TP

1. type;
2. Atipov.

at typical options syndrome of TP hwilya zbudzhennya ide on the right atrium, the frequency of systoles reaches 340 per chilin. In 90% of vipadkіv speedy fall near the tristula valve of the antigodinnikovaya arrow, in the case of the sick - for the godinnikova.

at atypical form TP To get rid of the myocardium, do not pass through the standard cola, pouring the isthmus between the throat of empty veins and the tristle valve, but along the right abnormal front of the heart, wiping up to 340-440 in quiline. The qiu form can be suppressed by transesophageal cardiostimulation.

Show the thrill in front of the heart

The clients accepted the following:

• Forward, there is a tripointy in front of the heart;
• Paroxysmal form;
• post_ine;
• Persistent.

at paroxysmal The form of triviality of TP is not greater than the pressure, arrhythmia to pass through. persistent Stretching is characterized by trivial damage for more than 7 days, and self-normalization to the rhythm is uncomfortable. About post_noї form It’s possible, if the attack doesn’t go in and out, or if the attack wasn’t carried out.

The critical value is not the triviality of the TP, but the frequency, which speeds up in front of the heart: chim vona vishcha, it is obvious that the deterioration of the dynamics and the newest acceleration. With frequent rapidity of the front of the heart, do not get up to preserve the little ones with the necessary blood supply, step by step it is wider. With frequent episodes of atrial fibrillation or post-mortem pathology of infusion, blood circulation in both colas, and dilatation of cardiomyopathy is possible.

Krim the lacking heart wikidu, more important I have little blood, which is right in the coronary artery. In case of abnormal TP, the underperfusion reaches 60% or more, and the price is higher than the level of heart failure and heart attack.

Clinical signs of anterior pituitary arrhythmia are manifested in paroxysmal arrhythmias. In the middle of the scarg there is ailment, weakness, lumpiness, especially, with physical rights, discomfort in breast cancer, hastened up the dikhannya.

With a deficiency of coronary blood circulation, symptoms appear, in patients with ischemic ailment the heart will be more willing or have a progressive character. There is a lack of systemic blood flow with hypotonia, so that the symptoms become obstructed, darkening in the eyes, boring. A high frequency is very fast in front of the heart, it can provoke syncope and more important non-obscurity.

Trying to attack the front of the heart often occurs in hot weather, when the weather is physical, strong emotional experience. Drinking alcohol and abortion in children, intestinal dislocation can provoke paroxysms of the atrium.

If on one of the speedy shlunochkіv it is brought 2-4 sooner in front of the heart, the patients present admittedly little scarg, so it’s easier to carry over faster, less arrhythmia is very fast, so the rhythm is regular.

Nebezpeka trip in front of the heart of the field in the first place: at any moment, the frequency can become very high, sertsebitty appear, to get over it, symptoms of lack of blood supply to the brain develop - foulness and obscurity.

As the spіvvіdnoshennya of the anterior and dimples is very stable, then the pulse will be rhythmic, but the rate of performance will rise, the pulse will become irregular. characteristic symptom There will also be a pulsation of the veins, the frequency of which will change two or more times the pulse on the peripheral vessels.

As a rule, TPs appear at the sight of nontrivial and not frequent attacks, even if there is a strong frequency of rapid chambers of the heart, thromboembolism, a load of legends, heart failure, fibrillation and death.

Diagnostics and treatment of the front of the heart

In diagnostics of tripotinnya before the heart of the first order of magnitude is introduced by electrocardiography. If I look at the sick person and the pulse is indicated, the diagnosis can be deprived of our ability. If the performance is stable, the heart rate will be either more frequent or normal. When there is a lack of efficiency, the rhythm becomes incorrect, as with a blinking arrhythmia, if there are two changes in the pulse, it is unfortunate. At the first diagnosis of additional help, the assessment of the pulsation of the veins, which changes the pulse in 2 or more times.

EKG-signs of a trifle in front of the heart are stored in the appearance of the so-called anterior branches of F, ale shlunochkovy complexes and will be regular and invariable. With additional monitoring, restruct the frequency and triviality of TP attacks, calls with new assignments, sleep.

Video: EKG lesson for non-sinus tachycardia

To clarify the anatomical changes in the heart, diagnostics of the heart meat, and the appointment of the organic training is carried out, before the hour of the license, I clarify the size of the empty organ, the rate of the heart meat, especially the valve apparatus.

In the quality of pre-diagnostic methods of diagnostics, laboratory diagnostics is a test of the level of hormones in the thyroid zone for the development of thyrotoxicosis, rheumatic tests in case of rheumatism, or for a certain amount of blood electrolytes.

Lіkuvannya tripotinnya in front of the heart can be medication and cardiohirurgic. The great flexibility is the efficiency of TP to drug infusion, on the basis of a measure, as it may be necessary to get corrections for additional feedback.

Drug therapy and persha additional help

Conservative treatment includes the following:

• (Metoprolol);
• (Verapamil, diltiazem);
• Antiarrhythmic disorders (amiodarone, flecainid, ibutild);
• Calcium preparations;
• (Digoxin);
• (Warfarin, heparin).

Beta-blockers, heart glucosides, blockers of calcium channels are used in parallel with antiarrhythmics in order to prevent polyphenia from being carried out in the atrio-ventricular university, so as є risik, all the way to the heart of the lungs is done. Very often verapamil is very often used to control the frequency of the shlunochkovykh.

Even if the paroxysm of trifling at the front of the vine on aphids, if the conduction behind the main paths of the heart is ruined, there is no evidence of all preparations from the alimentary groups, except for anticoagulants and antiarrhythmic diseases.

There is no need for help in case of paroxysm of atrial pain, when angina pectoris is supressed, signs of cerebral ischemia, severe hypotension, and progressive heart failure. Extra electric cardioversion with a strum of little exertion. At the same time, inject antiarrhythmics, which will increase the efficiency of electrical stimulation of the myocardium.

Medication therapy in case of an attack is indicated by an acceleration of rapidity and tolerance of an attack, when injecting amiodarone at a vein strumenevo. Iakshcho amiodarone does not change the rhythm stretching for the first time, shown in the heart of glucoside (strophanthin, digoxin). At every day of the day, start before the electric cardiac stimulation.

Our scheme of coping is possible when attacked, the triviality of which does not change two dib. In a wide variety of cases, procainamide, propafenone, chinidine with verapamil, disopiramide, amiodarone, electroimpulse therapy are used.

With the assistance of an update sinus rhythm shows transesophageal or intra-anterior myocardial stimulation. We have infused the struma of the supra-high frequency, we are ill, as they have transferred the operations to the heart.

If it is more than two dibs, then anticoagulant (heparin) should be injected into the bloodstream to prevent thromboembolic delay. With a stretch of three types of anticoagulant therapy, beta-blockers, heart glucosides, antiarrhythmics are simultaneously recognized.

promptly lykuvannya

RF ablation for TP

In case of an unconscious viglyadi anterior puffiness or frequent relapses, a cardiologist can recommend an effective treatment with a classical form of TP with a circular circulation pulse in the right anterior heart. As soon as the atrio-ventricular syndrome is confused with the syndrome of weakness of the sinus node, then the ablation of the paths is carried out in the atrium, and the atrio-ventricular vascular system is given, and in the meantime, the correct rhythm is guaranteed.

Strength of the front of the head up to drug therapy make more and more frequent consumption radio frequency ablation (Mircha), which is especially effective in typical forms of pathology. The action of the radiochilles is aimed at the isthmus between the throat of the empty veins and the tristle valve, which often leads to the circulation of an electric pulse.

Mіrcha can be carried out both at the moment of the attack, and as planned with sinus rhythm. Shown before the procedure will not only be a trivial attack, but an important overrun of TP, ale and that situation, if ailments are not suitable for it, some are trivial conservative methods You can provoke new arrhythmias and underestimated in economical business.

Absolute shows up to Mircha- the effect of anti-arrhythmic disorders is not sufficient, because the tolerance is not good enough for a sick person to take a trivial hour, if it doesn’t bother.

Due to the particularity of the TP, it is important to lіkuvannyu lіkami and the great number of relapses in the attack. Such a change in pathology is even more screwed up to an internal thrombosis and an enlarged thrombus great stake As a result - insult, intestinal gangrene, infarction nirok and heart.

The prognosis for the atrium is severe, It is less likely to be found in the frequency of paroxysms of arrhythmia and triviality, as well as in the rapidity of the anterior heart. Navigate when admittedly friendly perebіgu It is not possible to ignore one who is seen as a proponated abuse, even if it is impossible to transfer, what strength and triviality will be attacked, but, it means, the risk of some kind of slowing down and bending of a sick person hostile lack heart with TP є set.

Video: thrill in front of the heart, the program "Life is great!"

When the atrium is triggered, an electrical impulse "circular" near the opening of the tricuspid valve, the lower empty vein, or near the fibrosis of the myocardium in front of the heart at a frequency of 250-350 cycles in the hemilinus (often - 300 times). Launch such a loop of the center, as a short paroxysm of fibrillation at the front of the heart, as well as parts of the supraventricular extrasystoles.

EKG-signs of tripotinnya in front of the heart

• When the atrium of the forehead is depolarized along the same route, the speed of the atrium manifests itself on the EKG often rhythmically. F(In English. Flutter).
• Chvili F are most beautiful in II, III, aVF, V1, and they often show the characteristic "pilkopodibnu" EKG.
• The frequency of shlunochkovyh responses to lie down at the stage of the "functional blockade" of the AV-university - urge the skin to be carried out on a friend's side (so it is carried out 2: 1). At a frequency of F close to 300 per quill, the QRS frequency is close to 150 per quil.
• The stage of functional AV-blockade can be achieved through a single AV-unit (ischemia, fibrosis, heating), or for injecting blocking drugs (β-adrenergic blockers, digoxin). Todi performance F: QRS will be 3: 1 - 4: 1 and more.
• With a "common" thrusting of the anterior with a frequency of close to 200 strokes per chili, it is possible to carry out 1: 1 - such an arrhythmia is supervised by circulating hemodynamic instability and can be carried out with morphological blockade of the lower bundle of the hypogastrium.
• Similarly, it is possible to lose weight in 1: 1 sessions with a frequency of more than 200 per sinus, as in a sick person there is an additional bundle of conduction (WPW syndrome). A functional beam of Kent is not safe in such a way, allowing you to reach the frequency of high-speed shlunochkiv in 300 beats. / Khv. and vishche.
• In children with trips, the atrium can develop again with an AV block - that is, the slunk rhythm can develop up to 35-45 strokes per chilin. and ceases to occur in phases of F. Such a combination is called Frederick's syndrome.

Options tripotinnya in front of the heart, EKG-show

The type of apex (type I, estmus-fallow)- the loop of the macroresentrі of the sinus near the loop of the tricuspid valve and pass through the cavo-tricuspid іstmus, which is the most common part of the loop. It is easy to ablate, it is easy to see how it can be done by opening the center loop and additionally helping to identify the sinus rhythm.
The type of trip in front of the buva is two types:

• Counterclockwise, or CCW (90% of typical trips)
  • Hvilya F is negative in introductions II, III, aVF
  • Hwilya F is positive in V1

• For a year's strilkoyu - clockwise, or CW (10% typical trips)
  • Hvilya F is positive in introductions II, III, aVF
  • Hwilya F is negative in V1

Image from García Cosío F et al. Atrial Flutter: an Update

Atypove tripotinnya in front of the heart (іstmus-square)- the loop of macro-reentry is rosted in the lower portions of the right atrium, or in the left atrium. Atypical anterior trauma is often associated with trauma or cicatricial changes in the myocardium during the operation or illness. It is much better to be ablated, so as maybe not the mother of a single stylish circle of macrocenters.

Having shown atypical tripping on the EKG, lay down from the localization of the loop rіentri. For example, in case of localization in the left atrium, there may be a typical "saw-shaped" morphology in standard cases, and in the right pectoralis, there may be positive F, simulating the same type of P in the anterior

Butt 1: classic frontal sweat (type I)

• Classical frontal thrust, type I (anti-annoying arrows - CCW) - in entries II, III, aVF means good negativities of F, while the isoline in the cichs is shown as a file. In the introduced V1, F positive.
• The frequency of chilia F is close to 300 per chilin, the frequency of chilos is 150 per chilin. Price - the best part of the regular exercise at the front of the heart, - carrying out 2: 1.

Butt 2: the classic thrust of the front of the head with 4: 1

• Classical atrial thrust, type I, CCW - negative F in II, III, aVF, positive F in V1.
• The frequency of chilia F is close to 240 per chilin, the frequency of chilos is 60 per chilin. AV-vuzol to carry out the skin a quarter of a speed, - so it is carried out 4: 1. To beat the respect - with the objectivity of such a patient, palpate an absolutely normal pulse!

Butt 3: the frontal thrust varied to the conduction 2: 1-3: 1

• Klasichne tripotency anterior, I type, CCW. The frequency of quilting F is close to 300 in quilting.
• Beast to respect, but in the main conduct to become 2: 1, or in two moments to become 3: 1.
• Before the onset of 3: 1 blockade episodes, there is a change in the QRS of the phase F - the yak-bi "spovzag" complex to the top of the F - the difference between the Venkebach periods in case of AV blockade of the 2nd stage. Mobitz 1. The AV-vuzol hangs progressively, and at the same time the block is one more point F more, in order to turn before the holding 2: 1.

Appendix 4: atrial thrust + povna AV block (Frederick's syndrome)

• Klasichne trichoid anterior, type I, CCW, with a frequency of fasting atrium close to 300 per chilin.
• Frequency of very fast shlunochk_v - 44 blows on hilinu. Beat the respect - fast-paced, on the front of the butt 1 and 2, fall on the lower phase of the F-wave, but at the same time, take the absolute rhythm, on the bottom of the bottom of the butt, 3. One explanation - the chain of AV blockade with the rhythm of the Gis bundle.
• The combination of tripotency / fibrillation at the front of the heart and the main AV block in the affected regions is considered "Frederick's syndrome".

Butt 5: tripping in front of the heart for the year-old arrow from the variability of the conduct

• Classical anterior thrust, type I, CW (for the year-round arrow) - positive F in II, III, aVF, negative F in V1.
• The frequency of hwil F is close to 300 per chilin, the frequency of slurry forms is close to 110 per chilin, it varies and does not follow a clear proportion of the performance.

Butt 6: classic frontal sweat with low frequency

• Classical atrium twitching, type I, C C W (anti-ghosting) - negative F in II, III, aVF, positive F in V1.
• The frequency of chilia F is close to 206 per chilin, the frequency of chilos is low - close to 35-38 per chilin, it varies.

Butt 7: atypical anterior fever

• Atype of atrial thrust - positive F in II, III, aVF, V1.
• The frequency of chilin F - close to 260 per chilin z varies by the frequency of holding on the chilin.

Butt 8: frontal tripping with 1: 1

• Fragment of holter-monitoring. Trypotinnya in front of the heart, 200 per chilin, with irregular conductions (chvili F are best in the CS-1 channel) change to the episode of regular conduction 1: 1.

Appendix 9: tripping in front of the heart with 1: 1 holdings and aberant lingering complexes

• Atypical thrusting in front of the heart with a frequency of 200 strokes per chilin. Hvily F two-phase, change in introduction V1. Conducted irregularly on the slings.
• Paroxysm of tachycardia with wide complexes - the process of regular carrying out 1: 1. About the talk about the frequency of tachycardia and the frequency of tachycardia.
• QRS complexes swell the morphology of LBBB - with a high frequency, myocardial speed does not rise from the refractory period and to carry out an impulse with aberration.

Butt 10: recording artifact, which simulates a thrill in front of the heart

• Tsіkaviy butt, on the first glance nagaduє thrusting at the front through the rhythmic hwil "F" in introductions II, III, aVF.
• However, if you are surprised at the I and V1 introductions, then you will have good normal P teeth.
• Such an artifact is vinikє in ailments with tremors, for example, with Parkinson's ailments. Do not forget to look at another buttstock similar to the artifact.

Butt 11: pardon interpretation of tripotency in front of the heart

• EKG, described earlier by the doctor as "sinus tachycardia, shortened PQ syndrome". It can be seen seen by the doctor "R teeth".
• If you respectfully marvel at the introduction of II, III, aVF - then you can see a saw-shaped isoline with negative teeth.
• In the introduced V1, rhythmic positive state of health is visible with a frequency of close to 230 in the amount.
• In a sick person, there is a type of tripotinnya in front of the heart with 2: 1 conduction, as it is entangled with sinus tachycardia.

Fibrillation at the front of the heart (є old name, flashing arrhythmia), as well as trituration at the front of the heart - the price of destruction heart rhythm, Expanded zhvoryuvannya, which can suffer up to 2% of the population.

Mortality rates for a large number of illnesses reach great. The reduction of thromboembolic type is 5 times more often diagnosed with fibrillation of the atrium, less with any other forms of impairment of the sinus rhythm.

Fibrillation before the heart on the EKG is good. At the zv'yazku with the great nebezpekoy, yaku representє, the nobility of the EKG signs of this disease in the region is important. The photo of electrocardiography can often be seen in popular science medical articles - you can't tell anything, as you can see the flashing arrhythmia and movement in front of the EKG.

Fibrillation in front of the heart is a breakdown in the rhythm of a very hearty meat, which is described as an out-of-order speed of the meat fibers. FP to produce to a lack of blood flow in the heart-vascular system, and the result, before the establishment of blood clots.

The electrocardiogram will help you exactly as a result of the fact that in the Danish moment there is a fibrillation in front of the heart. EKG with blinking arrhythmias (photo):

Signs of a flashy arrhythmia on the EKG:

• Vіdsutnya prong R.
• On the EKG, the blinking arrhythmia rotates at the vigilance of the growth for the form and sometimes irregular in the amplitude of the sickness F, the frequency of the number of the sickness is 350.
• EKG blinking arrhythmia is characterized by the appearance of children after an hour of intervals between the slurry complexes.

Signs of blinking arrhythmias on the EKG can be learned in addition to two advanced therapeutic approaches: renewal and reduction of sinus rhythm and control of the frequency of the slurry rhythm without suppressing fibrillation of the anterior heart.

Surgical methods of treatment do not give the necessary result, even if the drug control is ineffective in case of ineffectiveness of drug control over the frequency of the slurry rhythm, and recurrence of fibrillation does not lead to antiarrhythmic drugs.

Trypotinnya in front of the EKG

For the whole affliction, a stable rhythm is characteristic of a very fast, and in a large number of patients, there are fewer parts in children, less in the case of fibrillation of the anterior heart, the rhythm of the sleepers.

For nefakhіvtsіv I will endure the nobility, that the tremor in front of the heart is the same, but the arrhythmia is flashing, only the rhythm in front of the heart is not so chaotic, as in the case of FP. However, when the atrium is tricky, the frequency of the anterior temporalis is ineffective for a normal robotic heart.

Yak and fibrillation at the front of the heart, atrial fibrillation is carried to paroxysmal breakdowns in the rhythm of the heart. Arrhythmias are similar to the symptoms and self-esteem of patients. A single method of visibility, which is the EKG in the ailment of an ailment. Electrocardiography gives a good picture, not at AF.

Trying to be the front of the EKG visitor for such signs.

• In II, the “pilkovidny” form of F.
• The number of graphs to go one to one, on the EKG at the same time, there is no need to support intervals between them
• Likewise, sickness can be promoted in the right pectoral inner-cervical insertions, at the same time, most often the stench passes one into the insha, with the frequency of the sinus head dropping 220 into quiline, equal height / width.
• The ailments often have an anteroposterior blockade, the whole hour changes;
• Normal for the triviality of fast food.

Trypotinnya at the front of the EKG (photo):

Trypotinnya in front of the EKG

Trypotinnya in front of the heart to end up often turn into a flashy arrhythmia and navpaki. Navit EKG, in an hour, does not give the ability to develop and become ill.

To this, the competent diagnosis of "merekhtinnya-tripotinnya", at the same time, will be considered as a dan, when fibrilating in front of the heart. It’s not a huge role, as it doesn’t involve the transfer of analogous methods and acceptance.

Trypotinnya in front of the heart (EKG pidtverdzhene) it is important to get corrections for additional medication. Chim will explain the part of the transoesophageal electrostimulation of the atrium, with efficiency in the 80%.

Yak carried out cardioversion with blinking arrhythmia

cardioversion - effective way lіkuvannya arrhythmia robotic heart. Who is shown cardioversion in case of blinking arrhythmias, as a whole complex of calls is carried out - it will be seen below.

Shown before the cardioversion

In quiet cases, if a person is sick with a diagnosis of blinking arrhythmia or atrial twitching, EKG signs of such a clear and clear prostration for less than 48 years, before entering the rhythm of the robot and the heart, the need for an attack is not straightforward.

As the arrhythmia was trivial to a greater term, then it was great imovity, but in the heart of a sick person there was a thrombus. Todi, if the robot's body renews itself, the stench appears in the vessels, and it will be even more problematic for the insult.

Chemistry and electrical cardioversion of flashy arrhythmia is shown when a patient is up to 65 years old, with a normal physiological stance of shlunochkiv and in front of the heart, and for quiet, first time, having opened up with an attack.

Prototype indication before cardioversion:

• weak syndrome sinus node,
• active myocarditis,
• bradystolic fibrillation at the front of the heart,
• the great diameter of the front of the heart - 4.5 centimeters, stay behind the EchoKG,
• valve defects,
• Iakshko zvoryuvannya sposterіgaєtsya more than 1 rock.

There are two types of treatment method - pharmacological and electrical cardioversion.

pharmacological cardioversion

Pharmacological cardioversion in case of migratory arrhythmia is indicated, as the patient's hemodynamics is normal. We are sick give:

• , Internally,
• , Internally,
• , Intra-shniovenno or orally.

Vibir of preparations, dosage and method of introduction, are started according to special tables.

electric cardioversion

Electric cardioversion of instantaneous arrhythmias is a method of treatment, to which it is exposed, as pharmacological methods are ineffective. The same procedure is called EIT - electric pulse therapy.

Ekstrina EK is shown to patients who have a paroxysm of fibrillation at the front of the wicks in characteristic hemodynamic damage. For example:

• systolic arterial viseі the frequency of the heart quickly dropped to a critical level;
• abo gostry rose coronary syndrome, Scho provoked the Legenevian nabryak.

By means of ЕІТ є, the fibers of the heart meat are reduced chaotically to normal by means of electric stimulation by a straining electric pulse.

An electric cardioversion is carried out with an additional special attachment - a defibrillator. This year, the famous cinematographic procedures became one of the cinematographic cliches of the home, the founders of films and serials on medical topics ("Uvaga! Rozryad!").

Riznitsya only in that, scho in the cinema for the drama of the defibrillator zdіysnyuyut vklyuly the launch of the zupinenny heart. The defibrillator in the cinema is a "charm stick" for the resurrection of the dead.

Electric cardioversion in case of atrial fibrillation is carried out in hospitals, the patient is injected into short-term anesthesia.

On the cob stage of energy, the charge is 360 J (monophase pulse) і 200-360 J (biphase pulse). Cardioversion improves the efficiency of saving sinus rhythm, as the patient takes anti-inflammatory conditions lc і la 2 days before the procedure.

With a primed zasosuvanny and during the day, the indications of the procedure, practically in 97% of cases, show a normal heart rhythm.

Risics of cardioversion

Is it not safe to become a yak procedure? In what kind of event is it possible to conduct it? Chi is meaningful to become a patient? Did they propose to carry out an electrocardioversion, ale the ailments to be afraid, if the fibrillation in front of the heart is diagnosed, it is still quite rocky? At the time of supply, we will try to open the door to the bottom.

The renewal of the sinus rhythm behind the additional cardioversion, as has already been indicated, is more likely to occur in 100% of people with ailments. The problem is that not every song can see the rhythm. It is a good idea for him to go to the meal and pick up the patients for such a procedure.

Vіkovі danі and pіdlogu for carrying out electrical cardioversion is not important. Help people who are willing to know, who have more patients with a detailed diagnosis, because they recognize EIT when they are out of the box, they have been reassured in an alternate way.

In general, the electrical cardioversion will be produced:

• before risky, as a result of the need for short-hour internal anesthesia;
• up to the risk of thrombus approval (less than 1% with correct treatment).

I would like to tell you to go through the procedure of electric pulse therapy, which means that they have it for a complete presentation.

Yak accelerated electrical cardioversion means:

• shlunochkov arrhythmia;
• hypotensions;
• systemic embolism;
• sinus bradycardia;
• segmental elevation in ST;
• Legenevius nabryak.

When the rhythm is renewed in a part of the patients, the syndrome of weakness of the sinus node manifests itself and atrioventricular blockade develops, so that the cardiologist is guilty of being ready before the timing of the electrocardiostimulation.

Corisne video

І for a supplement - a pictorial video about those who can see fibrillation at the front of the heart with blinking arrhythmias:
The last few years have shown that in patients with a group of patients, the heart rate can be controlled very quickly for the addition of new generations of beta-blockers, or a radical vision of atrioventricular units and rhythm of water implantation.

Normal teeth P are displayed, and instead of them, they are reconstructed in equal measure to the same configuration.

Hvily tripotinnya is often carried out with a singing periodically in a lick (AV-carrying out is carried out in a period of 2: 1-4: 1).

Trypotinnya in front of the heart is a severely damaged rhythm of the heart, organic battle heart, such as ІХС і vices of the heart.

tripotinnya in front of the heart Has consumed the rhythm of the heart until the childish ones. Dzherelom yogo buvaє poplitsі, moreover, yak і in the form of the least atrium, normal teeth P on the EKG on the day; To replace them, they are re-structured so called the failures (F). The reason for the appearance is that they appear, as they appear as a result of their regularity and the same configuration, but there is a pathological anxiety in front of the heart.

The stench may be a small size, ale trokhi is large, niz hvili merekhtinnya, І easy to remember, taken in introductions II, III, aVF and V1. The curve of the apex is characterized by a pilk-like shape. Frequency of chilings in front of the warehouse is 220-300 per chilin.

One s features of the trip in front of the heart Polaga in that, when there is a problem, on a day from a small point, it is often carried out until the louse through the interval of an hour. So, the louse can reach the skin 2 or 3 rd reason for the problem and in the fallowness, it can be said about the atrium with the AV-conduction 2: 1, 3: 1, or 4: 1. The QRS complex is unmistakable.

tripotinnya in front of the heart It is only when you have an important heart, especially when you have a heart, ІХС and cardiomyopathy.

The pathogenesis of the anterior heart disease explain macro-re-entry theory.

As soon as possible theory in the right atrium (PP) Vinica is a circular hvilya from the lower empty vein and the coronary sinus, from one side, and the ring of the tristular valve - from the other.

tripotinnya in front of the heart an hour more importantly to give in to love, lower to a little in front of the heart. Yak lykuvannya proonuyut zastosovuvati hearts of glucosides, blockers of calcium channels or blockers of beta-adrenergic receptors. In case of an inconvenient situation, for example, when carrying out 1: 1, catheter ablation is indicated for frequent heart stimulation and cardioversion, and only in case of out-of-the-day performance.

Features of the EKG in case of anterior pituitary:
The appearance of a hwil tripotinnya (a curve often has a pilk-like shape)
AV conduction is 2: 1-4: 1
Sposter at ІХС, important wads of the heart
Likuvannya: heart glycoside, verapamil, cardioversion

Migrating arrhythmia (fibrillation at the front of the heart) - the process of failure in indicators of the heart rhythm, as it is characterized by the fact that chaotic wake-up is developing during the 1st cycle, for fast activity in the front of the heart, very early in the year

A number of cold strikes, as a rule, are located between 350 to 800 in 60 seconds. Electric impulses, direct to the atrioventricular university, will recognize the different steps and frequency, because they do not reach the end point.

As a result, the frequency of activity during fibrillation of the atrium is greater, less than 200 in 60 seconds, more often the mark is observed in 85-135 strokes. The order in a straight line with an impulse and way through the atrioventricular vuzole, go back to the wrong, chaotic beat of shlunochki.

Regardless of the regularity of the beats of the heart, there are singular types of blinking arrhythmias:

• bradystolic;
• takhis_stolicheskaya;
• Normos_stolicheskaya.

With the first form, the speed of the meat does not change 60 in 60 seconds, with the standard number, it goes up to 90 strokes, and with the tachystolic type, 90 strokes for the quill.

Fibrillation in front of the EKG appears to be deprived of 2 clear rice:

• At all openings, the indicator of P is seen, instead of a new one, chaotic problems appear;
• The complex QRS indicator is indicative of arrhythmia, which can be seen in small intervals as well as in changes (open R-R to appear).

symptomatology

A description of the symptoms of blinking arrhythmias will be found in the heart rate of the patient, as well as the symptoms in the central hemodynamics.

The main ailment is to skar on zupinki, interruptions in speedy hearts, a strong stupor, as you should be able to navigate with a small amount of damage. In children of vipadkah - stupid i bad b_l in the body.

With regular patients, the symptomatology of atrial fibrillation can be very pronounced. The camp of the people can be classified as predestined, middle-important and important.

seen characteristic signs heart flaws, which can be actively developed in case of blinking arrhythmias: shkira, scho viddaє blidim vidtinkom, Cyanosis of mucous people, zduttya jugular veins, embellishments of deyakie parts of tila.

The most important symptoms of arrhythmia can be called the irregular heart beat, which appears when the patients are regular, the tone of the sounds is different, and the triviality of the diastoli is infused. With a small pause, there is a small pause, like the first tone is a little more voiced, the second is weak or else it is lost. The song of the great zupinka faded away, the beginning of the tone became more light.

The vice in the arteries normal performance, Pulse to indicate arrhythmia, may be uncharacteristic for the amplitude, change and speed. The tachystolic form of becoming ill is characterized by a pulse deficiency - the rate of heart failure, lower heart rate.

On the EKG you can see the onset of the main signs of fibrillation in the anterior:

1. On the electrocardiographic arc, there are no P-teeth in all views;
2. At the EKG, fibrillation in front of the heart is characterized by the manifestation of frequent non-contemptuous changes in the front of the heart at the end of the day, which is tied to chaotic disturbances and speedy eyes in front of the heart. Large wave type means that the amplitude of the index f is greater, less than 1 millimeter, and the frequency in the range of 355-455 beats in 60 seconds. The form is given to explain the hypertrophy of the central part, the front of the heart and, in a quick way, to develop in patients with mitral stenosis and chronic ailment Legendary heart... Іnsha, a fine-wave form inkazuє, but the amplitude f will be nabagato less (buvaє, which is uncomfortable on the EKG). In this case, the frequency increases to 600-700 faster in 60 seconds. This type of widening is the most widespread in the middle of ailing patients, who suffer from atherosclerotic cardiosclerosis, who have experienced myocardial infarction, myocarditis, over-saturated with glucosides.
3. Fibrillation of the anterior heart on the EKG is also characterized by arrhythmia of the QRS complexes, which on the cardiogram is manifested as irregular R-R intervals... Call the symbols of the rivn.

When you see 2 forms of blinking arrhythmia:

• Post-ailment - a little bit of a fall on a trivial prominence;
• Paroxysmal arrhythmia - attack of mechtinnya viddil can be trivial up to 7 days.

Perebig ailments trivaє dovgo. All the same can lead to further acceleration, for example, the development of hemodynamics, provoking the development of heart failure and reduced strength and living standards of patients.

Іnshim, to finish off with a folding bag to get rid of ailments є the progression of thromboembolism, as soon as thromboembolism appears through the shit.

Boo, how thromboembolism repairs in the brain, in the brain, in the lungs and in.

Likewise, a persistent flashing arrhythmia of a chronic nature can provoke the appearance of cardiomyopathy. Varto means that the middle of the ailments to reach the high level of mortality.

Tse viclikano development of the fibrillation of shlunochkiv, which provokes arrhythmia into its own devil, and then death is not allowed.