Anterior heart rhythm. Scho means the term “ectopic rhythm of the heart

Bagatokh tsikavit, why is there also an ectopic anterior rhythm? This is a situation when electrical impulses are violated by atypical cardiomyocytes. Chi is normal and needs to be displayed below.

Ectopia - tse abnormally roztashuvannya chogos. In other words, dzherelo zbudzhennya of the heart mead, the beginning is not in the wrong place, de to be in place. Roztashovuvatysya sub-middles can be in any myocardium.

Frequency is very fast to the body and the last will be destroyed. To name the ectopic rhythm of the heart, you can also substitute the function of the automatic center.

Tsikavo! There are two options for the atrial rhythm: hopes and accelerations.

The first one is toddy, if because of the blockade of the sinus node, the generation of impulses starts to be weak. The other is the result of the fact that the ectopic center is quickly zbudzhuyutsya, as a result of the basic rhythm of the heart is overturned.

Anomalous speed is not detected so often, but in any kind of stench, they can fix it with a sinus rhythm. More damage can be trivial for an hour - for one thing or more. For those who are in a bad heart, all life can be traced back to the core of ectopic vognisches.

cause sickness

The ectopic anterior rhythm is due to the fact that it is rich in provocative officials as well as internal ones. People can feel a detailed diagnosis.

However, you don’t want to get involved in the vision. Є physiological arrhythmia, which is a norm, it is not necessary for it, it becomes normal to normalize independently in a day.

Rіznodydi poorushen, as can be buty wicklikanі with the lower rhythm of the anterior part:

• fibrillation;
• extrasystoles.

The anterior rhythm may not be seen as sinus. Most often, it will appear in the last hour of the EHC. About the manifestation of the pathology of a lot of people, one cannot be satisfied with it itself, one does not get used to any kind of action.

The ectopic anterior rhythm can develop for different reasons, the middle can be seen:

• arterial grip of movement;
• sinus vuzole weakening;
• myocarditis;
• vicariously for the reception of drugs;
• otrunnya organism with foul gas;
• rheumatism;
• development of sugar-coated diabetes;
• congenital anomalies;
• infusion of alcoholic beverages і tyutyunu.

Children have an ectopic rhythm, they can be as natural as they are. At the first vypadku Maluk appears on the light of the ectopic vognisch.

It can be the result of sour hunger in the womb, as well as development. In the blink of an eye, it may normalize, ale the child is to blame for the fact that it’s obvious that it’s permanently.

Pidlіtkovy wіk - tse zovsіm іnsha situation. So, for example, girls see snakes tied with a hormonal background, so the heart rhythm can be in front of the heart for a decade. Yak tilki status The problem will be finished independently.

Professional sports can become the reason for the ectopic rhythm. The result is that organism is susceptible to permanent physical changes.

symptoms of illness

The actopic anterior rhythm can develop asymptomatically.

As well as the symptoms of a broken rhythm є, the stench will represent those illnesses, through which they thought they would appear:

• ailments are periodically chuє of the heart;
• to move forward;
• you can "die" for an hour;
• appearing temryavi in ​​front of the ochima;
• the appearance of a blue vidtinku on the lips;
• pain in the chest area;
• frequent positives until the next day;
• showing fear for your life;
• ailments are found in the frontal stanі.

If some symptoms appear, then they turn for help to the medical mortgage.

diagnostics

To identify the problem, ultrasound diagnostics is carried out, as well as an electrocardiogram. So, as the problem can only be given to the nobility only in the singing hour of the dobi, then in order to deny more accurate classical paintings after the EHC by Holter. Sensors are attached to every patient, whether they are fixed cyclically.

Symptoms on the electrocardiogram

The EKG is a highly available and safe method of follow-up. On the cardiogram of the lykar, the following indicators are assessed:

1. Q wave... Indicator of response for to the cob stage zbudzhennya in little girls.
2. Pivot mill... At the same time, electrical impulses appear in the foreheads.
3. QRS complex... In medicine, they are called slunochkovy, representing the stage of development in all types.

If you want to remove the necessary properties of the car, you can explain the features heart rhythm.

About the manifestation of the ectopic atrial rhythm, you can say the following in the EKG:

• Intervals and teeth with great triviality;
• the tooth P is negative, with a lot of changes to the lug complexes is mute.

Indicators can be seen in fallowness from individual to fall.

methods of treatment

Likuvannya is not necessary, as the person has grown up, or the child, if an anomaly appears, does not lead to any discomfort. The pre-heart rhythm in a wide range does not burden neither health nor life.

In some types of therapy, you can step directly:

1. For the treatment of the accelerated atrial rhythm, beta-blockers, for example, Anaprilin, are stagnant. Can be used as a prescription drug for reducing the frequency of heart rate.
2. When bradycardia appears, drugs are used to accelerate the rhythm. It is recommended to vikoristovuvati roslinnі extracts, for example, ginseng or eleutherococcus.
3. For the treatment of vegetative vessels, sedative drugs are used, for example, valerian, infusion of pustular, Novopassit.
4. In order to help you develop an infarction, you can use the Panangin signs.

In especially important vipadas, if standard methods lіkuvannya doesn’t help, because you can’t be a vicary, you can get a cardioversion, in these words you can get a piece of rhythm.

Folk methods of lykuvannya

For the improvement of the atrial rhythm, you can use not only traditional, but also folk methods.

Important! folk recipes do not let go of the cause of the development of the sickness, but rather to paint the camp of the sick.

The following recipes are most effective and efficient:

1. Sik, otrimanija vіd grapefruit, eat olive olієu (three spoons). In a new viglyad, once to get used to it, get used to it. Recommendations for the course of treatment become one month.
2. In the first few ounces, take the kernels of hairs, іnzhir and rodzinki, mix it up, add honey, fill it with insisting on doba. Twice a day, 20 grams each, take away the liquor. The therapy is continued in two months.
3. For the lіkuvannya of the broken rhythm, go to the calendula. Twenty grams of dry notes should be used by a great community. Fill everything with sprinkles, fill it with insistence for twelve years. At a time, boil one hundred grams of koshti, repeat the spout once a day.
4. Young pagony of asparagus is traditionally grown. Pour one spoonful of water with a glass of water, close it and let it brew. Take five spoons every day. The triviality of lіkuvannya becomes the minimum one month.
5. Pivkilogram of hairy mountains, use a glass of zukru, give fifty grams of sesame oil. Ingredієnti pіslya zmіshuvannya guilty to stand up. Brew chotiri with lemon zest in a bowl. Be aware of the offense, mix it up, the consistency is guilty of being one-sided. Three times a day, on the tablespoons, take the evil.
6. With a hold of three ideas, insist on a drink for a drink or alcohol. Vichavit from syroe cartopli sik (guilty get 150 mil), give a spoonful of honey and a spoonful of alcoholic tincture. Take two for a day. Gotuvati nove zilla is recommended once.
7. Take the drink of the cranes yagid and fifty gram to the hunter, the Ingredian is guilty but retailers. Zalishte insist on three dobies in an airtight container. At the ready, give me some honey drinks. Take out two spoons from the cleaned liquor, dilute with three bottles of water, and drink everything throughout the day.

The ectopic anterior rhythm is guilty of overloading under the continuous control of the doctor. Find out if the symptoms are not safe or the symptoms are on the day, so it is not necessary to be negligently put to your health.

There is also an ectopic rhythm of provocations with an affliction, it is important that it is more important to see the cause of the pathology and concern to the usunions. In neglected vipadkah, it may be not only for health, but also for the life of the people.

Parts of food to liquor

Forecast and prevention

Give me a diagnosis, ectopic atrial rhythm, say, how can prophylaxis be cinnamon and what is the prognosis for the day?

Patients with a detailed diagnosis of the guilt of perebuvati pid visually lіkarya. All on the right in that, through emotional stress, concomitant pathologies, arrhythmia can grow into greater seriousness.

Ailing is shown to robiti on the offensive:

• once on a week, it is recommended to use an ultrasound scan of the heart, as well as a coagulogram;
• skin day slid vimiryuvati vise and pulse;
• minimum once a quarter slid work of EKG.

Athletes, albeit people with similar professions, who can be relied on for new options in the heart, can be introduced to intercourse, in one such kind of activity and call for a fence. With all the recommendations of the doctor and the passage of the hourly treatment, the forecast is friendly.

The heart, being one of the head muses in the community, has a number of special powers. It is possible to speed up right away from the nerve impulses, to go through the brain and take part in the control of the nervous-humoral system. The correct route for the transmission of information in the heart is to be repaired in the area of ​​the right atrium (sinus university), in the area of ​​the atrioventricular university and further to expand over the entire area of ​​the septum. All іnshі fast, as not to go along the whole route, to insure yourself to an ectopic rhythm.

Yak z'yavlyayutsya in front of the heart rhythms?

The ectopic impulse, which appears behind the boundaries of the sinus node, settles in and out of the heart before, the signal is transmitted from the head to the rhythm. Some situations allow one to say that the acceleration of the anterior rhythm is inherited from the "viperredzhennya" of the main rhythm to other speedy ectopic type.

Theoretically, obruntuvannya ektopichesky rhythm - the theory of re-entry, so that the front of the heart is not damaged in parallel with those through those who see the local blocking of the broadened nerve impulse. At the time of the confirmation of the activation, I was given a dilyanka to see the dodatkovo speed - in such a rank, in this position, the devil’s pose and by himself beat the zalous rhythm of the heart.

Deyaki theory allow for the vegetative and endocrine nature of the formation of the anterior rhythms. As a rule, certain manifestations occur in children during puberty, or in older adults, with hormonal overexcitation (in case of a history of pathologies).

There is also a simple version of such a vigle: hypoxic and ignition processes in the myocardium in cardiopathy and fiery ills zdatnі viclіkati in front of the heart rhythms. So, in children who are sick for angina or with the flu, they are not safe to have myocarditis with the onset of the atrial rhythm.

The heart, being one of the head muses in the community, is endowed with special powers. You can speed up right away from the nerve impulses to go out to the brain, which control the nervous-humoral system. The correct route for the removal of information in the heart is to be repaired in the area of ​​the right atrium (sinus university), to pass in the area of ​​the atrioventricular university and widened along the septum. All the speedy ones, which do not go along the whole route, are called an efficient rhythm.

Ethiology of atrial rhythm

Yak bulo is designated as a viscera, the causes of the atrial rhythm are the changes that pass in the sinus node. All changes are made on ischemic, igniting and sclerotic. Nonsynusic rhythms, as there are similar changes, appear in the offensive forms:

1. The supraslunochkovo ectopic rhythm;
2. Anterior rhythm.

Acceleration of the apical rhythm is established, as a rule, in people who suffer for rheumatic illnesses, dear ones heart, dystonia, diabetes, ischemic ailment or hypertension. In children, the atrial rhythm can be found in healthy adults and children, as well as nature.

The impulses can go out from the young heart, the splinters can get the impulses to move along the front of the heart. In medical practice, it is more likely to be called a fast rhythm. With vimir of similar atrial rhythm, the amplitude on the EKG changes in accordance with the growth of impulses.

key picture

The anterior rhythm of the rhythm is straightforward with singing illnesses, like yogo wiklikalo. Tse means that the symptomatology of the day is specific. The clever picture is bezposeredno amoused by the pathological picture in the body of the patient. The rule is given to expand only on non-trivial attacks on a broken rhythm. With trivial attacks, there may be onset symptoms:

• Some people are aware of shorts and fear. Lyudin will start to take the best position, yak b pinched given development I will attack.
• The onset of the stage of supravodzhutsya swirling tremors (tremors) in kintsіvkah, in some vipadkakh - zamorochennym.
• Symptomatology is the upsetting crochet - to prevent the appearance of perspiration, dyspeptic problems, which manifests itself in viglyadi zduttya and tediousness, part of the positive before sevipuskannya.

Not trivial attack can supervise the increase in frequency of the heart very quickly and badly, because of which the heart of the world is asked and seen in the mail. A subtle impulse in the heart to talk about those who have a sinus rhythm of new innovations - there may also be some minor pains in the breasts and the area of ​​the heart.

Atrial rhythm changes to paroxysmal tachycardia. Patients themselves may be aware of the fact that they have heart rhythm disturbances. As the frequency is very fast, the heart of the temple, given the snake will be uncomfortable. Precisely vnachiti pod_bniy mill of additional assistance to propezhennya on the EKG. At times of fibrillation, the ailment may develop on chest pains, which are powerful for angina pectoris.

Trivial attacks on the breakdown of the atrial rhythm are not safe for people - at all times in the heart there may be a thrombus, as if it gets into a blood-bearing heart, there is an infarction or an insult. It’s not safe to worry about the fact that, with latent protested ailments, symptoms can be ignored, and that’s not due to the potential development.

Diagnosis of atrial rhythm

The main technique for the atrial rhythm is EKG. The cardiogram allows you to accurately determine the nature of such a rhythm in every situation, as well as precisely establish the nature of such a rhythm. The EKG allows the visibility of the atrial rhythm to be seen as well:

• Left atrial rhythm: negative aVL, aVF, PII, III - positive, PI, in some cases, smoothing. PV1 / PV2 is positive and PV5-6 is negative. Zgіdno z Mirovski et al., Prong P with left atrial rhythm folds into two parts: persha low-voltage and dome-like pidyome (depolarization of the left atrium is indicated), another part is characterized by a high serum - high
• Right atrial rhythm: characterized by negative prong P in the area of ​​the third standard display, in the first and the other - positive. The tse phenomenon is characteristic of the mid-lateral right atrial rhythm. With the lower rhythm of this form, it is characteristic to show the P wave, negative in the other and third wave, and also aVF, smoothed in the 5-6 chest.

• The lower atrial rhythm is characterized by a shortened PQ interval, with this indicator less than 0.12 seconds, and the P wave is negative in II, III and aVF.

It is possible to start the onset of the onset of the cardiogram: using electrocardiograms on the given data, the car can increase the change in the atrial rhythm on the display of changes from the side of the P wave, which can be seen from the physiological norms of the polarity and amplitude.

Apparently, for the purpose of the designation, the right atrial rhythm of the fahivets is guilty of the mother's significant dosage of the robot, the EKG's data, given a similar rhythm of growth and differentiation, is smoothly accepted. Sounding at the price, for the formation of the most common and accurate picture of the heart, you can choose Holterivske monitoring.

cardioplanet.ru

How do you see the rhythm of the heart?

In a normal heart of a human being, only one way of conducting an electric pulse, which can lead to the last destruction of the young heart and to a productive one hearty fast food with ample wikid of blood in the great judgment. Tsei shlyakh to repair in the right atrium, to de-roste the sinus vuzole (to the rhythm of the 1st order), to pass through the conductive systems of the atrium to the antero-ventricular (atrio-ventricular) one through the fibers in the fabric

Ale inno, due to some flexible reasons on the heart tissue, the cells of the sinus university did not generate electricity or impulses in the underlying results. To change the process of transferring the heart to the heart - even in order not to be heartbroken, the compensatory system should be replaced by the forward system of generation and transfer of pulses. This is how they win ectopic, or substitute rhythms.

Otzhe, ectopic rhythm is the price of electrical stimulation in any part of the myocardial fibers, albeit not in the sinus node. For the most part, ectopia means that something is wrong in the wrong place.

The ectopic rhythm can occur from the tissue at the anterior (anterior ectopic rhythm), in the cells between the anterior and the dorsally (rhythm from the AV-z'ednannya), as well as in the tissue of the dimples (dimple rhythm.

What is the ectopic rhythm for?

The ectopic rhythm of the sinus is due to the weakening of the rhythmic robots of the sinus node, abnormally increasing its activity.

I have my own curriculum, outside of the part of the sinus university, as a result of growing illnesses and stanіv:

1. Filling. ignition processes in the heart muscle there can be a lot of sinus nodes, and fibers in the anterior and dimples. Eventually, the health of the client will be violated and transmitted to the underlying messages. At the same hour, the tissue at the front of the head was started to generate power, as it was brought up to the atrio-ventricular university with a frequency of the appearance or lower. Such processes are mainly associated with viral myocarditis.
2. Ishemia. gostra i chronic ischemia the myocardium is also damaged by the damaged sinus node, as a cell, having been relieved of a sufficient amount of acidity, cannot function in normal mode. In addition, the ischemia of the myocardium is borrowed from one of the provincial statistics in the statistics of the breakdown of the rhythm, and of the electric rhythms in that number.
3. Cardiosclerosis. Replacement of normal myocardium with scar tissue growth transfer of myocarditis and infarction overshoot the normal transmission of impulses. In general, in individuals with ischemic and postinfarction cardiosclerosis (PICS), for example, it is significant to develop a risk of showing an ecstatic rhythm of the heart.

Crime pathology heart-vascular system, Bring the rhythm to an ectopic rhythm can cause vegetative-sudinna dystonia, as well as deterioration hormonal background in organism - diabetics, pathology of nadnirnikiv, thyroid gland that in.

Symptoms of the ectopic rhythm

The clever picture replaces the rhythms of the heart, it can be neatly twisted, otherwise it does not appear. Call me on the first place in classy paintings symptoms of the main illness, for example, backwardness when navantazhenny, attack fiery pains behind the sternum, bumps lower kintzivok etc. In the presence of the nature of the ecopic rhythm, the symptoms may be different:

• With ectopic atrial rhythm If, in the presence of the generation of impulses, it grows in one of the atrium, in the greater number of symptoms the symptoms appear, and the damage appears according to the cardiogram.
• With the rhythm of AV-z'єdnannya to speed up the heart rate, close to normal - 60-80 strokes per chilin, or lower than the norms. In the first, the symptoms are not susceptible to symptoms, but in the other it is an attack that is messed up, as a result of boredom and weakness.


• with extrasystole the patient seems to be a bit overwhelmed, the heart stings with the onset of the rapid delivery in the breasts and the greater visibility in the breast cells. More often and more often than extrasystoles, more often symptoms on triviality and intensity.
• With anterior bradycardia As a rule, the frequency of the heart is not very much lower than normal, in between 50-55 in chilina, in addition to some patients, it may not be significant for some scarg. On one occasion, one is turbulent on the attack of weakness, thin stomachache, which is explained by a decrease in blood supply to skeletal tissues and to cells of the brain.
• paroxysmal cardiac show yourself nagato yaskravish. In case of paroxysm of the patient, it seems that the disease is rapid and rapid in the presence of an accelerated heart rate. Behind the words of the bagatokh patsієntіv, the heart is three-pointed in the breasts, yak "a hare's tail." The frequency of the heart is very fast, up to 150 strokes per quill. The pulse is rhythmic, and it can be licked in between 100 gilts, through those who do not have all the hearts of the fast reach the peripheral arteries on the wrist. Besides, they are aware of the fact that they are in a marriage because of pain and pain, and that the lack of hopefulness is sounded to the heart.
• Merekhtinnya and tripotinnya in front of the heart can mother paroxysmal abo postinu form.
  basics blinking arrhythmia to lie chaotically, irregularly fast in the early tissues of the tissue in front of the heart, and the frequency of the heart becomes very fast when the paroxysmal form is more than 150 per chilin. However, there is a normo-bradystolic variation, with a heart rate in between the norms, or less than 55 in chilin. Symptoms of paroxysmal form nagadu attack of tachycardia, only with irregular pulse, and also because of irregular heart rate and interruptions in the robotic heart. Bradystolic form can be supravodzhuvatisya zamorochennyam and anteropositic stump. With a persistent form of arrhythmia, the first plan is to include the symptoms of the main illness, which is called to it.
• idioventricular rhythm may be aware of the serious pathology of the heart, for example, an important hospitable myocardial infarction. In most cases, symptoms are indicated, such as myocardium in the creepers of the building and electricity at a frequency, not more than 30-40 per chilin. At the junction of the cym from the patient, you can winicati epizodi Morgany-Edems-Stokes (MEM) - attack in the last few seconds, but not more than one-two heaps, so for a whole hour the heart "turns on" I know. In such vipadkah it seems that the patient "mixes up". Such a setting is even more important in connection with the power of a new heart. Patients with an idioventricular rhythm are threatened by the development of raptus heart death behind the risik.

Ectopic rhythms for children

In children, the appearance of arrhythmias can be caused by the appearance of an abnormal character.

So, the ectopic atrial rhythm of the vine is most often with vegetative-vascular dystonia, with hormonal overexposure in puberty (in adolescents), as well as with pathology of thyroid gland.

In newborn babies and children of early age, the right atrial or lower atrial rhythm can be a bit of a prematurity, hypoxia or pathology in the canopy. Besides, neuro-humoral regulation of heart activity in all young children grows immature, and in the world of growing up, all indicators of heart rhythm can return to normal.

As for the child, no pathology of the heart is revealed, but for the central nervous system That is the anterior rhythm that follows the time-consuming, functional distribution, Ale Malyuk is guilty of being regularly tested by a cardiologist.

Ale nayavnіst bіlsh seryoznih ektopіchnih ritmіv - paroksizmalnoї tahіkardії, migotlivoї aritmії, atrіo-ventricular i shlunochkovogo ritmіv - vimagayut bіlsh detalnoї dіagnostiki so yak Tse Mauger Buti obumovlene vrodzhenoyu kardіomіopatієyu, vrodzhenimi i Nabutov Vadamee sericite, revmatichnogo lihomankoyu, vіrusnimi mіokarditom.

Diagnostics of the ecopic rhythm

Let's carry out the method of diagnostics - electrocardiogram. When an ektopic rhythm is detected on the EKG, the patient should indicate a plan for additional assurance, which includes the ultrasound heart (EXO-KS) and the additional monitoring of the EKG. In addition, individuals with myocardial ischemia are diagnosed with coronary angiography (CAG), and patients with arrhythmias - transesophageal electrophysiology (CHPEFI).

Signs according to the EKG with different types of the ectopic rhythm are developed:

• With atrial rhythm there are negative, high, or biphasic P waves, with right atrial rhythm - in pre-atrial V1-V4, with left atrial - in V5-V6, which can overwhelm or overlap with QRST complexes.

• The rhythm of the AB-z'єdnannya is characterized by the manifestation of a negative P wave, to be found on the QRST complexes, or an obvious message for them.

• The idioventricular rhythm is characterized by a low frequency of the heart rate (30-40 per chilin) ​​and the apparent changes, deformed and expanded QRST complexes. Prong P is wide.

• In case of an atrial extrasystole, there are early, post-mortem PQRST complexes, and in case of shlunochkovy, there are changes in the QRST complexes, followed by a compensatory pause.

• Paroxysmal cardiac arteries develop with a regular rhythm at a high frequency very quickly (100-150 per chilin), P waves are often very important.
• For the least and the atrium on the EKG, there is a characteristic irregular rhythm, the P wave, the characteristic is the weakness of the atrium f or the failure of the F.

Likuvannya ectopic rhythm

Likuvannya in that case, if the patient has an ectopic atrial rhythm, which is not a wiklik inappropriate symptoms And pathology of the heart, hormonal and nervous systems is not revealed, is not carried out.

At the time of the manifestation of the extrasystole, the sign of sedative and hypoglycemic drugs (adaptogens) is shown.

Therapy of bradycardia, for example, with atrial rhythm with low frequency, very fast, with bradyform of blinking arrhythmia, polyaga in indicated atropin, preparations in ginseng, eleutherococcus, lemongrass and other adaptogens. In important vipadkas, with a heart rate less than 40-50 in khilina, with attacks by MEM, the implantation of a piece of rhythm (electrocardiostimulator) is correct.

Acceleration of the ectopic rhythm, for example, paroxysms of the tachycardia and merekhtinnya-tripotenia in front of the heart, vimagayut nadannya extra help For example, the introduction of a 4% solution to calcium chloride (panangin) internally, or a 10% solution to novokainamid internally. Nadal patients are recognized as beta-blockers or antiarrhythmic drugs - Concor, Coronal, verapamil, Propanorm, digoxin and in.

In both cases - і positive, і accelerated rhythms, show lіkuvannya main affliction, Yaksh take є.

forecast

The prognosis, when the ectopic rhythm is evident, will begin with the manifestation and the nature of the main ailment. For example, if the patient regains the atrial rhythm according to the EKG, and the heart ailment is not revealed, the prognosis is friendly. And the axis of the appearance of paroxysmal accelerated rhythms on aphids of myocardial infarction put the predictive value of ectopia in the category of unpleasant.

In any case, the prognosis will change at a time-consuming beating up to a license, as well as at a viconance of all licars' signs in the plan of a situation and a policy. Some of the people who are brought to accept all the life, even if they are not mindful of them, indulge in the quality of life and improve and triviality.

sosudinfo.ru

See the atrial arrhythmia

So, if the ectopic rhythms are manifested - directly from the breakdown of the robot of the sinus node, then it is determined by the flowing changes in rhythm in the heart pulses, or the rhythm of the myocardium. A frequent reason for the ectopic rhythm is to serve as a fallacy:

• Ischemic ailment of the heart.
• Ignition processes.
• Diabetes mellitus.
• A high grip in the area of ​​the heart.
• Rheumatism.
• Neurocirculatory dystonia.
• Show sclerosis.

Postage to the development of a sickness can include articles and іnshі heartsі wadi, for example: hypertension. Wonderful regularity of diagnosis of ectopic right atrial rhythms is manifested by the appearance of people with good health. The ailment is of a time-based nature, it is a bit less prone to congenital pathology.

Among the peculiarities of the ectopic rhythm, the frequency of the heart is very fast. In people who are sick with vada, when diagnosing, the indicators of the heart are very fast.

With an acute vimiri clutch, it is easy to loosen the ectopic atrial rhythm with an increase in the number of hearts. high temperature, In case of fiery illnesses, abruptly tachycardia.

As the arrhythmia does not go through a trivial hour, it seems about the steel ruin. Let's mark with the point of vidznachyut paroxysmal transmission of the accelerated atrial rhythm. A special kind of growth of ailment is to serve as a rapid development, the pulse can reach 150-200 in ghilina.

A special feature of such ectopic rhythms is the ear of a raptor's attack and unsuccessful attack. Most often it is seen with anterior tachycardia.

On the cardiogram, such speedy images with equal intervals, ale deyaki forma ectopia viglyadayutinakshe. On nutrition: the whole norm of pathology, it is possible to adapt, having inoculated a rise in vision.

An uneasy change of intervals between the anterior rhythms of the heart is of two types:

• Extrasystole - post-cranial anterior swiftness to a normal heart rhythm. The patient can physically perceive a pause in the rhythm, as soon as there is a myocarditis, a nervous vision, or a loud sound. There are vip drops in unreasonable extrasystoles. A person is healthy, you can see up to 1500 extrasystoles for doba without a shkodi for health;

• Migrating arrhythmia is one of the cyclical stages of the robot's heart. Symptoms may be on the rise. M'yazi in front of the heart cease rhythmically speeding up, and winy's chaotic measure. The slingshot vibrates to the rhythm.

It is not safe to show an arid rhythm as soon as possible in a child. The knowledge of the fact that the same vision is in accordance with the norms can be promoted by stretching out decal days or months, in addition to the easier one. If medicine wants to be brought up to such problems, I will show ailments before the hour.

V childish The emergence of an atrial atrial rhythm can be determined by the inflow of the virus. The most important form of ailment is, call for ailments to be found in an important place, and a sharpening of the atrial rhythm of the heart in children can manifest itself when the body changes.

Symptoms of atrial rhythm

Significant ailments manifest themselves only on aphids of arrhythmias in those who are slowed down. By itself, the ectopic rhythm is not the most characteristic symptoms. If you want to brutalize respect on the dovgostrokov, the destruction of the rhythm of the heart is very fast. Having seen in himself such a vision, he secretly turns up to the lykar.

In the midst of indirect symptoms, it is possible to indicate a heart problem:

• We have often attacked the bad guys.
• Zamorochennya.
• Chest pain.
• To overcome the feeling of restlessness and panic.

Important! With a characteristic familiar cob, the attack of the ectopic rhythm invades the ill-fated take on such a position, if you pass any uncomfortable camp.

Once, if the attack does not pass a trivial hour, you can chat clear vision sweat, cloudy eyes, abdominal swelling, hands begin to shake.

There is such a decline in the heart rhythm, when problems with the herbal system are repaired, there are sharp blues and bruises. positive empty sechovy mikhur 15-20 khilines are taken from the skin, neatly from the number of vipitoes of origin. Yak just attack to cringe, allow to cringe, and in the back of self-esteem to cuddle.

An attack of an extrasystole can occur in the middle of the hour and provoke dreams. As soon as it comes to an end, you can win the dead heart, letting the robot go into a special mode. When you sleep for an hour, you may experience symptoms adjusted temperature and oven in the throat.

diagnostics priyomi

Vyavlennya is carried out according to the data, rejected in the course of the anamnesis. Writing a lot of ailments for detailing from the riches given to go to the electrocardiogram. For the internal vision of the patient, it is possible to write about the nature of the affliction.

Behind the help of the EHC, the specialties of ailments appear, with an echo rhythm of the heart to wear specific character. characteristic signs It is manifested by a wintry indication on the "P" wave, it can be positive and negative, as a result of the battle.

The presence of the atrial rhythm on the EKG can be seen from the following indicators:

1. The compensatory pause is not essential.
2. Interval "P-Q" is shorter, lower is to blame.
3. The configuration of the "P" wave is uncharacteristic.
4. Shlunochka complex nadmіrno vuzke.

Likuvannya ectopic rhythm

For an acceptable selection, it is necessary to establish an accurate diagnosis of the response. The lower atrial rhythm can be infused with a small world on the heart, through the tactics of changing.

Sedative preparations are used to combat vegetative-vascular growth. Acceleration of the heart rhythm of transmission is a sign of beta-blockers. For kupiruvannya extrasystoles zastosovuetsya Panalgin and Kaliyu chloride.

Manifest instantaneous arrhythmias with zooming signs of drugs that stop the manifestation of arrhythmias from the hour of attack. Control of rapid heart impulses for additional medications to lay down from the patient's group.

Massage of the carotid sinus, which is located close to the carotid artery, is necessary for diagnostics of the supraventricular form of impaired rhythm of the beats of the heart. To carry out the massage, a slight pressure on the sleep artery in the area for 20 seconds. Notice the manifestation of unacceptable symptoms at the time of the attack to help the round robin parade ground on full-time apples.

Yaksho attacks are stopped by a massage of sleepy artery and attacks on very apple, Fakhіvets can denote lіkuvannya lіkarsky zasoba.

Important! Repeated attacks 4 times and more serious heritage... So, for the renewal of normal robots, the heart will be locked to electromagnet therapy.

If the defect is extrasystole and irregular, the appearance of an ectopic arrhythmia is not a safe form of development of the heart, that is why it is serious. In order not to become a victim of non-transmissible attacks, which have become a lot of damage to the heart rhythm, and then regularly go through the maintenance and diagnostics of the robotic heart-vascular system. Being cunning to such an approach will allow you to eliminate the development of ill-fated illnesses.

The heart will speed up irreproachably by stretching out ten years of human life. Yogi robot can be easily navigated, if the brain has not yet received the signals on the nervous systems, the function of automatism is set up. The body's particularity is adopted by highly specialized clientele of provincial nobles, which form large universities and high fibers, cover the myocardium from the front of the heart to the most distant dalyanoks of shlunochkiv.

Automatism is secured to navigate in case of acute pathology internal organs, Yakshho with a whole bloodletting heart is not destroyed, however Such a delicate mechanism can give rise to metabolic and mental changes, provoking arrhythmias - atrial rhythm, extrasystoles, blockages, etc.

The impulses on the conductive system go out from the head vodі to the rhythm - like a ripple in the right atrium. The head generator of nerve signals sets the frequency of the rhythm, from which the atrium spurs speed up, and then - the slingshot. The processes are carried out without interruption, and, moreover, the sinus university reacts to the development of mental and internal changes, correcting in the fallowness due to the situation, the speed of the heart.

the robot of the wired system in the norm - the first electrical impulse is sent from the sinus unit (SS)

If the automatism of the sinus system breaks down, the impulses will be repaired from those dzherels - ectopic ones, which may also be represented by the independent wired system clients that were built before the electric power outlets were installed. The speed of ectopic vognisches can be both rhythmic and chaotic in nature, based on frequency and strength, protest, and sometimes the same ectopic warriors add to the heart of prodovzhuvati pratsyuvati.

ectopic rhythm from early midline in the atrium during

I call the front of the heart the front of the heart, I don’t think it’s the norm and see something that is generated by the sinus center. Dzherelom of impulses became active in front of the heart cells, which "moved" in the minds of the prosperous.

butt of an ectopic atrial velocity at the level of normal sinus rhythm

The anterior rhythm is not an anomalous characteristic, which is important for the lithuanian period, because the authorities want the rest of the sclerotic and ischemic changes to contribute to the formation of pathology. The process of growing up is often diagnosed in children and children, visualizing functional destructions from the side of the neuro-humoral mechanisms of regulation in the body, as well as in growth. Vaughn characterize wide range structural changes in organic pathology of the heart.

The anterior rhythm does not give rise to symptomatology; lead for carrying out seriozhennya і continuous control over the heart health of the patient.

Why is the anterior rhythm?

The appearance of an atrial rhythm is on the alert of a cardiologist or a pediatrician cause... Factors that can play a role in the impaired automatism of the sinus university include:

• Structural changes from the side of the myocardium -, with hypertension, or dystrophy of the heart meat, and іnshі;
• Valve defects and congenital anomalies of the heart;
• Electrolytic damage - in case of malnutrition, pathology of nirok and endocrine system, liver failure;
• Metabolic malnutrition - diabetic diabetes;
• Otruunnya functional spits and toxic words - ethanol, foul gas, heart glycosides, nikotin;
• pooshkojennya breast cancer and organs of the middle with important injuries.

The described problems are often the cause of ectopic atrial impulses in older adults. In those cases, sinus automatism is absorbed through the functional disorders of the vegetative energy, as it has more power for the elderly and young person and does not supervise pathological internal organs.

Before the anterior rhythm appears vipadkovo, with a planned preventive situation, in zovsim healthy people... As a rule, in cich vipads on the EKG, there are one single pulse from the atrium with spared sinus automatism. With pathology, the rhythm of the heart can increase anteriorly and permanently.

At the same time, as the symptomatology of the heart rhythm breakdown during the day, the scarg is not, and the heart itself, with all the circumstances, did not show any signs of failure, the ectopic rhythm from the front of the heart can be recognized as variations by the norms. Likuvannya is not shown.

It is a fallacy of speed, as the heart speeds up during the generation of impulses from the front of the heart, it develops:

1. Acceleration of the anterior rhythm;
2. Hope.

For an hour, the winners of the winners:

• post_inim;
• Timchasovim, scho to see through singing intervals for an hour.

The dzherel of nerve signals is laterally, the rhythm can be right or left atrial. The surroundings are not of key importance, since they do not infuse into the character of the frivolous addiction and pathology.

The dominant anterior rhythm is characteristic for situations, if sinus automatism is brought about, and for the substitution of its function, the cells in front of the heart are activated. The speed of the heart is fast when there is a lot of falling, bradycardia is prevented.

If ectopic dzherela impulses appear overworldly activity, the acceleration of the atrial rhythm is reestablished - the frequency of rapid growth and steadiness of normal values.

Anterior rhythm on EKG

The main and available method of revealing the ectopic jerels to the rhythm of the heart is. The EHC will show you how to avoid discomfort. The cardiologist has determined the manifestation of changes in automatism in the vigilance of the atrial rhythm, such as:

1. Myocardium is speeding up regularly and correctly, with equal frequency and speed of 45-60 quickly for sickness;
2. In front of the slurry complexes, the anterior frontal teeth of P are present, they appear deformed or negative;
3. Interval between the anterior tooth and the cob of the clown complex in the normal or lesser triviality;
4. Shlunochkovi complexes in the norm.

lower atrial rhythm on the EKG - ectopic impulses from the head in the lower part of the atrium

Speak about acceleration of the atrial rhythm on the EKG:

• The speed is very fast to the body, 130, but the regularity is saved;
• Before the fast shlunochkіv, it is invariably "start" in front of the heart - є prong P, however, there is a change in shape, it can be 2-phase, negative, lower amplitude;
• It is possible to increase the triviality of the interval between the anterior tooth and the ear of the very fast myocardium;
• Complexes of shlunochkіv in normі.

What are the symptoms of atrial rhythm?

symptomatology atrial rhythm is variable: from general well-being to serous discomfort. In the first vipad, the sign of anomalous heart activity is mute, and the rhythm is not recorded as EKG. In another, the symptomatology of Wiclican is to the main ailments, as it caused the breakdown of sinus automatism, and it can develop from:

1. Feeling the interruptions, zvmirannya in the breasts;
2. Weakness and decrease in patronage;
3. zadishki;
4. cardialgia;
5. Nabryakovogo syndrome.

Periodic and short-term atrial speed can be superfluous with discomfort, for some time in the chest, for quickened dysfunction, but sometimes for life it does not mean anything.

Prolonged episodes of atrial impulses are more important: the patient feels fear, it is less easy to lie down, because of the build-up of unmotivated anxiety, there is a tremor,

The trivial period of arrhythmia is not safe not only to impaired blood circulation in the heart and other organs, but the possibility of thrombosis in the anterior, especially, as pathology is associated with organic snakes - malignant, myocardial, dystrophic.

The anterior rhythm of the child is not the same as the child. Especially often they help new-born babies, provinces of some lack of development and immobility, as it is vegetative and energetic, so that it is not possible to become unprincipled. Such a stan- dard can be developed as a variant of the current norms, and in the world of reaching the balance of nervous impulses, the anterior rhythm changes sinusoidally.

At the same hour, the rhythm in the foreheads can become more active, and in case of certain peculiarities in the heart -,. It’s important not to let the child become clogged, such as congenital malformations, myocarditis, the importance of hypoxia, or intoxication, to induce the atrial rhythm in a child to form, is a serious problem, as it will require active children.

Before the activation of the anterior jerel, children are very quick to get the internal information, the process of ethanol and the mother's pregnancy for an hour of pregnancy, prematurity, gestosis, delayed bedding. Babies with pathological anterior rhythm can be monitored continuously by a cardiologist.

Another common cause of atrial automatism is autonomic dysfunction (). The tsei stan is wider, it can be diagnosed in an adult, a baby or an older one, and is characterized by a supra-vascular developmental symptomatology, the middle of which is not very often cardiac symptomatology. With the roses in the robot, the cute and parasympathetic the autonomic nervous system is susceptible to the overloading of the tone of one of them - vago or sympathicotonia.

Supravodzhuyutsya frequent pulse, blіstyu shkіri, chills, headaches, psychological discomfort right up to panic attacks and anxiety breakdown. At the EKG, tachycardia is restructured, the amplitude of the R.

Nawpaki, sick to bradycardia, pity, see the tainted and attack of boredom, may take the evidence from the decline arterial vise, Suffering from the dysfunction of the herbal system, seeing heart interruptions. On the EKG, there is an exercise in the rhythm of the heart, a decrease in the turn of the anterior teeth.

Yak viyaviti i chim likuvati an arid rhythm?

Regardless of the symptomatology, in all cases of atrial rhythm detection, more regularity is carried out. Testing the functional rosters from the side of vegetation, carry out tests - with physical preparations, pharmaceuticals. It’s just a little structural damage to the myocardium, the probes will be negative.

In the most effective way, letting you talk about the manifestation of the ectopic rhythms from the forehead, є electrocardiography... Vaughn is carried out in the form of obovazkovy pre-examination in case of cardial pathology and within the framework of prophylactic examinations. Krym in the arsenal of cardiologists is the transesophageal EchoKG. Demonstration of additional blood analyzes for the values ​​of indicators in the electrolytic exchange and gas storage of blood.

In the case of a general situation of certain types of visions in the heart, it is not shown, and the patient is not aware of sub-active patients, the abuse is not shown. Well, the reason is still known - you can get rid of the symptoms of arrhythmia if possible.

at functional damage on the side of the nervous system and can get stuck zaspokilivi zasobi, Adaptogeny, it is important to normalize the daily routine and the triviality of sleep. In case of tachycardia, the cardiologist can prescribe the rhythm of the moth (beta-blockers anaprilin, atenolol, etc.). Bradycardia is absorbed by the intake of atropine, coffee, and rosemary herbs (ginseng, eleutherococcus).

With an important pathology of heart disease, the cardiologist is recognized in the fallowness due to the nature of the disease. It can be used as well as sechogenic, beta-blockers, and preparations for the normalization of fat metabolism in case of ischemic ailments the heart of the kidnapped people, i. Regardless of the reasons for the pathology, for the rest of the time, they go to waste. Zhartuvati with the heart is not safe, and self-indulgence - under the suvor's fence.

Ectopic, it is also characterized as a substitute, rhythms - the speed of the heart, reinforced with automatism, which is manifested in some of the myocardium or the wire system. find out as the strength of the sinus node is pinned or weakened, so it can be released either permanently or temporarily. The distance is dzherelo non-sinus rhythm (so I will call it to the rhythms of the ectopic character), the frequency of this is less and faster than the pulses of the sinus node.

Causes the rhythm to change

• sclerotic;
• ischemic;
• igniter.

• active: і extrasystole;

to fix the development in the type of cardial organic pathology. It is even more rare, ale є wipes, if the species can be diagnosed in a healthy child, it can be found in a newborn.

symptoms of illness

• as much as possible;
• nudota;
• swelling of the abdomen;

• interruptions in heart robots;
• Possibly "zavmirannya" heart;

• uncomfortable camp;
• feeling spasms and troubles;
• zamorochennya;
• blіdіst;
• zadishka;
• pain in the abdomen.

diagnostics

methods of treatment

Foxglove intoxication can lead to the diagnosis of polytopic extrasystoles, through which it is seen. In such a type, it is necessary to pinch the term with the drug, and in the case of the drug, the drugs are calium, inderal, lidocain. To take intoxication, tied with heart glucosides, drugs can indicate diuretics and unithol.

Migration of sinus rhythm- tse take damage to the heart rhythm (arrhythmia), for any typical step from the cardiocycle to the cardiocycle, changing the dzherela to the rhythm from the sinus node (Kiss-Fleck vuzol) to the atrioventricular z'aєdnannyu) (vuzol. tse typical passive ectopic rhythm.

Small. 1 Migration of sinus rhythm

Electrocardiographic signs of sinus rhythm migration:

1. tooth P changes for the shape and polarity from the cardiocycle to the cardiocycle (positive, smoothing, isoelectric, negative);
2. Interval PQ of changes for triviality and stay in the form of changing the rhythm;
3. the indicator of the level of arrhythmia (PSA) is more than 10%;
4. manifestation of respiratory arrhythmia.

atrial rhythm

Mindset:

1. dzherela ectopic rhythms in the front of the heart;
2. dzherela ectopic rhythms in the right atrium.

Small. 2 Anterior rhythm

1. the frequency of the heart is very fast, as a rule, less than the norms (by a vignette є accelerate the atrial rhythms, with some heart rate it can be normal or accelerated);
2. the P wave is restructuring in front of the cutaneous shlunochkovy QRS complex;
3. tooth P is stable in form, ale non-sinus. If the negative P wave is restructuring in introductions II, III, aVF, then the left atrial rhythm is evident. If a negative P wave appears in leads I, II, aVL, Vm5, Vm6, then the lower atrial rhythm is diagnosed.

Atrioventricular (vuzlovy) rhythm

Small. 3 Vuzlovy rhythm

1. the rhythm of the atrioventricular z'єdnannya with one-hour damaged shlunochkіv and the atrium;
2. the rhythm of the atrioventricular depolarization in the case of damaged shlunochkiv, how to overcome the depolarization of the atrium.

1. prong Р відсутній;
2. the frequency of the heart is reduced.

1. negative P wave is restructuring to the QRS complex;
2. the shlunochkovy QRS complex does not change;
3. the frequency of the heart is very much lower than the norms (with a vignette є the acceleration of the node rhythm, with a heart rate it can be normal or accelerated).

idioventricular rhythm

ectopic rhythms... With a weakened abnormality of the sinus node, it is possible to substitute (for an hour or a long time) efficient rhythms, so that the speed of the heart is accelerated by the manifested automatism of other indications of the provincial system. The frequency of їх is less than the frequency of the sinus rhythm. As a rule, the faster the echo rhythm is distal, the higher the frequency of the pulses. Ectopic rhythms can occur in case of ignited, ischemic, sclerotic changes in the area of ​​the sinus node and in other parts of the wiring system, the stench can be one of the manifestations of the syndrome of weakness of the sinus node (Div. Lower). The supra-mucous ectopic rhythm can be associated with dressings with vegetative dysfunction, overdose of heart glucosides.
The development of the ectopic rhythm of the development of the automation of the ectopic center; at the same time, the frequency of the heart is very fast, but not at the substitution of the ectopic rhythm (acceleration of the ectopic rhythm).
Evidence of the ecopic rhythm and its beginning only according to the EKG.
The anterior rhythm is characterized by changes in the configuration of the teeth I Diagnostic signs of this uncleanness. The only form of the P wave and the triviality of the P-Q change from the cycle to the cycle, so that you can tie the rhythm along the foreheads with the migratory rhythm. The anteroventricular rhythm (the rhythm in the atrioventricular zone) is characterized by an inversion of the P wave, which can be restructuring close to the aperture complex or overlap with the new one. For the replacement of the anterior-lingering rhythm, the frequency is 40-50 in 1 min, for the accelerated one - 60-100 in 1 min. If the ectopic center is more active, the sinus center is less active, and the impulse is blocked, then it is necessary to determine for a different anterioventricular-ventricular dissociation; at the same period of sinus rhythm, the periods are replaced by the anterior-shlunochkovy (small shlunochkovy) rhythm, especially such є large ridkisny rhythm in front of the heart (P) and an independent, slightly larger. Ectopic slurry rhythm (regular tooth P in the daytime, slurry complexes are deformed, frequency 20-50 in 1 hv)
lykuvannya

extrasystoles- early heart, mindfulness of the impulse to the sinus node posture. Extrasystole can supravodzhuvati be-yake a heart attack. Not less, not in half of the cases, the extrasystole is not tied to the heart, but is surrounded by vegetative and psycho-social disorders, lykarskiy lykuvannyam(Especially with heart glycosides) electrolyte balance natural nature, implantation of alcohol and abnormal conditions, chickens, reflex injection from the side of internal organs. The emergence of an extrastopia appears at the mother of healthy individuals with high functional abilities, for example, among athletes. Physical customization in an extravagant provocation of extrasystole, tied up with heart disease and metabolic damage, and caused by extrasystole, overwhelmed by vegetative dysregulation.
extrasystoles Maybe winicati a little bit, two or more - guys and groups of extrasystoles.
tm, when there is a normal cutaneous systole with an extrasystole, it is called biheminia. Particularly unpleasant hemodynamically ineffective early extrasystoles, which occur one hour at the T wave in the front cycle, or not in 0.05 seconds after the end. Whenever ectopic impulses are formed in the middle of the middle, or in the middle of the middle, then the polystyles are formed, which are developed between themselves for the form of the extrasystole complex on the EKG (in the middle of one) in the middle. Such extrasystoles are often accompanied by significant changes in the myocardium. In some cases, the rhythmic function of the ectopic focus is more trivial in the order of the functions of the sinus rhythm - parasystole. Parasitical impulses follow in the correct (pretend to be more normal) rhythm, independent of the sinus rhythm, but sometimes it does not happen during the refractory period.
On the EKG, the anterior extrasystoles are characterized by a wrinkle shape and a straight line of the P wave and a normal clown complex. The post-textural interval may not be improved. With early anterior extrasystoles, it is not uncommon to indicate a breakdown of the anterior-slunk and internal conductivity (often behind the type of blockage of the right lower back) in the extrasystolic cycle. Anterior to the heart-shlunochkovі (in the area of ​​atrioventricular z'єdnannya) extrasystoles are characterized by the fact that the inversion of the prongs of the P rots, close to the intact shlunochkovy complex or overlap with the new one.
Possibility of detecting the deterioration of the internal drainage capacity in the Extrasystolic cycle. The post-textural pause sparks a change. Shlunochkov_extrasystoles develop into a larger swivel deformation of the QRST complex, which does not overtake the P wave (behind a vignette there are even more low-pitched extrasystoles, for which the serpentine tooth Rervaley Q is recorded). The sum in front of the post-textural intervals in the road or the three interchanges is the triviality of the two intervals between the sinus speeds. With early extrasystoles on aphid bradycardia, the posttextrasistolic pause may not be (insert extrasystoles). In case of livoshlunochkovy extrasystoles in the QRS complex at the introduced V1 the largest є R wave, straightening uphill, with right-lunar S-wave, straightening down.

symptoms... Ailments, for they do not see extrasystoles, for they do not see the strength of the shipments in the area of ​​the heart, or for the dead heart. When the pulse of extrasystoles appears before the hour, the pulse rate is weakened, or the heart is sick, and during auscultation, the heart tone is early.
The clearest meaning of extrasystoles can be useful. Ridkisnі extrasystoles at a time of the day, sickness of the heart, call it a little less important.
ascension of extrasystoles in the case of acute illnesses (ischemic ailments of the heart, myocarditis, etc.) or glucosidic intoxication. Parts of the anterior extrasystole do not readily appear in the anterior portion. Particularly unpleasant parts of the early, as well as polytopic and groups of systoles, such as during the period of myocardial infarction, and in case of intoxication with heart glucosides, can be indicative of meteorological symptoms. Parts of the extrasystoles (6 or more in 1 hour) can, according to their own perception, improve coronary insufficiency.
lykuvannya... The officials slid down, and according to their ability, they brought it to the extreme. Also, extrasystole is associated with hypodermic ailments (myocarditis, thyrotoxicosis, alcoholism chi іn.) Iakshcho extrasystoles to admit with the turns of psychomotional damage (directly from the manifestation of the heart), it is importantly sedative. Extrasystoles on aphids of sinus bradycardia, as a rule, do not induce antiarrhythmic symptoms, only one should be given belloid (1 tablet 1-3 times a day). Ridkisny extrasystoles when you are sick of the heart also don’t need to drink. As soon as we show it, we will take antiarrhythmic therapy with urahuvannya, counter-indication, fixing lower doses, mayuchi.
b) і dizopyra-mid (200 mg 2-4 times a day) - with quiet and іnhih.

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heart arrhythmias- be it a heart rhythm, which is not a regular sinus rhythm of a normal frequency, as well as a deterioration of the electrical impulse conductivity according to the changes in the heart’s electrical system. Arrhythmias are influenced by impaired functions of automation, wakefulness and performance.
Before arrhythmias, we will summarize the impaired function of automatism, sinus tachycardia, bradycardia, arrhythmia, sinus node weakness syndrome (Prototype) are reported.

Ethiology, pathogenesis

Arrhythmias are developed by their own polyethiology. Among the factors in this development are the functional disorders and organ damage of the central nervous system (stress, neurosis, swelling, cranial trauma, cerebral blood flow damage, vagotonia, etc.), as well as neuro-reflexive disorders , pathology of the ridge and in.); lesion of the myocardium and heart-vascular system (ІХС and ІМ, myocarditis, cardiomyopathy, wadi heart, pathology of the great Sudins, hypertensive ailments, pericarditis, swelling of the heart).

key picture

Destruction of the function of automatism.

Sinus tachycardia. & Nbsp.

sinus bradycardia
Sinus bradycardia - the rate of heart rate is very fast up to 60 beats / hv і less with the correct sinus rhythm saved. Klinichno often do not appear. Some ailments skarzhayutsya on a childish rhythm of the heart, weakness, seeming to be overwhelmed by the heart, spoiled. However, on physical basis, there is a faster pulse rate, which leads to bradycardia as a result of a recurrent atrioventricular block with bradycardia. It is not uncommon to refer to sinus arrhythmia.

sinus arrhythmia
Sinus arrhythmia is an irregular sinus rhythm, which is characterized by periods of incremental frequency and less pulses in the sinus node with periodic fluctuations in frequency.
I develop a mental arrhythmia and an arrhythmia, I will not fall asleep. The ailing skargi are insignificant and sub'actively manifested in sertsebit, or in devious hearts. Pulse and heart rate are either quickened or reassured.
In case of dichotomous arrhythmia, there is a clear connection with the phases of dichotomy, when the dichotomy is heard. The strength and sweetness of heart tones do not change.

Sinus node weakness syndrome
Syndrome of weakness of the sinus node is a weakening or loss of the function of automatism by the sinus node. The latent form does not manifest itself clinically. The manifest form - hypodynamic - manifests itself as a swollen bradycardia, pain in the heart area, impaired cerebral blood flow in viglyadas that are obstructed, obscurity, decreased memory, headache, passing paresis, disruption of movement, attacks. In case of Short syndrome - bradyachicardii - there is a reduction in the setting of internal cervical thrombi and thromboembolic acceleration, middle inconsistent ischemic events.
Syncopal strata, overwhelmed by the attacks of Morgany, are characterized by rapidity, during the day in front of an unpretentious reaction, by the turn of the blaze at the moment of loss of evidence and reactive attacks, by Vtrati svidomostі come with a rapt decrease in heart rate less than 20 beats / hv or for an hour of asystole triviality more than 5-10 seconds.

extrasystole
Extrasystole is a breakdown of the heart rhythm, which is characterized by the early rapidity of a wide heart, or some of the surrounding parts, in the presence of an increase in activity in the indications of an ectopic automatism. Parasystole is an ectopic rhythm with an active heterotropic impulse, which is functionally independent of the main rhythm of the rhythm, characterized by the appearance of the myocardium in the eyes of the collapse in front of the heart of the slug, or of all the dermal rhythm of the main
It is a good idea to jump at the sight of interruptions in the robot's heart, shipment and headache. In different trivial allorhythmy (bigeminy, trigeminy), such scarg is not often seen. In some of the ailments, there is more swelling, stubbornness, zadishka, zamorochennya, and weakness. With a physical contraction of extrasystole, a pre-chastical blow begins with an offensive compensatory pause.

paroxysmal cardiac
Paroxysmal tachycardia - a breakdown of the heart rhythm in viglyad attacks of the heart rate at a rate of 140-220 beats / hv per infusion of impulses in heterogeneous vognisches, increasing the sinus rhythm. Before an hour a paroxysm of ailments is seen more often than a heartbeat, it is not easy to repair from a quick delivery behind the breastbone. At bagatokh vipadt sertsebittya supravodzhuyu zadishkoy, pain in the area of ​​the heart or in the breastbone, zamorochennya, weakness. An attack of paroxysmal paroxysmal tachycardia can be supravodzhuvatisya nudota, bloating, flatulence, pitlivist. In the end, a turbulent attack is often carried out with the visions of a great number of light and low pets (1001-1003). Rhythmic pulse, rapid acceleration, systolic AT decrease. During auscultation, the intensities of the I and II heart tones appear, the pauses between the tones become the same (pendulum rhythm).

Anterior ectopic rhythms are characterized by a generational rhythm for a wide heart ectopic vognischem, rostashovany in left or right anterior. Specific complaints and symptoms in mute. In patients, symptoms of the main illness dominate. Diagnose by EKG.

The rhythm of the atrioventricular (AV) z'єdnannya - dzherelo rhythm is in the AV-z'єdnanny, the frequency of generating їm impulses - 30-60 beats / min. Klinichny show to lie down due to the severity of the main ailment. With a turn of bradycardia, there is mossiness, obstruction, pain in the area of ​​the heart. Bradycardia of 40-60 beats / min., I tone over the top of the upper can of strength, can swelling of the veins are actively observed.

Migration of the supraventricular movement to the rhythm is the movement of the jerel to the rhythm in the boundaries of the conductive system in front of the heart or from the sinus node to the area of ​​AV-connection and back. characteristic key signs dumb. Obviously, there is an insignificant arrhythmia, similar to sinus.

Shlunochkovy (idioventricular) rhythm is a breakdown of the rhythm, when the rhythm of the I and II order is adjusted to the rhythm of the I and II order, the water rhythm is centered in the III order (the leg of the Gis, and later - the fibers of Purkin). Bradycardia of 30-40 beats / min is clinically indicated, the rhythm is correct, partly with physical replacement, with an infusion of atropin. Typical zamorochennya, often accusations of attacks by Morgany - Adams - Stokes with the second evidence and by courts. The schism is ramped up to the shlunochkovo tachycardia, the triple and fibrillation of the shlunochkiv, the asystole and the raptor death.

Merekhtinnya and tripotinnya

little anterior
Merekhtynnya at the front (flashing arrhythmia) - a breakdown of the heart rhythm, with a stretching of the heart cycle, parts of the speed (350-600 beats / hv) are considered to be around the muscle fibers in front of the heart, coordinated by the speed of the heart during the day. Due to the frequency of shlunochkovyh, very rapid arrhythmias continue to tachystolic (heart rate 90 and more), normosystolic (heart rate 60-90) and bradystolic (heart rate less than 60).
With a tachysystolic form of blinking arrhythmia, there is a strong heart rate, weakness, an increase in heart-and-heart deficiency. The pulse is rhythmic, the pulses are weak, the amplitude is low, and there is a pulse deficit.

tripotinnya in front of the heart
Trypotinnya atrium - often a very fast atrial rate up to 200-400 beats / hv while maintaining the correct atrial rhythm. The anterior limb can be paroxysmal, or it may take a trivial hour (up to 2 times and more). It hurts to jump on the acceleration of the heart, sometimes the slowness and pain in the area of ​​the heart. When looking around, it is indicated that the veins are undulated, auscultatory - tachycardia. In the first place, the symptoms lie in the main ailment.

Sleepers' tripping and fibrillation - often (200-300 / hv) rhythmically fast chunks, amalgamated with a stable circular dump to the pulses generated in the skewers. Clinically trip and fibrillation of shlunochkiv є thermal mill and consistent blood circulation. At the first second, there is weakness, zamorochennya, after 18-20 seconds it will be lost, after 40-50 seconds it will be judged, more mimicry. Pulse and AT do not start, heart and tone do not become deaf. Dikhannya trust and lean. Zinitsi are expanding. The present is klinichna death.

sinoauricular block
Sinoauricular block - damage to the conduction of an impulse from the sinus node to the atrium. After an hour of a heart pause, ailment means a problem, noise in the head, and a loss of evidence. At the end of the hour, one cannot hear the tone of the heart, the pulse during palpation of the exchange arteries during the day.

atrioventricular block
Atrioventricular (AV) blockade - impaired conduction of an impulse from the anterior to the shlunochki.
Stage I AV block is manifested in trusting AV conductivity. Klinichno not razpiznaє. During auscultation, the presystolic trinomial rhythm is indicated for the tone of the fast aperture (the start is increased to the P-Q interval).
Stage II AV block - non-AV block. Hvorі to skarzhitsya on interruptions in the robot heart, inodі easier to mess up... Auscultatively, the correct rhythm is interrupted by long pauses (vipadannya quickly). There are three types of AV blockade of the II stage according to Mobitza - EKG.
AV block III stage- povna AV block. Ailments skarzhivat on weakness, zamorochennya, darkening in the eyes, short-hour obscurity, pain in the area of ​​the heart, which is especially characteristic when the heart rate is reduced less than 40 beats / min. The pulse is short, with auscultation - bradycardia, the correct heart rhythm, the sweetness of the I tone, it can change. Call the wine deaf, however, one hour at a time (when it’s very fast in front of the heart and shlunochkiv), the “harmatny” tone of Strazhesko appears. For some people, you can hear a rumor before an hour of pauses, you can hear something like a deaf one nearby, and a very fast in front of your heart (a symptom of "vidlunnya"). Systolic AT can be increased.

Blockade of the gus bundle
Blockade of the gus bundle is a failure of the supra-slunny pulses along one of the gaps of the gis bundle. Loss of conductivity is observed in the legs of the gas bundle and in the grooves. As soon as an impulse is carried out for one of the interruptions, then it is necessary to pass through to both of the slots through the non-sleepy bottom, as a result of the non-simultaneous excitation of the sleepers. Clinically, it should be manifested in split or split tones of the heart.

The Wolff-Parkinson-White (WPW) syndrome of the presence of a precursor path carried out between the front of the heart and with the hooks (Kent's bundle). It occurs in 0.15-0.20% of people, and in 40-80% of them there is a deterioration of the heart rhythm, more often the supramaxillary tachycardia. You can winicati paroxysms of merekhtinnya or tripotension in front of the heart (approximately 10% of ailments). In 1/4 of individuals with WPW syndrome, supraventricular extrasystole is more important. This pathology is often seen in people and can manifest itself in any case.

diagnostics

Violation of the function of automatism

sinus tachycardia
EKG-signs: heart rate 90-160 beats / hv; the anterior teeth and slunochkovy complexes are characterized by a normal form and last; Interval R-R shortening; the ST segment can be shifted below the izoline.

sinus bradycardia
EKG-signs: a decrease in the frequency of the heart is faster up to 59 beats / hv і less, an increase in triviality in the R-R interval; correct sinus rhythm; can be increased to the interval P-Q up to 0.21 seconds.
With vagal bradycardia, the positive test of Chermak is indicated - the pressure on the backward sleepy artery is rapidly increasing the pulse, Ashner - Danin - the pressure on the inside of the apple to produce before the same. Orthostatic test at a visibility of a change in pulse frequency at a horizontal vertical position to inform about the organic nature of bradycardia.

sinus arrhythmia
EKG-signs: the number of triviality to the R-R interval is more than 0.16 seconds; Saving all EKG is a sign of sinus rhythm.

EKG-signs: sinus bradycardia stike 45-50 beats / hv; alternating sinoauricular block; periodically - re-opening of the sinus node (pause, for an hour when the P, T waves are not re-set, QRS complex, more than two R-R intervals); during the period of a new zypinka of the sinus node, there may be an increase in speed from the AV-z'єdnannya (QRST complex without the anterior P wave). In case of Short's syndrome (bradycardia), the change in bradycardia is indicated by the paroxysms of the supraventricular tachycardia, the merechtinny and the pituitary of the atrium. Typically, the renewal of the function of the SU for electrical or pharmacological cardioversion, as well as with spontaneous attack of supraventricular tachyarrhythmia (the pause before renewal of the sinus rhythm is more than 1.6 seconds).

Ectopic complexes and rhythms

extrasystole
Extrasystoles can be in front of the heart, with AV-z'єdnannya, shlunochkovy.
EKG-signs: before the chasne of the extrasystolic complex. For the supra-slurry extrasystoles, the form of the slurry complex is characteristic, and the compensatory pause is not constant. In the anterior extrasystoles, the P wave can be normal or sometimes change with a close expansion of the ectopic head and sinus node. As the extrasystoles go from the middle anterior portions, the P wave decreases or becomes two-phase, and the extrasystoles from the lower anterior portions are characterized by a negative P.
Extrasystoles from atrioventricular depressions through retrograde widening of the pulses to the atrium may have the P wave of a negative form, deviations from the QRS complex (in case of anterior breakdown of the shlunochkiv), at one hour of damage to the anterior heart Shlunochkov_extrasystoles appear to be deformed, high amplitude of the shlunochkovogo complex, width, shlunochkovogo 0.12 seconds, and generally a compensatory pause. The largest tooth of the extrasystole of straightening is discordant to the ST segment, as well as to the T wave.
With right-handed extrasystoles in the I introduced the head tooth to the QRS complex of the uphill, in the III - down. At leads V1-2, there are straightening downward, in V5-6 - uphill. In case of livoshlunochkovo extrasystoles, the head tooth to the QRS complex in the I introduced straightening down, in the III - up. At VI-2 it is uphill, in V5-6 it is down.
Appearing on EKG extrasystole s in a bright form The slurry complex (polytopna) will be ordered on a few ektopichnyh vognisches. Polytopic and multiple extrasystoles of adhered to organic tissue myocardium and prognostically unpleasant.

parasystole
EKG-signs: two independent one kind of one rhythm are re-structured, the ectopic rhythm is nagaduє extrasystoles, ale іn-
The interval of firing (going from the front of the normal complex to the extrasystole) changes throughout the hour. There are some parasystolic fast multiples of the newest ones between parasystoles.
For the diagnosis of parasystole, it is necessary to record the EKG with changes in appearance and with respect to the ectopic complexes.

paroxysmal cardiac
EKG-signs: ear of rape and end of attack tachy-
106g cardia ponad 160 beats / hv (160-250 beats / hv) while saving the correct rhythm. The anterior form is characterized by the appearance of the P wave in front of the QRS complex (it can be positive or negative, changing the form), the Pochatkova part of the slurry complex is not changed, the P-Q interval can be adjusted, and the P - can approach T.
In front of the heart, one can get rid of normal sinus impulses, and on the EKG, one can restructure the extra teeth of P, be prodded on the other dilenki by the QRST complex. Viyaviti teeth P richer.
Paroxysmal cardiac arthritis is characterized by the position of a negative P wave behind the QRS complex, whether it is visible on the EKG, the absence of slunochkovy complexes. In case of a slurry form, deformation and expansion of the QRS complex is more than 0.12 seconds, discordant expansion of the ST segment and T wave are indicated.

Anterior ectopic rhythms
EKG-signs of the right atrial ectopic rhythm: negative P wave in introductions II, III, aVF or V1-V6 or one hour in introductions II, III, V1-V6.
Coronary sinus rhythm: negative P wave in introductions II, III, aVF; in the thoracic insertions V1-V6, the P wave is negative or diffuse, in the I, aVR, the P wave is positive; Interval P-Q shortening, QRST complex does not change.
EKG-signs of the left atrial ectopic rhythm: negative P wave in introductions II, III, aVF, V3-V6, in introduced aVR - positive; triviality to the P-Q interval is normal; at the introduced V1, the prong P is in the shape of a "shield and sword", if on the positive prong of P it is a state of the art.

The rhythm of the atrioventricular (AV) z'єdnannya
EKG-signs to the rhythm AV-z'єdnannya s in front of the excitement of shlunochkіv: negative tooth P of retouching between the QRS complex and the tooth T; R-P interval (retrograde conduction) - more than 0.20 seconds; the rhythm of the anterior and the shlunochki of the same. EKG-signs to the rhythm of AV-z'єdnannya with one-hour vibrations in front of the heart and shlunochki: the prong P does not appear, the rhythm of shlunochki is correct. EKG in case of an ectopic rhythm from AV-s'adnannya and paroxysmal tachycardia, which comes from AV-s''adnannya, however. Diagnostics will be based on the frequency of the rhythm: if a rhythm with a frequency of 30-60 beats / hv is an ectopic AV rhythm, as a frequency of 140 beats / hv is a paroxysmal heart.

Migration of supraventricular rhythm
EKG-signs: prong P in the cycle until the cycle changes shape and size (decrease, deform, become negative, turn to cob version). The P-Q interval is shorter step by step, then it becomes normal. The number of R-R intervals is not fast.

Shlunochkovy (idioventricular) rhythm
EKG: bradycardia 30-40 beats / hv (inodi mensh) with the correct heart rhythm; expansion and deformation of the QRS complex in case of blockade of the hymen's bundle; prong Р відсутній.

Merekhtinnya and tripotinnya

little anterior
EKG-signs: the visibility of the P waves, the replacement of some more severe amplitude and triviality, more beautifully seen in entries II, III, aVF, V1-V2; arrhythmia of shlunochkiv - development відсті R-R... Rise of large waves (waves in amplitude more than 1 mm) and small waves (amplitude of waves less than 1 mm) form blinking arrhythmias.

tripotinnya in front of the heart
EKG-signs: the change of teeth P is the beginning of the deterioration, however, according to the increase, the form and the size ("teeth of the file") with a frequency of 200 to 400 per quiline. On the shlunochki (as a result of functional AV-blockade), another, third or quarters of the skin pulse is carried out: the number of shlunochkovy complexes will not turn 120-150 into quiline; The little ones speed up in the correct rhythm. In some cases, it is meant to be in front of the heart.

EKG in case of triple shlunochkiv: a sinusoidal curve is re-structured with frequent, rhythmic, wide and high, similar one to one shrieks of buzzing shlunochkiv at a frequency of 200-300 per chilin. Elementi of the shlunochkovogo complex of development is uncomfortable. The EKG in the case of small shlunochki: replace shlunochkovy complexes for a fraction (200-500 per chilin) ​​of irregular changes in amplitude and triviality.

sinoauricular block
EKG-signs: vipadannya complex PQRST; If the complex is normal, a pause is restored, equal to the triviality of the sub-interval R-R. As soon as there were more complexes, then the pause would be more trivial. In the end of the pause, you can see a quick visit from AV-z'єdnannya. Blocking of sinus impulse and pause can appear regularly - other skin, third skin, etc.

internal anterior blockade
EKG-signs: an increase in the triviality of the P wave more than 0.11 seconds, a split of the P wave.

Atrioventricular block.
EKG-signs: AV-blockade of the I stage - raising the P-Q interval more low by 0.20 seconds; AV-blockade of the II stage Mobitz I - the step of raising the interval P-Q, when the ring wave P appears, the slurry complex - the Samoilov-Winkenbach period, the slurry complex of no changes; AV block II stage Mobitz II - interval P-Q normal either podovzheniya, ale the same in all cycles, vypadannya shlunochkovy complex, QRS complexes are normal or widened and deformed; AV-blockade of the II stage Mobitz III - the P-Q interval in all cycles of the same, it is natural to block the skin of another, or the third, etc. Stage III AV block - the number of slurry complexes is 2-3 times less, below the atrium (20-50 per chilin), the RR intervals are the same, the number of P-waves is normal, the P-P intervals are the same, the P-wave appears to grow without a QRS complex , then before you, then nasharovuyutsya on a new, then appear behind him, as if the rhythm of the disassembly in the AV-z'ednanny or the zaghalny stovburi of the Gis bundle, the form of the QRS complex is not changed; If the QRS is similar to that in the blockade of the left lower bundle of the gas, the rhythm is in the right, and in the navpaki.

Blockade of the gus bundle
EKG-signs: expansion of the slurry complex; when the QRS complex is ready 0.12 seconds or shorter, the blockade is povna; the blockade is not complete - QRS is shorter than 0.09 seconds, but I do not pass 0.12 seconds. blockade lіvoї nіzhki: in introductions I, V5-V6, a complex of QRS representations with a wide R wave from Zarubin at the apex or colin (upper or lower), Q wave in; in the V1-V2 slots, the complex has a QS view with a wide і glide S wave; segment ST і T wave discordant in relation to the head tooth QRS complex.
The heart is electrically vidhilena left. Povna blockade of the right lower part of the Gis bundle: in the right thoracic splits and notches, the QRS complex is rSR ', RSR', the ST segment of the spreading from the bottom to the izolinia, the T wave is negative or biphasic; wide glib S-wave at V5-V6. The axis of the heart, as a rule, is stitched vertically (R1 = S1). The blockade of cystic fibrosis of Purkin's fibers is diagnosed by a significant enlargement of the QRS complex, which is similar to the diffuse decrease in the amplitude of the shlunochkovogo complex.

EKG-marks: speeding up the P-Q interval less than 0.12 seconds; the presence of a precursor delta in the warehouse at the QRS complex, attached to the QRS complex at the viglyad of the drag; an increase in triviality (0.11-0.15 seconds) and a slight deformation of the QRS complex, a discordant change in the ST segment and a change in the polarity of the T wave (unreliable signs).

CLC syndrome
EKG-marks: speeding up the P-Q interval less than 0.12 seconds; the QRS complex is not widening, the shape of the yogo is normal, the delta is visible.

lykuvannya

Violation of the function of automatism

sinus tachycardia
The treatment of sinus tachycardia is aimed at the treatment of the main ailment.
With neuroses, sedative therapy is indicated (valerian, tranquilizatori). In case of sinus tachycardia without symptoms of heart failure, beta-adrenergic blockers (anaprilin, obsidan, cardanum). With the symptoms of heart failure in tachycardia, the sign of heart glucosides (digoxin, izolanide) is justified.

sinus bradycardia
Sinus bradycardia in practically healthy people is not likuvannya. In іnshikh vypadki lіkuvannya are direct on usunenny reasons, shho vyklikє bradycardіyu, and lіkuvannya main ailment. In case of vagal sinus bradycardia, which is supervised by dyshal arrhythmia, it is a good effect to reduce a small dose of atropin. In case of bradycardia tied from the NDC, you will be supervised with signs of destructive blood loss, a symptomatic effect is given by Euphilin, Alupent, Belloid. In important cases, you can have electrocardiostimulation.

sinus arrhythmia
Dikhal arrhythmia is not vimag. In those vipads, the therapy of the main ailment is carried out.

Sinus node weakness syndrome (prototype)
At the early stages of development, the prototype is shown to reach the short-hour, unstable frequency of the rhythm of the preparations, which are associated with the heart rhythm, and the signs of anticholinergic (atropine in drops), , schob zapobigti vyniknennyu ectopic arrhythmias). In a number of vipadkіv time, the effect can be corrected to the indicated preparations in Beladoni. For some ailments, there is a defect in case of stagnation of nifedipin, nicotinic acid, And with heart failure - іngіbіtorіv APF... The main method of lykuvannya Prototype demonstration - post-electrostimulation of the heart. Ectopic complexes and rhythms

extrasystole
Lіkuvannya extrasystoles lie in the main disease. In case of vegetative vascular discharges, as a rule, do not carry out, as a rule, they indicate sedation (tranquilization), in case of filthy sleep - sodine preparations. When the vagus is strong enough, preparations are indicated atropin and beladoni. With schilosti to tachycardia effective beta-blockers (anaprilin, obzidan, propranolol). Garnu diyu nadayut isoptin,
cordaron. In case of extrasystoles of organic pacing, the calcium chloride, panangin is used. In vinyatkovy vipadkah vdayut to prothyarrhythmic zasob - such as novokainamid, aymalin. In case of myocardial infarction with extrasystoles, it is effective to suck lidocaine (1 -% - niy razchin) with panangin internally in drops. Polytophene extrasystoles, which are diagnosed because of foxglove intoxication, can lead to fibrillation of systoles and vimagayut terminova drug. Zastosovyut for lіkuvannya lіdokain, inderal, kalіy preparations.
For the knowledge of intoxication, tied with cumulative heart glycosides, stagnation of unithiol, consider kalizberigayuchi diuretics (veroshliron).

paroxysmal cardiac
Some of the ailments attack paroxysmal tachycardia spontaneously. In case of supra-slurry form of indications, massage of the carotid sinus on the right і evil for 15-20 seconds; When there is an effect of medication, beta-blockers are prescribed: propranolol (obzidan, anaprilin) ​​- 40-60 mg, Veropamil - 2-4 ml of 0.25% - and novokainamid - 5-10 ml of 10% solution. Introduce drugs as often as possible, before monitoring AT and pulse. It is not safe (through the overwhelming bradycardia or asystole) to inject Veropamil and propranolol intramuscularly. Lіkuvannya foxglove (digoxin) is possible, as long as the ailments are not cut off in the best possible time before the attack of the day. If the attack does not stop, and the sick person burns, the vicious use of electric and pulse therapy (which is contraindicated in the intoxication with heart glucosides). With frequent and disgustingly stopped attacks, a team-hour or post-electric cardiostimulation is used. Yaksho attacks of dressings from the intoxicating foxglove or the weakness of the sinus node, which is ailing in the hospital.
In case of malar tachycardia of a sick person, the hospital should be treated with antiarrhythmic symptoms (lidocaine 80 mg) under the control of the EKG and arterial vise, repeated injection of 50 mg through the dermal 10 chilin up to the overhead dose of 200-300 mg. If the attacker is in case of myocardial infarction and the patient is sick, then it is vicious to use electric pulse therapy. For an attack to carry out anti-relapse treatment (vikoristovuyut novokainamid, lidokain and other drugs with a stretch of decilkoh days and trivalishe).

Passive ectopic rhythms
Lіkuvannya main disease.

Merekhtinnya and tripotinnya

little anterior
Likuvannya to lie down in the main ailment and thirst (fight against myocarditis, compensation for thyrotoxicosis, promptly weakening vad). With a stiff measure of the atrium, the sinus rhythm is introduced with antiarrhythmic drugs or electro-pulse therapy. Stagnation of heart glucoside, beta-blockers, novokainamid, verapamil (finoptin, isoptin), etmozin, etacizin, aymalin, hinidin.
In the case of normal and bradystolic forms of migratory arrhythmias, during the heart decompensation, antiarrhythmic drugs do not become stagnant. Lіkuvannya is based on the main disease.

tripotinnya in front of the heart
Lіkuvannya tripotinnya in front of the heart is carried out according to the same principles, as well as instant arrhythmias. For the suppression of paroxysm of perspiration, it is possible that the vicoristan is often internally anterior to the heart or transesophageal electrostimulation of the anterior. With frequent paroxysms, the necessary post-use of antiarrhythmic drugs with prophylactic treatment (for example, digoxin, paroxysmal form in post_yna, it is more beautiful to be carried over by ailments)

Trip and fibrillation of shlunochkiv
Lіkuvannya to grow up to a cob of indirect massage of the heart i piece dichannya stretching for an hour, necessary for the preparation before the electroimpulse therapy, as well as the last reanimation visits.

Damaged functionality

sinoauricular block
Therapy of the main disease. In case of severe hemodynamic porosity, atropin, belladona, ephedrine, alupent should be consumed. The emergence of frequent unacceptable stanіv to serve the shows up to the electrocardiostіmulyatsіі heart.

atrioventricular block
With AV blockade I stage і II stage Mobitz type I without key manifestations lykuvannya is not required. In case of hemodynamic disorders, atropin, 0.5-2.0 mg intravenously, is prescribed, instead of electrocardiostimulation. If AV blockade of adenosine ischemic myocardium (in the tissues the level of adenosine grows), then an antagonist of adenosine, aminophilin, is indicated. In case of AV blockade of the II stage of the Mobitz type II, III and general AV blockade, right from the clinical manifestations, time is indicated, instead of post-cardiac stimulation.

Blockade of the gus bundle
The blockade of the gus bundle does not in itself cause any damage, protects the patient with prescribed medications, so that an impulse is to be carried out in the system of wards.

Wolff-Parkinson-White syndrome
WPW syndrome, which is not supervised by tachycardia attacks, does not require abuse. In case of a breakdown of the heart rhythm, and most often paroxysms of the supraventricular tachycardia, the principle of treatment is also the same as in case of similar tachyarrhythmias of the genesis (heart glucosides, beta-blockers, isoptin). As a result of pharmacotherapy during the day, electrical defibrillation is carried out.
With frequent paroxysms of tachyarrhythmias, refractory to drug therapy held surgical treatment: Peretin dodatkovyh nobles carried out.

dispensary

Caution zd_ysnyu cardiologist (therapist). With a secondary character, the rhythm must be corrected for the therapy of the main ailment;

Causes the rhythm to change

Inappropriate rhythms can be seen in the event of changes occurring in the area of ​​the sinus node, as well as in other provinces. Modifications can be made:

• sclerotic;
• ischemic;
• igniter.

Ectopic performance is classified in a reasonable way. Razrіznyayut decіlka forms:

1. The supraslunochkovo rhythm of the ectopic character. The reasons for this are overdosing with heart glycosides, as well as vegetative dystonia. Ridko buvaє, the form is given, the form is given to advise the automatism of the ectopic vognisch. In general, the frequency is very fast, but not with an accelerated or substituted rhythm of an ectopic character.
2. Slunk rhythm. The form is given in order to order those in the myocardium that are marked with changes. If the frequency of the shlunochkovyh is very low, then it can be caused by ischemia, as the most important organisms.
3. Anterior rhythm. Vinikak often with the presence of rheumatism, heart disease, hypertension, diabetes, ischemia, neurocirculatory dystonia, it can also be found in healthy people. As a rule, the presence of the hour, ale inodi raztyagutsya for a trivial period. Buvaє, scho the atrial rhythm is of an incongruous character.

The messages that enter the myocardium through neuroendocrine injections can be developed in children. Tse means that in the heart of a child є dodatkov in the cognizance of being buzzed, that function is right one way of one. Such damage can be divided into several forms:

• active: paroxysmal cardiac and extrasystole;
• accelerated: flashing arrhythmia.

Shlunochkov_extrasystoles in a childish vіtsі repair development in the type of cardial organic pathology. It is even more rare, ale є wipes, if the species can be diagnosed in a healthy child, it can be found in a newborn.

In the early stages of infection, it is attacked by paroxysmal tachycardia, which may pass in an even more important form, called supraventricular. It is especially useful with congenital heart disease, overdosed atropin and with carditis. This form is often attacked by the awakening of a sick person and a change of position.

symptoms of illness

We knew that the rhythm was not inappropriate for the main reasons. This means that specific symptoms are not spared. It is clear that deyaki signs, like talking about those, it’s time to turn up to the lykar himself, or at once with the child when I’m going to die.

Vіzmemo yak butt paroxysmal tachycardia. Most often, it is also unsuccessful to repair it, as it will end. At the same time, one should not be discouraged from provinces, such as soiled, beaten at the breasts and so far. On the very ear of the crisis, there are a few backs and heart pains, and symptoms may appear during a trivial attack. Some people get confused: seeing anxiety and fear, but with my heart I’m feeling serious, unconscious, when a person wants to know the position, with a turbine, he’s going to cringe. Distant can touch the tremulous hands, darkening in the eyes and spoiled. Possibility to try:

• as much as possible;
• nudota;
• swelling of the abdomen;
• Positive for sechovipuskannya, navit like a man without living a lot of ridini, see through the skin fifteen or ten quills, and skinny times to see close to 250 ml of light glimpse; given a specialness to trim and send an attack, then by deed to know;
• positive for defecation; Daniy symptom is not often spared, and when the ear is attacked.

Attack with a short triviality, you can win for an hour when you sleep, with a lot of ailments you can see the heart rate quickly through a dream. In addition, since it’s going to end, the heart’s ability to return to normal, it’s bad; Lyudin sees a "zammirannya" heart, for which there is another piece of heart, which indicates a cob of normal sinus rhythm. Buvak, shoud daniy impulse supervise sore eyes... However, the price does not mean that the attack will end in such a way, that the heart is quick to develop in deeds.

Okremo varto will develop symptoms, which can be found in children with the development of an ectopic rhythm. Skin, by a guessed form, the destructiveness of the character given to its own symptoms.

Extrasystoles are characterized by:

• interruptions in heart robots;
• Possibly "zavmirannya" heart;
• I feel the heat in my throat and heart.

However, the symptoms may be in the back of the eye. Vagotopic extrasystoles in children are supernatural and hypersthenic constitution. Paroxysmal cardiac in the early weeks of the onset of signs:

• uncomfortable camp;
• feeling spasms and troubles;
• zamorochennya;
• blіdіst;
• cyanosis;
• zadishka;
• pain in the abdomen.

diagnostics

Diagnostics of ailments, except for the significant symptoms of ailments, should be grounded on the EHC tribute. In the action forms of the ectopic, the rhythm of their own particularity is broken, which can be seen with the whole preliminaries.

The anterior rhythm occurs when the configuration of the R wave changes, and its diagnostic signs are not clear. In case of left atrial rhythm, it does not mean a change to the PQ interval, so it is also 0.12 with a change to the interval. The QRST complex does not have a lot of advantages, so it’s as a boon to be of great rank. As long as the rhythm of the retouching in the lower parts of the left or right atrium, then on the EKG there will also be a picture, as in the rhythm of the coronary sinus, that is a positive PaVR and negative P in the third and other aVF. At such a vypadku move about the lower atrial rhythm, and the exact localization of the ectopic character is even foldable. The right atrial rhythm is characterized by the time, which dwarfed automatism - the P-clytini, which is located in the right atrium.

The child's visitor also undergoes retinal diagnostics. Anterior extrasystoles are characterized by a change in the P wave, and also shorten interval P-Q in case of incomplete compensatory pause and vascular ventricular complex. Extrasystoles from the atrioventricular character appear to the front of the atrioventricular form, right in front of the dimple complex, out of the day R tooth.

With paroxysmal tachycardia for an hour, abdominal pain appears. Pulse when there is a small amount of power and it’s nasty to give to a podrakhunku. Also, the reduction of the arterial grip is spared. Rigid rhythm and aberrant complexes are quilted on the EKG. In the period between attacks and with supraventricular form, extrasystole occurs sometimes, and during the crisis itself, the picture is the same as with group extrasystoles with a large QRS complex.

methods of treatment

When diagnosing non-sinus rhythms, the lykuvannya is based on the main problem. Apparently, it is even more important to identify the cause of the damage in the robot's heart. When vegetative-vascular discharges, you start to induce sedation, when the vagus is strong enough - preparations of beladonium and atropin. Yaksho є strength to tachycardia, they effectively use beta-blockers, for example, obzidan, anaprilin and propranolol. Vіdomі takі koshty, yak cordaron і isoptin.

Extrasystoles of organic pacing start to enjoy panangin and calcium chloride. Some of them can be vicious and antiarrhythmic, such as aymaline and novokainamid. If extrasystole is supressed, it can be caused by myocardial infarction, it is possible for panangin to be sucked at once with lidocaine, as it is injected with intravenous spinal infusions.

The intoxication of foxglove can lead to the diagnosis of polytopic extrasystoles, through which the fibrillation of shlunochki can be seen. In such a type, it is necessary to pinch the term with the drug, and in the case of the drug, the drugs are calium, inderal, lidocain. To take intoxication, tied with heart glucosides, drugs can indicate diuretics and unithol.

With the supra-slit form, it is possible to rob the massage of the carotid sinus of evil and on the right for about twenty seconds. It is also a good idea to draw on the black apple and apple. Since these methods do not bring lodging, the drug can indicate beta-adrenergic blockers, for example, verapamil or novokainamid. The drugs are guilty, injected every day, controlling the pulse and arterial grip. Cherguvati propanol and verapamil are not happy with the internal path. Foxgloves can only be victorious in the same way, as most of the days before the attack did not go into the body of the sick person.

When the sick person is gone, the electric pulse therapy will stagnate. However, it is not possible to vikoristovuvati in times of intoxication with heart glucosides. Electrocardiostimulation can be stashed permanently, as the attack occurs very often.

The complexities can be heart problems, more precisely, sharpening. Schob uniknuty tsyogo, then immediately turn around for medical aidі do not start the development of the main ailments, but provoke the development of the ectopic rhythm. For a clear and healthy robot, you just need to lead a healthy way of life and uniqueness of stress.

ectopic rhythms... With a weakened abnormality of the sinus node, it is possible to substitute (for an hour or a long time) efficient rhythms, so that the speed of the heart is accelerated by the manifested automatism of other indications of the provincial system. The frequency of їх is less than the frequency of the sinus rhythm. As a rule, the faster the echo rhythm is distal, the higher the frequency of the pulses. Ectopic rhythms can occur in case of ignited, ischemic, sclerotic changes in the area of ​​the sinus node and in other parts of the wiring system, the stench can be one of the manifestations of the syndrome of weakness of the sinus node (Div. Lower). The supra-mucous ectopic rhythm can be associated with dressings with vegetative dysfunction, overdose of heart glucosides.
The development of the ectopic rhythm of the development of the automation of the ectopic center; at the same time, the frequency of the heart is very fast, but not at the substitution of the ectopic rhythm (acceleration of the ectopic rhythm). Evidence of the ectopic rhythm and its beginning only according to the EKG.
The anterior rhythm is characterized by changes in the configuration of the teeth I Diagnostic signs of this uncleanness. The only form of the P wave and the triviality of the P-Q change from the cycle to the cycle, so that you can tie the rhythm along the foreheads with the migratory rhythm. The anteroventricular rhythm (the rhythm in the atrioventricular zone) is characterized by an inversion of the P wave, which can be restructuring close to the aperture complex or overlap with the new one. For the replacement of the anterior-lingering rhythm, the frequency is 40-50 in 1 min, for the accelerated one - 60-100 in 1 min. If the ectopic center is more active, the sinus center is less active, and the impulse is blocked, then it is necessary to determine for a different anterioventricular-ventricular dissociation; at the same period of sinus rhythm, the periods are replaced by the anterior-shlunochkovy (small shlunochkovy) rhythm, especially such є large ridkisny rhythm in front of the heart (P) and an independent, slightly larger. Ectopic slurry rhythm (regular tooth P in the daytime, slurry complexes are deformed, frequency 20-50 in 1 hv)
lykuvannya... With vishchevkazanikh ectopic rhythms, the slid likuvati is mostly ill. The anterocerebral rhythm is not consistent in front of the anterocerebone dissociation, associated with autonomic dysfunction, it can be timidly susceptible to atropin or an atropin-like drug. With a ridkіsny shlunochkovo rythm, it may be necessary to have a time or post-ectrocardiostimulation.

extrasystoles- early heart, mindfulness of the impulse to the sinus node posture. Extrasystole can supravodzhuvati be-yake a heart attack. Not less then, in nіzh polovinі vipadkіv ekstrasistolіya not pov'yazana іz zahvoryuvannyam sericite and obumovlena autonomic i psihoemotsіynimi torn down, lіkarskim lіkuvannyam (Especially sertsevimiglіkozidami), torn down elektrolіtnogo rіznoї balance of nature, getting used to alcohol i zbudzhuyuchih zasobіv, kurіnnyam, reflex vplivom s side internal organs. The emergence of an extrastopia appears at the mother of healthy individuals with high functional abilities, for example, among athletes. Physically induced extrasystole provoking, tied with heart disease and metabolic disorders, and driving extrasystole, aggravated by vegetative dysregulation.
extrasystoles Maybe winicati a little bit, two or more - guys and groups of extrasystoles. The rhythm, when there is a normal cutaneous systole followed by an extrasystole, is called biheminia. Particularly unpleasant hemodynamically ineffective early extrasystoles, which occur one hour at the T wave in the front cycle, or not in 0.05 seconds after the end. Whenever ectopic impulses are formed in the middle of the middle, or in the middle of the middle, then the polystyles are formed, which are developed between themselves for the form of the extrasystole complex on the EKG (in the middle of one) in the middle. Such extrasystoles are often accompanied by significant changes in the myocardium. In some cases, the rhythmic function of the ectopic focus is more trivial in the order of the functions of the sinus rhythm - parasystole. Parasitical impulses follow in the correct (pretend to be more normal) rhythm, independent of the sinus rhythm, but sometimes it does not happen during the refractory period.
On the EKG, the anterior extrasystoles are characterized by a wrinkle shape and a straight line of the P wave and a normal clown complex. The post-textural interval may not be improved. With early anterior extrasystoles, it is not uncommon to indicate a breakdown of the anterior-slunk and internal conductivity (often behind the type of blockage of the right lower back) in the extrasystolic cycle. Anterior to the heart-shlunochkovі (in the area of ​​atrioventricular z'єdnannya) extrasystoles are characterized by the fact that the inversion of the prongs of the P rots, close to the intact shlunochkovy complex or overlap with the new one. Mossy collapse of internal drainage capacity in Extrasystolic cycle. The post-textural pause sparks a change. Shlunochkov_extrasystoles develop into a larger swivel deformation of the QRST complex, which does not overtake the P wave (behind a vignette there are even more low-pitched extrasystoles, for which the serpentine tooth Rervaley Q is recorded). The sum in front of the post-textural intervals in the road or the three interchanges is the triviality of the two intervals between the sinus speeds. With early extrasystoles on aphid bradycardia, the posttextrasistolic pause may not be (insert extrasystoles). In case of livoshlunochkovy extrasystoles in the QRS complex at the introduced V1 the largest є R wave, straightening uphill, with right-lunar S-wave, straightening down.

symptoms... Ailments, for they do not see extrasystoles, for they do not see the strength of the shipments in the area of ​​the heart, or for the dead heart. When the pulse of extrasystoles appears before the hour, the pulse rate is weakened, or the heart is sick, and during auscultation, the heart tone is early.
The clearest meaning of extrasystoles can be useful. Ridkisnі extrasystoles at a time of the day, sickness of the heart, call it a little less important. Frequent extrasystoles in the case of acute illnesses (ischemic ailments of the heart, myocarditis, etc.) Parts of the anterior extrasystole do not readily appear in the anterior portion. Particularly unpleasant parts of the early, as well as polytopic and groups of systoles, such as during the period of myocardial infarction, and in case of intoxication with heart glucosides, can be indicative of meteorological symptoms. Parts of the extrasystoles (6 or more in 1 hour) can, according to their own perception, improve coronary insufficiency.
lykuvannya... The officials slid down, and according to their ability, they brought it to the extreme. Also, extrasystole is associated with hypodermic ailments (myocarditis, thyrotoxicosis, alcoholism chi іn.) Iakshcho extrasystoles to admit with the turns of psychomotional damage (directly from the manifestation of the heart), it is importantly sedative. Extrasystoles on aphids of sinus bradycardia, as a rule, do not induce antiarrhythmic symptoms, only one should be given belloid (1 tablet 1-3 times a day). Ridkisny extrasystoles when you are sick of the heart also don’t need to drink. As soon as we show it, we should take antiarrhythmic therapy with urinary trauma, counter-indication, fixing lower doses, using uvaz, propranolol (10-40 mg 3-4 times a day), verapamil (40-80 mg 3-4 times a day) per day), chinidine (200 mg 3-4 times a day) is more active in supra-slurry extrasystoles; lidocaine (100 mg IV), novokainamid (250-500 mg vseredin 4-6 times a day), diphenin (100 mg 2-4 times a day), etmozin (100 mg 4-6 times a day) - with slunker extrasystoles, cordarone (200 mg 3 times a day for 2 hours, at least 100 mg 3 times a day) and dizopyra-mid (200 mg 2-4 times a day) - with quiet and small.
Iakshcho extrasystoles are detected or often on the background of treatment with heart glucosides, їkh slіd timchasovo skasuvati, denote the drug kalіya. In case of early polytope diagnoses, nicely(The order of intensive treatment of the main disease)

The heart rate, which automatically occurs in the heart of the heart, is very fast in the myocardium, or in the provincial system, they call the ectopic anterior rhythm. So tse take, zabremosya in the given statty.

description of pathology

If the sinus vuzole of weakening, or if it pulls back on its robot, and the price is on a permanent basis, or hour to hour, then it will come up with ectopic rhythms (or else they call it substitute).

Їх frequency is lower than in sinus rhythm. Ectopic anterior rhythm can be non-sinus. The speed of the shuffling of the yogh dzherelo, the frequency of the yogh impulses in the future. What is the reason for the change in the robot heart?

The main reasons behind the rhythm change

The changes that occur in the area of ​​the sinus node and the other provinces, lead to a non-sinus rhythm. The process of visualization from a normal rhythm can be:

sclerotic;

ischemic;

Fired up.

Classification of non-sinus rhythms

Classification of non-sinus rhythms can be different. The bottom is most likely to be guided by forms.

A non-sinus rhythm can be overhead rhythm with an ectopic character. It is caused by an overdose of heart glucosides, as well as vegetative-vascular dystonia. The automatism of an ectopic vognisch is growing, and as a result, a form of a non-sinus rhythm is given. Here, the temporal frequency of the heart is more rapid, depending on the accelerated and substitute rhythm of the heart.

A non-sinus rhythm can also be a shlunochkovy one. Tse talk about the meaning of changes in myocardium. With a low frequency of shlunochkovyh, there is a very high rate of development of ischemic ailments of the heart, the yak is fraught with serious inheritances.

Besides, the rhythm can be in front of the heart. It often develops with rheumatism, ailments, diabetics, neurocirculatory dystonia can lead to such a rhythm. However, the ectopic anterior rhythm of the rhythm in absolutely healthy people. Volodya's past character, perhaps a trivial hour. Can grow vrodzhene.

Tsikavo, ectopic rhythm is not only in older adults, but in small children. It is possible with the obvious additional signs of being built up, as they function squarely one way of one. On the whole, neuroendocrine factors are injected and introduced into the myocardium of the worm.

tipi porushen

Such epizodi of the atrial atrial rhythm in a child can be:

Be active, characterized by paroxysmal tachycardia and extrasystole.

Accelerate (see a flashy arrhythmia).

To produce cardiac organ pathology in a child's life before shlunochkov_extrasystoles... The pathology can be diagnosed even in a healthy newborn baby.

Viruses can cause infections in children of early age before attacks of paroxysmal tachycardia. In this type of tachycardia, the shape is important, I will call it supraventicular.

Vrodzheni sertsevі wadi, overdosed with aspirin, carditis provoke qiu important form to the rhythm.

An attack can happen, if the child has only thrown forward or abruptly changed the position of his body. The supraventicular form is not infallible.

What are the signs of an ectopic atrial rhythm?

As it is already said, it is mainly to produce non-sinus rhythms. Be-specific specific symptoms are not characterized. The main ailments and cause the rhythm to start with signs.

Below, there will be some symptoms, on which varto they turn a saw to respect, for whom it is inadvertently turned up to the likar:

An attack of paroxysmal tachycardia is repaired by a raptus and so it will end itself as a rapt;

Visitors will attack;

Vіdsutnya zadishka abo heart beat on the cob attack;

Vinniknenya feeling strongly of anxiety and fear;

The appearance of a rukhovoy zapokonnya, such that a lyudin shukє the position of the body, that a spryaє will attack;

People have three hands mending, dark in the eyes, head swelling;

The emergence of a beefed-up sweat;

Evidence of boredom and abdominal pain;

You can get positive on the intestinal discharge and viporozhnennya: people can urinate skin 10-15 times per ear of tachycardia, at the same time you can see a light color, a lot of openness, positive for a defecation to drink more quickly.

Paroxysmal cardiac arrest can be done if people are asleep. Let's get my heart out of it I was able to beat the one who dreamed, for example, like a dream. After the end of the attack, the heart started to start calmly, with a man he couldn’t see any problems anymore.

As soon as the rhythm becomes normal, the rhythm becomes normal sinus. One day before the hour of delivery. In some people, the confidence in the heart rhythm is done in a step-by-step manner.

іnshі symptoms

With a non-sinus rhythm, there are signs. It is because of the fact that the powerful ectopic anterior rhythm is superfluous, the stench can be quite different:

So, for example, with extrasystoles, there can be heart failure with interruptions, lyudin sees, none of his heart zupinyaetsya, he sees fever in the throat and heart. A few symptoms may or may not be present. Zayva masa tila and hypersthenic constitution often produce up to vagotopic extrasystoles.

Have a child produce an uncomfortable creep, darkening in the eyes, zapamorochennya, feeling spasms and anxiety, bloody, cyanosis, badness, pain in the abdomen. Tsim develop an ectopic anterior rhythm in children.

Methods for diagnostics of the ecopic rhythm

Even if people are afraid of being re-insured, they need to go to a therapist or a cardiologist. Fakhivets to indicate the EKG, which will show the changes in the robot's heart or the ectopic anterior rhythm.

The R wave changes its configuration during atrial rhythm. Vin is not easy to read diagnostic signs. The PQ interval does not change with left atrial rhythm. The QRST complex does not move through the zvychaynogo zbudzhennya on the flip-flops. We will be positive PaVR and negative P in the third and other introductions of aVF when the rhythm is expanded in the left and right atrium, and in the lower ones itself. The exact localization of the ectopic rhythm is not indicated in the fall of the lower atrial rhythm.

With a right-handed rhythm, there was a growth of automatism (P-clitin) in the right atrium. This is how the ectopic anterior rhythm manifests itself in children.

Children also need a retailer diagnostics. With anteroposterior extrasystoles, the P wave is wobbling. Short-range PQ interval;

And maybe the acceleration of the ectopic anterior rhythm.

Extrasystoles may have an atrioventicular character, on the EKG it is possible to see the P wave out in front of the slurry complex. With right-sided extrasystoles, the P-wave is standardly inserted uphill (downward with left-sided extrasystoles).

The appearance of an embryo is characteristic of paroxysmal tachycardia. When tsyom uncomfortable p_drahuvati pulse. The presence of a decrease in the arterial grip. Evidence of a rigid rhythm і slunochkovy aberant complexes. When the EKG is carried out in an attack posture, or if there is a supraventicular tachycardia, then it can be supportive of an extrasystole, and at the moment of the attack itself, a group extrasystole is fixed with a shortened QRS complex.

In addition to the extraordinary EHC-doslidzhennya, it will be necessary to monitor the EHC on Holter and the transesophageal one.

lykuvannya

As soon as people have a non-sinus rhythm, then they grow up in fallowness from the main ailment. In order for the therapy to be effective, it is necessary to reliably address the cause of the slaughter in the robot's heart. If you wince with vegetative-vindicated rosters, then there will be a need for a sign of sedative stimuli. As soon as the vagus is made stronger, then it is possible to help belladon and "Atropin!. Takhikardia vimagaє zasosuvannya beta-blockers" ("Kordaron", "Anaprilin", "Isoptin", "Obzidan").

with extrasystoles

In case of extrasystoles, which are organically prodigal, a course of "panangin" is indicated, or calcium chloride. Medicines against arrhythmias in some cases can also give a positive effect ("Novocainamide", "Aimalin"). In case of myocardial infarction and one-hour extrasystole, “Panangin” and “Lidokain” are used. Lyudin will take away the gifts of the drink for the help of the drip.

In case of intoxication with heart glucosides

In case of foxglove intoxication, polytopic extrasystoles are detected, which lead to fibrillation of shlunochki. It is necessary not to know the drug and drug administration "Inderalom", "Kalin", "Lidokainom". "Unitol" i diuretic help in the introduction of intoxication. What is the next step when diagnosing the rhythm of the heart ectopic apical?

Inodi massage the carotid sinus for 20 seconds right side, Yaksho є over-slurry form. Dopomagaє natisnennya to live and in the area of ​​the eyes. The presence of beta-hadrone blockers is observed. A stench is introduced with a wide variety of swiftness, with a need to control the pulse and arterial grip. Zmishuvati "Propanol" and "Verapamil" are not internally recommended.

How robiti, how can the attack fail?

As soon as the attack does not stop, it’s trivial, even for a day, the sick person’s camp will go down and get stuck in the electric pulse therapy. Intoxication with heart glucosides is a contraindication before such therapy. In case of frequent and important seizures, use the electrocardiogram permanently.

Yak slower can become a sharpening heart problem. Chance the beast to the lykar is the guarantor of the visibility of the ectopic rhythm; It is important not to panicuvati, but to the appearance of the anterior ectopic rhythm according to the EKG. So tse take, we looked at it.

special requests

The heart has a cheat and a healthy robot, it needs less nerves and a healthy way of living. More often than not Lyudin spend an hour on a fresh meal, take care of it physical practice, Tim will be healthy. In the case of food, it is necessary to intervene the fatty one, as a rule, to establish cholesterol plaques. There is a need for more cells, fresh vegetables, fruits, in which there are vitamins. Nayvazhliv_shim for the heart є calcium, magnesium, kaliy.

Dairy products are rich in calcium, in bananas and tomatoes there is a great amount of calories, magnesium is present in spinach, buckwheat, carrots.

visnovok

One reason for the loss of the heart rhythm is the norm to cry in the psyche of people. In such a vipad, when the therapist is advised, or the cardiologist, he or she can reject the consultation with the psychotherapist. I can do it re-course psychotherapy.

Before problems with the heart, it is not easy to set it up, or at the same hour it is not possible to allow the development of cardiophobia, for fear of infarction and other serious pathologies.

With neurocircular dystonia, the senses take a trivial hour of sedative medication, more beautiful than roselinny, there is a bit of a stench without baking and practically no evidence of any side effects. Before them it is possible to bring the tincture of valeriani, the tincture of pusher, "Novopassit", "Persen".

The yak axis is not safe ectopic anterior rhythm. So tse take, encouraged, everything has now become zerous.

The anterior rhythm is a sequence, with any electrical impulses coming from the fixed ectopic vignette.

Ectopic fiber is called atypical fibers, which may have an automatic function, in this case, the fibers grow in the atria.

The anterior rhythm is a typical non-sinus abnormal rhythm.

Slid say, how do you pretend that the function of the sinus node is weakened or that the function of the sinus node is weakened.

The frequency of atrial speed, as a rule, is less, lower the frequency of heart rate in the norm. The normal rhythm is called sinusoidal, so it is like going through the sinus node.

The frequency of the atrial rhythm can be between 90 and 170 beats per chilin. With singing pathologies, there can be more and more blows.

At times, if there is an ectopic growth in the CA-university, the process of depolarization will return to a normal level. The anterior rhythm of the accelerated type is characterized by the appearance of impulses, as they go from the ectopic regions.

The stench comes in front of the main lander complex. For a short manifestation of the sinus rhythm, an ectopic aperture appears, which is a part of a step. And also you can see a change, ale, on the view of all types, with atrial - there is no indication of blockade in the university.

The anterior rhythm can be manifested in the viglyadi of the stiff camp. So it can be manifested as a few days, as well as a few days and rocks.

But all the same, the medical practice is more often than not the anterior rhythm manifests itself as a transitional camp.

Inodi tsya pathology maє vrodzhenu ethology... At the same time, a child will populate with ectopic vognisches in front of his or her hearts, as one does not lie in one. As a rule, neuroendocrine factors are infused on the system, as well as myocardial worms appear in the womb.

The reasons for the deterioration of the heart rate in the forehead are such pathologies:

It also means that anterior impairment can occur in people without pathologies. For example, with the introduction of singing callings.

Mіgratsіya vіdіya rhythm. Tse if dzherelo ectopic impulses move along the atrium. At the same time, the last impulses appear, and the stench comes from the children in front of the heart.

It is still a matter of fact that there is a dzherelo, so that some distance from the distance to the rhythm is changed, the intervals are changed on the EKG.

The central anterior rhythm, which seems to be chaotic, with a new heart rate can be very fast in the region from 350 to 600 beats per chilin.

Tsey stan to achieve serious, electrical processes in the foreheads with a large increase in depolarization.

Fast chaotic and asynchronous, so that it is normal for a systolic fast heart to turn on.

In case of a pathology, a great risk of diagnosis of children is accelerated, for example, an infarction and an insult. And also the physical activity of people is significantly reduced.

Frequent stan є characteristic symptom sinus node weakness syndrome.

Signs on the electrocardiogram

On the EKG, the atrial rhythm is unclear diagnostic signs. The main characteristic is the deformation of the P wave, as well as the breakdown of its amplitude and straight, as well as the deformation of the P at normal rhythm.

Root in front of QRS. We shorten the interval Р-Q. When there is no change in the ventricular complex.

Slide means that P і in standard, and in breast information can be positive and negative.

To the right atrium (right atrial rhythm): upper anterior type - on the EKG it is manifested by the P wave of the negative type in the insertions V1,2,3,4.

Posterior-lateral type - P wave in a negative form in introductions II, III, aVF, in introduced aVR, a two-phase P wave is manifested.

In front of the atrium (left atrial rhythm): lower-posterior type - on the EKG line it appears as a negative tooth P appears in the leads aVF, II, III, and also manifests itself in the breast insertions V2, 6, 3, 4, 5, 5, and when I have a special form, I call a shield and a sword.

Upper-posterior type - when the P wave of the negative type appears in the inputs I, aVL, it also manifests itself positive in such inputs as II, III, and when V1 is the viglyada in the form "shield and sword".

With left atrial manifestation, the PQ interval on the EKG does not change, it can be 0.12 sec, or it can be more.

The migration rhythm on the EKG is characterized by a change in the form of the P wave, and also triviality segment P-Q... The changes are carried out from the cycle to the cycle.

With a blinking arrhythmia on the EKG there is no P wave, it should be explained that there is no more systole. Alle, substitute P hvily F, which may vary in amplitude. Tsі hvili to show the rіven of very fast ectopic vognisches.

Some of the stench of low-grade flooring, but don't remember it on the page of the EKG. intervals R-R різні, And the QRS complexes do not change.

Winning often of the heart is very fast in the foreheads of the vimag of the singing, it is carried out when the EHC is carried out. Mozhlivo, the pathology of the disease has been caused by a number of sick people, so the therapy is directed to their liking.

Atrial lesion is characterized by low-symptom interruption and may occur spontaneously to pinch. With such a good-quality proofing of people, everything is necessary to regularly check up.

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