E. Shlunochkova.

From the statistics you can find out: what kind of shlunochkova extrasystole, symptoms, vidi, methods of diagnostics and treatment.

Date of publication of the statistics: 12/19/2016

Date updated statti: 05/25/2019

In case of shlunochkovo ї extrasystoles (at least one of the types), an unreasonable speed of shlunochkіv hearts is seen - in the same way, fast are called extrasystoles. Such a thing is not anxious to be aware of any illnesses, extrasystoles in one way or another in all healthy people.

Even the extrasystole does not lead to any pathologies, does not deliver the patient's inaccuracies, and it is visible only on the - there is no special treatment. If a shlunochkova extrasystole provoked a robotic heart failure, you will need to get more information from a cardiologist or an arrhythmologist, who can prescribe medication or an operation.

This pathology can be increased (as it is necessary), how to carry out a surgical correction of the tests of the wadi - otherwise, it is possible to achieve a strong self-respect for the additional medication.

Causes of shlunochkovoi extrasystole

The reasons for this phenomenon can be divided into two groups:

1. organic - the pathology of the heart-vascular system;
2. functional - stress, curiosity, overwhelming Kawi implantation, etc.

1. Organizational reasons

Viniknennya shlunochkovoi extrasystole is possible with such ailments:

• Ishemia (destructive blood flow) heart;
• cardiosclerosis;
• dystrophic changes in the heart muscle;
• myocarditis, endocarditis, pericarditis;
• myocardial infarction and delayed infarction;
• congenital wadi of the heart (arterial duct appearance, coarctation of the aorta, defect of the middle septum, and іnshі);
• the presence of intact conductive bundles in the heart (Kent bundle with WPW syndrome, James bundle with CLC syndrome);
• arterial hypertension.

Likewise, the unreasonable speed of licks is found in case of overdose with heart glucosides, so be glad to have a drink before their consumption.

Poisonousness, scho to wicked shlunochkov extrasystoles, not safe and vimagayut hourly lіkuvannya. As soon as you have on the EKG boules emerge unprecedented speedy shlunochkiv - it is necessary to go through the preconditioning, to reconsider, and if you have a heart pathology.

2. Functional reasons

Tse stresy, kurennya, vzhivannya alcohol, zaboronenih speeches, great amount of energetic drinks, kawi or mint tea.

Funktsionalnaya shlunochkova extrasystoles do not require a drink - to endure the reason, and again to go through the heart in a couple of months.

3. Idiopathic form of extrasystole

At the same time, people grow up to be healthy, they are encouraged to use slingshots of extrasystoles, the reason for which is not clear. In such a case of the patient, you should not worry about any symptoms, so no treatment will be carried out.

Classification and degree of gravity

For a cob, you will get to know about it, as you can see the extrasystoles from the ear:

Three of them (Lown, Wolf and Rayyan) proponated I'll step on the classification shlunochkovoi extrasystoles (from the most recent to navazhchia):

• 1 type. Up to 30 single extrasystoles for a year (up to 720 pcs. For dob with Holter Dosljenni). Most often, such an extrasystole is functional or idiopathic in nature and does not indicate any illnesses.
• Type 2. For the rest of 30 lonely unfortunate ones very quickly a year. Maybe it's about, but maybe it's functional. By itself, such an extrasystole is not perfect.
• Type 3. Polymorphic shlunochkovyxtrasystoles. Maybe some evidence about the presence of additional conductive bundles in the heart.
• 4A type. Parni extrasystoles. Most often they are not functional, but organic in nature.
• 4B type. Groupovi extrasystoles (nonstyka). Qia form vinnikє via heart-and-heart disease... It is not safe with an accelerated thread.
• 5 type. Early groups of suckers of extrasystoles (on the cardiogram it can be seen in the first 4/5 T wave). It is the most insecure form of a lumpy extrasystole, as through it, arrhythmias are often not safe for life.

Symptoms of the shlunochkovy extrasystole

Ridkisny single extrasystoles of a functional or idiopathic nature can only be seen on the EKG, or with an additional one. The stench does not manifest itself with any symptoms, and the patient does not suspect about it.

Inodi paciєnti with functional sucker extrasystole to skip to:

• seeing, nibi-that the heart of the head of the world (zoomed tse tim, scho behind the extrasystole can be followed by diastola (pause) shlunochkiv);
• Feeling the pockets in the breasts.

Bezposeredno pislya pouring into the heart-vascular system of an unpleasant factor (stress, smoking, alcohol, etc.) You may have such signs:

• spoiled,
• blіdіst,
• passion,
• vidchuttya, nibi not vystachak povitrya.

Organic shlunochkova extrasystole, as it will require a lykuvannya, manifest itself as symptoms of the main illness, as if it was vicious. Sponsor and signs, pererakhovani in the front lists. They are often attacked by a compressive pain in the breasts.

On the other hand, unstable paroxysmal tachycardia is manifested by the following symptoms:

• more dirty,
• frontal stump,
• obscurity,
• "Zavmirannya" heart,
• stronger than sercebitty.

As soon as you do not think of a sickness, as a shlunochkova extrasystole of a type, you can appear not safe for a slower life.

diagnostics

Most of the shlunochkova extrasystoles appear with prophylactic medical gazers every hour of the EHC. Ale inodi, as the symptoms of a swelling yaskravo, ailments themselves come to the cardiologist with scars on the heart. For an accurate diagnosis of the diagnosis, as well as the identification of the primary illness, when the shlunochkova extrasystole is triggered, it will be necessary to undergo a number of procedures.

First Look

Even the ailment itself is prishov with scargami, lykar opitaє yogo, schob z'yasuvati, there are some severe symptoms. As the signs are of an attack-like character, the cardiologist is obov'yazkovo nobility, sometimes it stinks.

Also, the drug immediately changes the arterial grip and heart rate. With a lot of wine, you can already at a time wrinkle, but the heart is speeding up irregularly.

pislya first look around The license is immediately signifies the status of the EKG. Based on the results, the cardiologist will instruct all of the diagnostic procedures.

electrocardiography

For the cardiograms of the lykary, one can immediately see the presence of suckling extrasystoles.

Chi no cardiogram shlunochkov extrasystole is manifested by the offensive rank:

1. the manifestation of post-cranial shuttle complexes of the QRS;
2. Extrasystolic QRS complexes are deformed and expanded;
3. there is a mute P wave in front of the lingering extrasystole;
4. there is a pause after the extrasystole.

holterivske provision

Even on the EKG, pathological changes are visible, a sign that indicates the need for monitoring the EKG. Vono dopomagaє z'yasuvati, as the patient often tramples on the back of the school fast-paced shlunochkiv, chi є guys or groups of extrasystoles.

Pislya Holterіvskogo obsozhennya lіkar can also be significant, which is necessary for the patient of the lykuvannya, whose extrasystole is not safe for life.

Ultrasound heart

Yogo to spend, schob z'yasuvati, yake got sick, provokuvalo shlunochkova extrasystole. In addition, it is possible to detect dystrophic changes in the myocardium, ischemia, vomiting and nabuty wadi heart.

coronary angiography

The qia procedure allows the assessment of coronary artery disease, live rhymes myocardium. Angiography is recognized, as on ultrasound, the boules revealed signs of ischemic ailments of the heart (ІХС). Having provided the fixation of coronary vasculature, it is possible to know exactly what provoked the IXC.

Blood analysis

It is necessary to carry out the study of cholesterol levels in the blood and prevent atherosclerosis, which may provoke ischemia.

EED - electrophysiology

It is carried out, even on the cardiogram of the presence of WPW-or CLC-syndrome. Allows exactly visibility of the precursor to conduct the beam in the heart.

Shlunochkovy extrasystole therapy

Lіkuvannya of unfortunate, very fast licks of the field in the mercy of the cause, such as provocation, as well as suppression of attacks of important wicked arrhythmias, like the stench є.

Likuvannya functional form of extrasystoles

If shlunochkova extrasystole is functional in nature, then it can be used in the following ways:

• throw shkіdlivі calls;
• take drugs for nerve stress (valerian, sedative medications or tranquilisation, in the fallowness of the degree of anxiety swelling);
• fast food scheme (change from kawi, mint tea, energetics);
• before limiting the sleep mode and learning, engaging in physical culture.

Likuvannya organic form

Likuvannya organic form of ailments of the 4th type of transmission, which additionally helps to shake off the attacks of mucus arrhythmias. Lykar signifies Sotalol, Amiodarone or other similar medications.

Also, in case of pathology of 4 and 5 types of drugs, you can take decisions about those that you need to implant an implanted heart defibrillator. There is a special pristіy, such as a heart rhythm and fibrillation of mouthfuls at a time.

Likewise, it is necessary to deceive the main ailment, like a wicked shlunochkova extrasystole. Often, for a person to become stagnant, there are surgical procedures.

Promptly identifying the causes of shlunochkovoi extrasystoles

The traces of the shlunochkovo extrasystole

Shlunochkova extrasystole of the 1st type for the classification, pointed out in the statistics, do not carry a burden for life and don’t wake up to any kind of acceleration. With a shlunochkovaya extrasystole type 2, there is a rapid development, however, the risik is quite inexpensive.

Also, the patient is able to display polymorphic extrasystoles, young extrasystoles, unstable paroxysmal extrasystoles, or early groups of extrasystoles, a high risk of morbidity for life:

To unite to clutter up the life of the inheritance, do not put an ear of love, if you have a shlunochkova extrasystole.

Prognosis for pathology

With extrasystoles of 1 and 2 types, the prognosis of disagreeableness. It is practically impossible to get caught up in the quality of the life of the patient and not to the victories of important inheritance.

With shlunochkovo ї extrysystole 3 type і і food, the prognosis is clearly splendid. In case of frequent illnesses and an ear of therapy, it is possible to become more confused about the symptoms and problems of acceleration.

Coordinated fast in front of the heart, and then the shlunochkiv can be done with the last widening of the electric impulse along the main paths of the heart. However, there will be situations if the correct rhythm is broken. To one of them, the shlunochkova extrasystole is introduced - the post-dormitory speed of the shlunochkiv before the pulse, as the wine is in the pathological vognisch.

Classification of pathology

Ridkisny extrasystoles (up to 5 per chilin) ​​and middle frequencies (5 - 15 per chilin) ​​are developed for the frequency. Often shlunochkova extrasystoles are characterized by the appearance of more than 15 early hours in khiliina, for additional tens of thousands of such extrasystoles can be restructed.

They start singing alone, guys and groups (3 - 4 times).

The stench may come out of the right abnormal little louse. The price can be posed on the cardiogram, but the key value of the extrasystole is not possible.

Most of the pathological impulses are growing in the past:

• monotopic shlunochkova extrasystole (all pre-channeled speedy ones are found in one dialect of heart mead);
• polytopna shlunochkova extrasystole (є a number of delianoks of pathological electrical signal).

Behind the SHE shape, the yaku can be seen on the EKG, you can see:

• monomorphic shlunochkova extrasystole (all pathological speedy viglyadayut is the same, but talk about monotonous їkh prodigy);
• polymorphic shlunochkova extrasystole (the form of SHE is different, you can talk about the middle formations of impulses).

The frequency of the SHE buvaє rіznoyu. It is not often the case of epizodic speed, but there is no singular regularity. When the extrasystolic complex changes sinusoidally (normal), and then again, it appears SHE, so that є cherguvannya "through one", - the price of shlunochkova extrasystole bihemynia. If two normal speeds are re-set, and then SHE, when the cycle repeats itself, the cycle is repeated.

In addition, there is a variant of parasystole, if the pathological impulse does not become obsolete in sinus rapidly. Oseredok squarely pratsyuє in its own rhythm, wyklikayuchi regular extrasystoles. Smell the stench on the small dishes sinus rhythm It’s easy to get the call out of it.

For the help of additional monitoring of the EKG, 5 classes of SHE were seen, which may not be safe for people:

• 0: one by one for doba;
• 1: ridkisna shlunochkova extrasystole, up to 30 per year;
• 2: more than 30 per year;
• 3: polytopnye;
• 4: guys and groups SHE;
• 5: "R to T", so early. The stench of being vvazhayutsya is not safe when you see the fabriles of shlunochkiv, wanting to look at each other at once.

Class 0 and 1 are not not safe. Reshta is inviting to appear in case of chronic illness of the heart and may suffer from important arrhythmias.

cause development

Yak in case of bagatech arrhythmias, the cause of low-pitched extrasystoles of the malignant - from not too lazy team hours to important ailments.

Rіdkіsnі one by one SHE play with bagatokh people. Smells of viklikayutsya emotional stress, overwhelming kurinnyam or vzhivannym coffee, as well as energetic drinks. There are such extrasystoles in neuro-circulatory dystonia.

Zazvychay SHE viyavlyayut at heart disease, for example:

• ischemic ailment, Angina pectoris;
• myocardial infarction;
• Postinfarction aneurysm
• cardiomyopathy - dilated, restrictive, hypertrophic;
• myocardial dystrophy;
• myocarditis - vernal, bacterial, allergic;
• postmyocardial cardiosclerosis - scar tissue of the heart of the transferred state of the art;
• vices of the heart;
• anomalies of development, for example, prolapse of the mitral valve;
• pericarditis;
• hypertensive ailment;
• heart failure.

Reasons for the development of extrasystoles in young groups:

Disruption to the rhythm of "shlunochkova extrasystole" is not often seen in toxic conditions on the myocardium of the children:

• alcohol;
• narcotic and psychotropic speech;
• heart glucoside;
• antiarrhythmics 1C class (etacizin, propafenone);
• for asthma therapy (salbutamol, eufilin);
• thyrotoxicosis - caused by the vision of hormones in the thyroid gland.

Young people have idiopathic shlunochkova extrasystole, monomorphic, monotopic, without signs of sickness. The reason was not intelligent.

Signs and symptoms

Inodi patients do not see SHE. However, it is often a problem to skarzhayutsya on seeing interruptions.

Pislya SHE Vinnik is a compensatory pause, if the heart does not speed up for a short hour, at the same time there is a feeling of being overwhelmed. The given normal sinus impulse sprays ailments like a "blow" in the breasts.

With frequent SHE ailments, skarzhashne on the irregular heartbeat. In some cases, such arrhythmia is supernatural.

As soon as we see it, we’ll get sick for the first time, or it’s bad to be carried over, it’s necessary to safely turn up to the lykar.

In case of pathology of the heart, signs of SHE come across the manifestations of the main ailment - pain in the sternum, backwardness, piddling grip and so far.

diagnostics of pathology

In case of SHE, the patient's experience is carried out. Wine includes:

• assessment of scarg (frequency of arrhythmia, triviality of symptoms) and history of ailments;
• wiretapping breast cancer, For an hour when you can see signs of a heart or cardiomyopathy;
• pulse rate;
• vimіryuvannya vise.

Laboratory advises:

• analysis of blood, slaughter;
• biochemical analysis of the values ​​of calories and cholesterol;
• hormonal dosage for thyrotoxicosis;
• probes for rheumatism and autoimmune diseases.

Signs of SHE on cardiograms- the appearance of a wide frontal slurry complex of an incorrect form without a forward tooth R. Compensatory pause - there are two half-lengths with an extrasystole that are fast-paced, between two different ones. The price will be set with an interval between the last three normal speeds.

It’s a compensatory pause that is longer than the interval, won’t.

At the EKG, there are also signs of the main ailment: an increase in the lingering creeper, cicatrices, signs of aneurysms.

Echocardiography, or ultrasound of the heart, is required for diagnostics of the main pathology of the heart.

Holter monitoring of the EKG is a leading diagnostic method. It is guilty for all individuals with a pathological heart, especially for myocardial infarction. It is also a good idea for people to go through with scarves for interruptions in the robot's heart, as they have not been registered on a special EKG.

The number and character of the extrasystoles and to bring them up to one out of 5 classes is necessary for the selection of the correct diagnosis and assessment of the prognosis of the ailment.

New tests (veloergometry or treadmills) are carried out with great protection and only todi, if there is a prescription for a clear arrhythmia link to the options. As soon as it pits, farther away they are guilty of being right on the weary of ischemia, for whom there is no extrasystole. In general, a sick person undergoes a follow-up of the heart - coronary angiography.

Likuvannya shlunochkovoi extrasystoles

Therapy of the main pathology is carried out. With a good, ridky, extrasystole, there is no sign of a lykuvannya.

For the first time, she didn’t manage to go to the stationary. Nadal is a cardiologist for antiarrhythmic drugs. It is not often accepted every once in a while.

Add propafenone, cordarone, sotagexal in combination with low doses of beta-blockers. Samolіkuvannya tsimi lіkami is unacceptable. When choosing therapy, it is necessary to work out the EKG until normalization.

With SHE, it is necessary to have more time, buvati on a fresh occasion, to live milk and roslinnu. It is necessary to include alcohol, kavi and kurinnya. Varto unique emotional stress.

In case of childish goodness, there is no small amount for physical activity in young people. For the first time, the main illnesses begin to be assigned to the main children.

It can be efficiently detected SHE - radio frequency ablation, so that the pathological impulses for the additional special possession is ruined. With an accurate definition of arrhythmia, the effectiveness of such a method of treatment of the arch of the arch.

Forecast for the patient

Рідкісні ШЕ are not unsatisfactory for life and health.

In case of malignant forms (3 - 5 classes of extrasystoles) without affection, it can be more important to slow down - fibrillation of shlunochkiv, as it is possible to wickle the heart. Timely and correctly the treatment of the basic heart pathology and without the mediocre arrhythmia itself significantly changes the same quality.

Shlunochkova extrasystole - a breakdown in the rhythm, which is manifested by the rapid rapid-flowing of the heart meat of the shlunochka. Extrasystoles of the devilry sign and the principle of lykuvannya. The prognosis is mainly based on the severity of the underlying pathology. In case of part of the extrasystole, antiarrhythmic drugs should be prescribed or surgical intervention.

Corisne video

About those symptoms and causes of a small shlunochkov extrasystole and methods of treatment, wonder in a whole video:

cardiobook.ru

Also, which is not safe one by one (one by one) and parts of extrasystoles

In case of a ventricular (ventricular) extrasystole, an impulse can occur in the right and in the left or right legs of the Gis bundle, Purkin fibers, or even in the myocardium of the lungs.

Alone fast meat shells do not affect the blood circulation, but couples and groups are called sucker extrasystoles, as they require a drink.

On the vidminu from the atrial extrasystole, with the shlunochkovo the wrecked hunt only dimples Tom, on the electrocardiogram, the stench can be seen as expanded and deformed complexes.

Nerіdko їkh belts are tied with the manifestation of organic exercise heart, transferring myocardial infarction and lowering the rapid function of the heart meats shell.

Expansion and development of ailments

For the data of the national certificate on cardiology in 40-75% of regular patients... With a one-time restoration of the EKG, the chance of success of the SHE is approximately 5%.

adjustments of risik ailment is indicated in lithians, in people with heart-and-death catastrophes, in the presence of young people myocardium.

For such a contingent of ailments, the number of ventricular extrasystoles reaches 5000.

Mechanism of development of extrasystole of dressings with early depolarization of cardiomyocytes. The appearance of a refractory myocardial dilemma before re-entering the cell and post-berth speed.

Shlunochkov_extrasystoles are characterized by an uneven compensatory pause і Winners are not important in the rankings and in the day and in the day.

Classification and characteristics of species, stages

Gradation and safety for health and life in case of a shlunochkovy extrasystole, I start for the classification Launa (Lown). You can see the next class SHE:

• 0 - total volume of ventricular extrasystoles;
• 1 - one by one speedy, wicked with an impulse from one and the same dzherel;
• 2 - the impulse is so monomorphic, even more than 30 per year;
• 3 - extrasystoles from early midsections;
• 4 - divided into two types: A - extrasystoles, B - groups, which are called short probes of a lumpy tachycardia;
• 5 - ШЕ, when yak_y shlunochkovy complex "climb" on the T wave in front of the cycle. Such an extrasystole is the most insecure and can lead to arrhythmia, which is significantly infused into hemodynamics, a shock and a fatal result.

For an hour, you see three views:

• early - fast shlunochkiv infusion before an hour of passing an impulse along the anterior;
• Interpolation of shlunochkovyxtrasystoles - one hour from the fast upper chambers of the heart;
• пізні - вінникнення під hour dіastoli.

Ordered ventricular extrasystoles are called Allorhythmy... If the rhythm of the heart (HRC) is disturbed due to the type of shlunochkovy extrasystole of the vinicus for the normal skin complex, talk about bigeminies If there are two normal ones - about trigeminies and so far.

Causes and factors of rizik

The reasons that lead to SHE can be combined into a group of groups:

1. heart reasons.

   Before them, the transfer of infarction, the manifestation of angina pectoris, cicatricial changes in the heart meat, CHF, cardiomyopathy, firing incapacitation of the myazovaya sheath, malformations of the development of the heart are known.

2. Change of concentration of electrolytes, Especially calories and magnesium.
3. Acceptance of children... SHE can be vicious with heart glucosides, antiarrhythmics, sechoginny drugs.
4. Shkіdlivі calls, Uncontrolled kurnnya, ominous alcoholic beverages.
5. Infection of endocrine organs, Yaki lead to the change of hormone release: thyrotoxicosis, diabet, Pheochromocytoma.

symptoms

The clinical picture of SHE is characterized by symptoms of an unprecedented post-berry speed and blood circulation failure. Illness can be seen interruptions of the heart, irregularity, deyaki describe the "upheaval" of the heart in the breasts.

some symptoms it’s not easy to feel overwhelmed, overwhelmed by the fear of death.

Zm_na hemodynamics wiklikє weakness, zamorochennya, you can win in peace... In some cases, the pain in the heart is determined by the type of angina pectoris.

When you look around you can take note of pulsation of the veins, arrhythmia of the pulse... In important cases, the ventral extrasystole provokes zamorochennya, loss of evidence.

At bagatokh patsієntіv SHE counter without a rotated clinker.

Diagnostics and signs on the EKG

Diagnosis is established at the office experience that look around... The patient is showing skargi at interruptions, turn your heart over, the wrong rhythm. If you look around, you can notice the heart rate deficiency, bladder, for the data of auscultation - arrhythmia.

An important diagnostic method є EKG On which one can see the appearance of the anterior shlunkovy complex without the anterior atrial tooth. The QRS complex is wide, irregularly shaped. Dodatkovo vikoristovuyut ehocardiography, intracardiac EFD.

For diagnostics, it is necessary to use the electrocardiographic data until the end of the day. The supraslunochkovy extrasystoles are characterized by an undeformed QRS, the P wave in front of the post-cranial shlunochkovy complexes.

About differential diagnostics new species Extrasystole is indicated on the video:

To get the first help you need tuck a sick person, make sure the surge of fresh food. In some cases, due to the obviousness of an accurate diagnosis, it is necessary to take antiarrhythmic drugs, for example, amiodarone, propafenone.

it is also necessary deliver the sick person to the specialization of the cardiological hospital for carrying out diagnostics that sign of treatment.

therapy tactics

In case of good ventricular extrasystole, if it is good to tolerate the ailment, drug treatment is not carried out. recommend vidmova vid shkіdlivyh ringtone , Modification of factors in risik, can be taken by Corvalol.

With frequent SHE, circulating clinical, malignant interruption, antiarrhythmic drugs are recognized:

• Propafenone is an antiaritmic class I, it is victorious with good luck. Prototypical indications for aneurysm of LS, circulating heart failure.
• Bisoprolol is an adrenergic blocker, which prevents fibrillation of shlunochkiv, harmonizes the heart rhythm. Prototype indications for patients with bronchial asthma.
• Kordaron is a Vibor preparation for the evil and predictively uncomfortable SHE. I change the indicators of heart mortality.

surgical treatment to carry out at frequent shlunochkovy extrasystoles, as nasty lіkuvannyu lіkami... To carry out electrofiziologicheskie doslijennya for the establishment of the exact mice of roztashuvannya voginischa and yogo radio frequency ablation.

rehabilitation

Rehabilitation is indicated for people with ailments with the transfer of infarctions and SHE of a high class, which led to a slowdown in the vigilance of the mucus tachycardia, or the three surgical treatment arrhythmias.

Forecast, acceleration and inheritance

The forecast of a breakdown in the rhythm is abundant in which to lie in the form of gravity of ailments, in the form of a rhizik of the heart-and-heart ailments, to what can be said.

With rare single (monomorphic) shlunochkovyh extrasystoles, the prognosis is good, Part and polymorphic prognostically unfavorable, due to the monitoring, I will become ill and carry out the treatment.

Shlunochkov_extrasystoles of high classes (4, 5) may be accelerated by serious arrhythmias... The loss of blood flow can lead to a loss of evidence, significant damage to hemodynamics, a decrease in blood flow to the brain.

Moving to the fibrillation of the shlunochkіv heart without fast defibrillation leads to a lethal result.

oserdce.com

So also the extrasystoles and the reasons for this accusation?

In modern medical terms, extrasystole means an early speed of myocardium, even though the heart lacks blood for the heart of the heart for the heart of the court, so that for its sutta the value of the damage to the heart.

The first speed can be used as often as it is, so it’s ready to go. One fine day, lyudin raptom vidchuvah, which in his heart was broken. The very same tse chuttya rob such a lyakayuchy effect on people. Zakvoryuvannya, tied with some destructed in a robot heart, called - extrasystole.

A special feature is the diagnosis of extrasystoles - those that can be recognized practically in the skin of a man are not immediately known for their health, for example. Krym tsyogo, іsnu tsіliy, a number of reasons for the development of the disease are given to the pathology:

• the manifestation of heart disease - ischemia of the heart, myocardial infarction, myocarditis and cardiomyopathy, heart failure;
• sickness, tied to the damaged endocrine system robots - diabetics, thyroid ailments and supranirkovy;
• side effects in case of trivial intake of antiarrhythmic drugs, drugs, glucosides;
• the manifestation of electrolyte imbalance in the body of people;
• negative infusion of toxins with implantation of alcohol and tyutyun products;
• Kisneve hunger, Wiclican anemia or broncholegenic disease.

If there are obvious reasons for the distribution of patients, it is necessary to improve the situation and complex lykuvannya, Straight on the usunennya pershostiniya abo stabilizatsii yogo stan.

Symptoms that may indicate signs of extrasystole in people

In a greater number of cases with impaired heart rhythm, patients experience the following symptoms:

• shitty abo quick blows in the area of ​​the breasts;
• seeing a dead heart;
• having a feeling of heart failure with interruptions;
• the bliss of shkirny crooks;
• seeing fear, restlessness and anxiety;
• anginous pain;
• the failure of the occasion.

As a rule, one of the extrasystoles most often does not appear to itself, but only when there is a medical condition.

Classification and characteristics of extrasystoles

Extrasystole can be organic and functional. Pathology caused by heart disease - ІХС, heart defect, cardiomyopathy and other heart pathologies is considered to be organic.

Some people become ill with dystrophic processes in the myocardium, which may be the cause of the symptoms of extrasystoles. Functional can be manifested with a normal, healthy heart.

Extrasystoles are generated in the form of a pulse:

• shlunochkovі or ventricular - when the pulse is set in the shlunochkovy heart;
• anterior or suprashlunochkovy extrasystoles - characterized by the statement of a post-ditch impulse in any of the apertures, or sinus vuzol.

And also іsnu classification for a number of raptas quickly:

• single fast;
• parni extrasystoles (couplets);
• groups - three and more quickly (triplets).

Extrasystole of the shuttle type

Shlunochkova extrasystole is one of the most widespread types of heart arrhythmias. When carrying out the follow-up by the method of monitoring the heart rhythms according to Holter, the presence of arrhythmias according to the ventricular type was revealed in about 50% of individuals, middle bullets and in general health, people who do not suffer from certain heart problems.

In healthy people, the emergence of creeping extrasystoles can be acquired by the way of life - the destruction of the mode of eating (re-living), sleeplessness, high pink or physical navantazhenny. And also їх appear unhealthy way life - chicken, alcohol and іnshі shkіdlivі calls.

Classification of shlunochkovoi (ventricular) extrasystole

Extrasystole of the ventricular type p_drozd_lyaє on the offensive class:

1. take monomorphic single extrasystoles (up to 30 years);
2. the appearance of more than 30 single supra-slum extrasystoles of the monomorphic type per year;
3. if on the electrocardiogram there are registered polymorphic shlunochkov_extrasistoles;
4. pidrozdіlyaє to fall asleep due to the manifestation of post-dorm fellows very quickly: monomorphic and polymorphic type;
5. re-stratation of group frontal fast (from 3 to more than 30 seconds) so called - early extrasystoles.

It is also a zero class, when the electrocardiogram shows up on the day of the early hours of the heart. Ventricular extrasystole of the first class, but not supervised by heart pathologies, is carried to the range of functional and not cardinal treatment.

In case of symptoms, such as more high classes (from 2 to 5), it is necessary to carry out a larger patient's condition, in connection with the winners of the disease.

Supraventricular (supraventricular) extrasystole

Dissemination of post-cranial impulses in the atria of the heart, or in the atrioventricular septum, or in the atrioventricular septum, or in the atrioventricular septum, or in the atrioventricular septum, or in the atrioventricular septum, or in the atrioventricular septum, or in the atrioventricular septum, in front of the heart, or in the presence of supraventricular extrasystoles. As a result of what the people see the first disagreeable hearts of speed.

The reasons behind the occurrence of the atrial extrasystoles, as well as the symptoms of illness, are more similar to the other types of heart arrhythmias. Ale on the vidminu from the shlunochkovoi extrasystoles - the atrial arrhythmia of the mother lied down to a human and did not bear the threat of the raptus zupinka of the heart.

Slid to mean that in childish supraventricular extrasystole against bastard self-respect... Most often, children, because of their own vision, do not formulate their vision correctly. Fathers need to brutalize respect, as the little boy grows old and often weeps.

See supraventricular extrasystole

The classification of the supraventricular or atrial extrasystole is carried out with the following signs:

• behind the scene of illumination of the head - atrioventricular or atrioventricular;
• for a number of vognisch - monotropic, Polytropnium;
• according to the frequency of those who are not effective, they are fast - singly, guys, many, groups;
• in the world of order;
• for an hour, the winners are early, middle, and early.

Statistical dobova rate of extrasystole

Kilkisna norm of extrasystoles for additional storage in a whole row of officials, which include:

• Vіk lyudyni - up to 35-40 years old hearty fast food It appears often, then in people in the summer, during the additional monitoring of the EKG, the smell appears practically in all types.
• Individual tolerance - if tolerance is bad, a single extrasystole can squeeze people. For such a person, the understanding of the norms becomes recognizable.
• Evidence of provocation of tachycardia - if extrasystole provokes a heart tachyarrhythmia. Indirectly from the number of post-dormant ones, there is such a type of extrasystole in a general vasculature.

With the presence of the so-called early extrasystoles - on the electrocardiogram, right after the front heart speed, the norm for early frontal extrasystoles is to blame for no more than 30-40;

The middle extrasystoles are in the middle of the heart rhythm and the number of extrasystoles of this type is normal in the range of 200 for the supraventricular type, not more than 400 for the supraventricular type.

Pizni extrasystoles are characterized by the appearance of a heart in front of Chergov's speedy hearts, and may be lost with it, and the norm is set up to 700 per square meter in view of extrasystoles. Slide means that when people have extrasystoles, the norm can be improved.

diagnostic methods

Methods of diagnostics, scho zastosovayutsya for the value of extrasystoles, such as shlunochkovy, and the atrial type is absolutely identical. On the cob stage, the doctor-cardiologist should conduct a clinical examination and anamnesis of the sick person.

When carrying out an external examination, a doctor will conduct an auditory audit of the organs of the breast, vimir arterial vise- tonometry, pulse promotion. At the submission of the skarg and the selected information about the patient, an early diagnosis will arise, which serves as a guide for laboratory and instrumental information.

Laboratory dosage

For the prevention of pathology of the endocrine system, the disease of loam and autoimmune diseases of patients, it is recognized that the diagnosis of blood is carried out in the blood, rheumatological tests, and rheumatological tests. Tse allow viyaviti chi є among people who are ill, as they can receive them from their hearts.

Method of instrumental obsozhennya patient

Victory of modern medical technology allows doctors with a high accuracy to show the patient's heart failure and the type of extrasystole. For diagnostics, the following types of dosages should be stuck:

• Electrocardiogram is the most common type of heart shape. With this additional help, you can see signs of ischemia of the heart, aneurysms or hypertrophy of young heart disease. Alle, at the diagnosis of extrasystoles from її, I don’t expect to go for the symptoms, I will have single extrasystoles. Most often, damage is re-structured when a planned medical examination is carried out.
• Monitoring the EHC by Holter by pulling the dob - є by the most rational method of diagnostics of extrasystoles. This type of obsozhennya allows the most accurate number of early times, assess their characteristics and the reason for the appearance. And also with the help of the additional additon it is possible to control the effectiveness of the falsified liking.

• echocardiography - ultrasound dosage heart, it is effective in case of detected heart pathologies. When the procedure is carried out, the indicators of heart health, the size of the front of the heart and the mouths start.
• Coronary angiography is a procedure for stagnating pathologies of the coronary arteries, which may cause ischemia of the heart.

Do you need extrasystole?

The main criterion for the identification of the need for the treatment of extrasystoles, for the thought of fahivts, is the individual intolerance of the patient's symptoms of pathology. And it is also necessary to use a certain amount of extrasystoles when I change the indicators of 1200-2000 for extra.

In the case of a skin type, there is a risk of taking care of individual health features of a patient, so that in some of the 200 pre-planned shortcuts, you can bring to an absolute decrease in the quality of life of people, and in some cases

As soon as they were carried out, the extrasystole could become a threat to the patient's life (most often it is necessary to use the extrasystole), since in humans, the importance of heart pathology is inappropriate.

Principles of lykuvannya extrasystole

When a diagnosis is confirmed - an extrasystole, it is necessary to look over your way of life beforehand. Viklyuchiti shkіdlivі calls - chicken, alcohol. Improve your time and regimen of the day. Trivial walks on a fresh occasion and in the midst of physical busyness will give you a hundred times the heart-healthy system of people.

The main staff of drug administration is the reduction of symptoms of extrasystole and prevention of arrhythmia. When lіkuvannі vikoristovyuyutsya mild sedatives і β-adrenergic blockers.

Zabdyaki їm, to reach a positive effect, which twists and turns in the change of extrasystoles and the improvement of the patient's self-esteem. In the case of the ineffectiveness of certain therapy, the drug is higher in the prescription of antiarrhythmic drugs.

Surgical treatment is stagnant only in quiet cases, if the medication method of treatment does not bring a positive effect and sensible fibrillation. The procedure for the treatment in the carried out radio frequency ablation is carried out in the hospital. A catheter is inserted into the subclavicular vein with a dzherel, and for an additional radiochillo, an extrasystole is attached to the patient.

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Shlunochkova extrasystole

For the international classification, the ailment was registered according to ICD 10 at the number I-149.3 "Early depolarization of shlunochkiv".

So tse take? Shlunochkov_extrasystoles (in the same words - arrhythmias) are the same as before the very basic rhythm of the shlunochka. Through such off-the-beaten-track fast-paced shlunochki in the back of the heart, the fast heart meat can also collapse, and it can manifest itself in the patient’s unsteadiness and negative body.

Brutal respect! The peculiarity of the heart pathology lies in the fact that it is possible to win in young people, and moreover, it is significant to show it frequently.

Most often, show extrasystoles spostering in the ranks of the year, until the evening and at night - to go downhill. Variation in the manifestation of extrasystoles is lazy (the stench can be trivial, like stretching out all one year, and with a stretch to finish it), which means that it will speed up the diagnosis of the disease and start to catch it.

Call the impulses, how to go out of the shlunochk_v, wickle the speed of the shlunochk_v themselves, do not snatch in front of the heart. Ale іnu pathology, with such extrasystoles, there are in the front of the heart, the growth of shlunochkіv. Such a camp is called supraventricular extrasystole (in those dzherels - supraventricular extrasystole).

Manifest a shlunochkovy extrasystole do not carry a sutta contamination for the health of people, or, without a clock, there is a risk of early raptus death, especially with the presence of concomitant heart pathologies.

Cause the blame for the disease

The disruption of the rhythm of the heart can be seen through a recessionary official (congenital pathology of the heart), or because of the way of life of a sick person. I want extrasystole among young people to appear without evidently for those reasons.

A clever factor that can be used to infuse a disease into a diagnosis can be divided into groups:

• Cardial factor - ailments heart, on the smallest possible extrasystole: heart failure, ischemia, myocarditis, cardiomyopathy, myocardial infarction, heart defect.
• Medication official - uncontrolled intake of certain groups of drugs: for example, antiarrhythmic drugs, diuretics, heart glucosides.
• Electrolytic damage is a change in the body of proportions instead of electrolytes (sodium, calories, magnesium).
• Toxic dia - alcohol and tyutyunopalinnya.
• Destruction of the vegetative-vascular system - imbalance nervous system, Scho can be inserted into the development of heart pathologies.
• Hormonal damage - sickness, tied with damage hormonal background: Sickness of supra-nirkoval zalosis, suckling diabetes, thyrotoxicosis.
• Chronic hypoxia - kisneve hunger, wines in cases of sickness: bronchial asthma, anemia, no apnea.

Anterior extrasystole can be congenital root. The new child's child will be aware of the arrhythmia already at the first hearing.

The addiction of extrasystoles in children and children is associated with the transfer of infections and diseases on the background of heart pathologies.

Victims of extrasystoles in a child can be damaged in the endocrine system, in cases of overdoses, infectious diseases (for bark, flu, scarlet fever), grubby rejections and nerves.

In older children (children), interruptions in the heart rhythm can occur on aphids of vegetative-vascular dystonia.

Brutal respect! Often the reason for the extrasystoles of the shlunochkiv is to be lost. In a wide variety of patients, they diagnose an idiopathic form of illness.

In the case of vaginals, the disturbance of the heart rhythm can be recorded in another semester, which is linked to the high stands of diaphragms and the disturbed balance in the blood of electrolytes. The very process of vaginosti is improved on the heart and may experience symptoms of extrasystole. Extrasystole in case of vaginosity is not in the form of special treatment - it will be enough to improve the health and regime of the day, a powerful supplementary intake of drugs in magnesium and calories.

See the symptoms of the shlunochkovy extrasystole

Most often, shlunochkov extrasystole is asymptomatic, and it is possible to become ill for additional medical diagnostics, as it allows you to accurately determine the type of pathology by type and form of manifestation.

See extrasystoles:

• For a number of evolved vognisch:

1. monotopic (one dzherelo heart pulses);
2. polytopna (kilka vognisch).

• For the month of manifestation:

1. right shlunochkova (impulses for the right shlunochkova);
2. livoshlunochkova (learn most often).

• An hour later:

1. piznya (scho wines in the period of fast shlunochkiv or in the phase of general heart relaxation);
2. Interpolated (scho vinikє mіzh speedy dicks and in front of the heart);
3. early (attack the extrasystoles in the period of rapid forehead).

• For the frequency of the diagnosis:

1. lonely (up to five times in khilina);
2. many or frequent extrasystoles (more than five times faster for sickness);
3. parna (mіzh normal speedy winikє dvі extrasystoles);
4. groupova (when normal speedy spikes are used).

• By frequency of repetition:

1. unordered (mіzh normal speedy and extrasystoles not іnu regularity);
2. bigeminia (for normal cutaneous heart swiftness of vinnikє one-time swiftness of wines);
3. trіgіmіnіya (cherguvannya extrasystoles through the skin three normal speed).

Important! Symptoms of extrasystoles are similar to those of sinus arrhythmias.

It is a good idea to scream at the impression of "items in the heart", "zammirannya" heart with a strong send at the sight of a blow.

The main ones show:

• Irregular heart rhythm;
• The marriage is good;
• Unsatisfactory zamorochennya (can end unpredictability).

One hour ailments can be felt more strongly, weakness, head b_l, Advice on gratitude.

Diagnostics and treatment

Diagnostics of the shlunochkovo extrasystole is carried out in the main method of the EKG. Extrasystole on the EKG starts with a stretch of 3-4 chilines, for an additional method you can see it in the home minds (equipment є on the machines of "Shvidkoy podopogi").

Brutal respect! The most accurate method of diagnostics is a holter technique, I will write it down at a more trivial hour, so that it will allow you to navigate one by one fast scoopers.

Dodatkovo, when the hospital is equipped with a medical device, it is possible to indicate a foreign and biochemical analysis of blood and blood, ultrasound, MRI, polycardiography, etc.

Likuvannya extrasystole heart is aimed at usunenia key manifestations ailing and polishing heart monitoring. At the same time, there is a type of extrasystole, the manifestation of pre-cardiac pathology and manifestation of myocardial dysfunction.

Fallingly from the mind, the form and the stage of engulfment are vibrated in a way that is similar to the extrasystole.

Zagalna therapy

When the weather is wide, key symptoms and damage to the heart and endocrine system and the elimination of the atrial extrasystole is not vimag, it is not enough to get rid of the general recommendations of the doctor:

More vidpochivati, according to the regime of the day:

• Vidkoriguvati ratsion of food (more - vegetables and green, less - food, greased, canned food).
• Go for walks on a regular basis.
• Unique emotional shocks, stresses, psychomotional and physical changes.

Sedative drugs can be prescribed beforehand.

drug therapy

lykuvannya drugs To be included in the case of a foul tolerance of a patient showing extrasystoles, with a high risk of acceleration, with an unchanged (idiopathic) nature of illness.

The prescribed drugs lie in the cause of the diagnosis of extrasystoles:

• Sedative, so take a small dose of tranquilizers, or adrenoblockers.
• Antiarrhythmics for the purpose of holinolitics for the normalization of the heart rhythm. Nadshlunochkova extrasystole can be stopped by taking calcium antagonists, beta-blockers, antiarrhythmic drugs of the first class.
• Preparations of omega-3 - with extrasystoles of systoles with ischemic ailments of the heart, hypoxia.
• Vitamin and general tonic preparations.

With the vibration of a drug, the effectiveness of the given group of drug users for the singing type of extrasystole is improved, the evidence of a contraindication side effects.

Hirurgicne involvement

This type of therapy is stagnant in case of ineffectiveness conservative methods lіkuvannya і in that case, if you get sick with a stretch, it will block your life.

See the operative engagement:

• Catheter ablation by radio frequencies - a catheter is inserted into the empty front of the heart through a blood-bearing vessel, at the end of the day there is an electrode, which cauterizes the evidence of pathology.
• An operation on the heart is shown, when the heart is hanging, the pulses are deduced.

Folk medicine

Likuvannya by folk zasob to stagnate with zero (light) visibility, with the appearance of important clinical manifestations and with the appearance of pathologies.

In the main vikorystoyatsya people zasobi, I give a sedative and a relaxed effect:

• Bidvary from hairs, valerian root, calendula. Be sure to brew it in the same way: a tablespoon of syruvin is poured into two bottles of sprinkle. Zasib to sleep in a thermos. It’s 15 khvili until їzhі - four flasks.
• Pour a tablespoon of polish horsetail into three bottles of sprinkling. Be sure to insist and eat on the tablespoons throughout the day (up to 5-6 times for dobu).
• Sic of radish and honey is consumed in equal proportions. Take it in front of the hedgehog - on the tables of the couch.

In children, the diagnosis of the extrasystole of the shlunochka pass in the same way as we grow up. In the case of drug therapy, it is more respectful to come to a balanced diet, daily regimen, and weak sedation.

Our own methods of diagnostics and the given course of testing, which have been provided, allow you to get sick without speeding up. not safe heritage There may be a discernment on the smallest symptoms of a sick fellow pathology - ischemic ailments, hypertension, infarction.

For the prevention of shlunochkovoy extrasystoles to complete a healthy way of life, unique stresses and regularly take preventive examinations.

Pulse is normal in an older person

Shlunochkova extrasystole - there is often a breakdown in the rhythm of the heart, as it develops before the flow of early impulses, which comes from the side of the left or right side. Extrasystoles, as they appear in a wide range, as a rule, blend only into the groovy rhythm, so as not to grab the upper ends of the heart. However, the heart is fast, as it goes from the anterior and the atrioventricular septum, it can provoke shlunochkovy extrasystoles.

Dzherelo: serdtse24.ru

Shlunochkov_extrasystoles for the duration of the organic lesions of the heart, as a rule, are not safe for life.

The heart cycle is the last of the processes, which take one quick heart and further relaxation. The dermal heart cycle develops from the anterior systole, the systole of the shlunochkiv and the diastole (the relaxation of the heart muscle in the interval between the systole, the widening of the empty heart). Razr_znyayut electric ( electrical activity, Yaka stimulates myocardium) and mechanical systole (rapid heart meat, reduction of heart chambers). In the midst of calmness, the heart has grown to 50-70 ml of blood for cutaneous systole. Normal impulses of the heart appear in the sinus node, such as the seams at the upper part of the heart. For shlunochkovaya extrasystoles, it is characteristic of the early transition to a leading heart rhythm to stimulate shlunochkiv, like going out from the wire system of the heart, zokrem, reddish fibers of Gisa Purkin.

Shlunochkova extrasystole is restructuring in all groups. The frequency of occurrence of a given pathology is based on the method of diagnostics and the contingent of the situation. In people over 50 years of age, extrasystole is diagnosed in 40-75% of arrhythmias of extrasystole type.

When electrocardiograms are carried out one at a time young vik, And in the course of the additional EKG-monitoring - approximately 50% of the total. A sound has been installed to appear shlunochkovyh extrasystoles at the hour of dob (in the rank of the year, it is rebuilt more often, and at the hour of a new sleep, it is more frequent). Rizik the development of a shlunochkovo extrasystole is advancing from the wick, as well as from the manifestation of pathologies of the heart-vascular system.

Shlunochkova extrasystole can be accelerated by the change of configuration of the shlunochka heart, by development blinking arrhythmia, Paroxysmal tachycardia, insult, myocardial infarction, rapid coronary death.

Causes and factors of rizik

Shlunochkova extrasystoles of the vermilion on the other organic pathologies of the heart, or even if they are idiopathic, that is, of non-establishment character. Naychastіshe Won rozvivaєtsya at patsієntіv of іnfarktom mіokarda (90-95% vipadkіv) arterіalnoyu gіpertenzієyu, іshemіchnoyu hvoroboyu sericite, postіnfarktny kardіoskleroz, mіokardit, pericarditis, gіpertrofіchnoyu abo dilatatsіynoyu kardіomіopatієyu, legenevim sericite, mіtralnogo valve prolapse, hronіchnoyu Sertsevy nedostatnіstyu.

To the factors to be applied to the risik:

• vagotonia;
• endocrine rozladi, destructive exchange of speeches;
• chronic hypoxia (with no apnea, anemia, bronchitis);
• reception of actions of lykarskih zasob_v (antidepressants, diuretic, antiarrhythmic zasob_v, overdose of heart glycosides);
• shkіdlivі calls;
• ineffective eating;
• overwhelming physical and psychic nurturing.

Shlunochkova extrasystole can be in the camp of calmness and knowledge in case of physical adjustment in individuals with increased activity of the parasympathetic nervous system. Lonely mincents of extrasystoles are not frequently consumed by clinically healthy people for no apparent reason.

Form the shlunochkovy extrasystole

Regardless of the results of the additional EKG-monitoring, we see the onset of the class of shlunochkovo extrasystoles:

• 0 - the visibility of the shlunochkovyh extrasystoles;
• 1 - less than 30 single monomorphic lingering extrasystoles should be re-structured during the course of monitoring;
• 2 - in the course of monitoring, 30 frequent single monomorphic lingering extrasystoles will be re-structured;
• 3 - polymorphic shlunochkov_extrasistoles are resumed;
• 4а - paired monomorphic shlunochkov_extrasystoles;
• 4b - paired polymorphic extrasystoles;
• 5 - groups of polymorphic shlunochkovy extrasystoles, as well as epizodi of paroxysmal shlunochkovy tachycardia.

Form the shlunochkovoi extrasystole:

With asymptomatic shlunochkovoy extrasystoles and daily signs of organ pathology, the heart of drug therapy, as a rule, is not required. Recommendations are made to modify the way of life.

The well-known prognostic classifications see good, potentially evil and evil little extrasystoles.

There are two forms of extrasystoles in the background:

• monotopic- 1 ectopic in the fire;
• polytopnie- a number of ectopic vognisches.

For the frequency of shlunochkov_extrasystoles, you can use the following types:

• alone- up to 5 extrasystoles per khilina;
• many- more than 5 extrasystoles in khilina;
• guys- mіzh normal speedy hearts win two extrasystoles pospіl;
• group- mіzh normal heart swiftly vinikayut kіlka (more than two) extrasystoles pіdryad.

Regularly, in the order of the scoopers, the extrasystoles are shown:

• out of order- regularity between normal speedy and extrasystoles every day;
• okay- cherguvannya 1, 2 or 3 normal speeds with extrasystoles.

Variants of shlunochkovyh extrasystoles:

symptoms

Sub'active skargi in patients with a shlunochkovy extrasystole part of the day, and it appears only in the course of the EKG - a planned prophylactic or with a drive. In some cases of shlunochkov, extrasystole is manifested in the eyes of discomfort in the area of ​​the heart.

Shlunochkova extrasystole, as soon as an hour of the day is out of the day, whether the heart is sick, it can be importantly transferred by the patient. Vona grows on aphids of bradycardia and can supervise overwhelmed hearts (see the heart), followed by a low heart rate, with very strong blows in the chest. Such shlunochkov_extrasystoles are written for a while, for an hour to repair, to sleep, to write an emotional shock. Characteristically, when there is a physical stench on the day.

Implantation of cardioverter-defibrillators is indicated for malignant shlunochkovy extrasystoles, scho maє high risik raptus heart death.

Patients with organic sickness have extrasystoles, navpaki, win with physical problems and pass with accepted horizontal position... In this vypadka shlunochkov_extrasystoles are on tl_ tachycardia. The stench of supravodzhuyutsya weak, seeming instability, uncomfortable, anginal pain. The pulsation of the veins in the shia is characteristic (venous hvili Corrigan).

Shlunochkova extrasystole on the background of vegetative dystonia, scarga on urgency, increased stomachability, periodically diagnosed headaches, troubled, restless, feeling fear, panic attacks.

Shlunochkova extrasystole is not very bad for women for an hour of vaginosity at the same time with a tachycardia that great views in the left part of the breast cell. In general, pathology, as a rule, is of a kind character and it is good to go to therapy when there is flatness.

diagnostics

Diagnostics of the shlunochkovoy extrasystole is primed on the basis of instrumental obsozhennya. It is also the result of the collection of skargs (like a stink) and anamnesis, including family history, observational examination, as well as a number of laboratory reports.

Prior to the auscultatory peculiarities of the shlunochkovo extrasystole, the change of sonority of the I tone of the heart, splitting of the II tone of the heart, is conveyed. Patients with an active look at the patient appear to have a pre-colossal pulsation of the veins;

Prior to the main methods, such as being used for diagnostics of the shlunochkovy extrasystoles, the EKG is reported, as well as the Holter EKG-monitoring. At the same time, it starts: after the ditch before the turn of the change, the shift to the QRS complex, the opening of the P wave in front of the extrasystole, the expansion and deformation of the extrasystole complex, the compensatory pause of the shluntochkovy complex.

When conducted by electrocardiograms one by one, extrasystoles start in 5% of clinically healthy young people, and in the course of additional EKG-monitoring - about 50% of them.

To clarify the diagnosis, it is possible to conduct echocardiography, rhythmocardiography, sphygmography, polycardiography, transesophageal electrocardiography, magnetic resonance tomography. interconnection mіzh physical options for extrasystoles to start an additional thread test and veloergometry.

Three methods of laboratory diagnostics are used to analyze the blood and blood, biochemical analysis of blood, to determine the level of hormones in the blood.

Shlunochkova extrasystole is a type of damage to the heart rhythm, which is wider. Zakvoryuvannya maє twists and turns manifest.

A shlunochkovy extrasystole is called a camp, with any myocardium there is a post-mortem fastness in front of a pathological vignette of the generation of nerve impulses. Zagvoryuvannya is brought before the heartbeat breaks down.

The pathology is widened and diagnosed in 70% of cardiac ailments.

Classification

It is a simple classification of the shlunochkovoi extrasystoles, based on the turn of the symptoms and the stage of the patient's deterioration. Naybіlsh expanded in the classiс practice є classification according to Lown.

Vona is based on the increased clinical significance of the growing extrasystoles:

• class 0 - no extrasystoles;
• class 1 - inserts and extrasystoles of the same type are resumed, not more than 30 per year;
• class 2 - restructuring more parts one by one and the same type of extrasystoles, more than 30 per year;
• class 3 - extrasystoles become polymorphic, versatile;
• class 4A - spostering at a fast pace;
• class 4B - sposter lantsyuzhki extrasystoles;
• class 5 - early EU.

Classification for Ryan for additional reasons:

• 1 gradation according to ryan - are determined by one EU, not more than 30 per year;
• 2 gradations according to ryan - monotopic EU, more than 30 for a year;
• 3 gradation - parts of the EU policy;
• 4a gradation according to ryan - fellows and of the same EU;
• 4b gradation according to ryan - boys and girls;
• 5 gradation - to develop shlunochkovatіkardіya.

So also monomorphic (monotopic) shlunochkovyxtrasystoles? Tse EU, which are determined from one pathological dzherel. Polymorphic shlunochkov_extrasystoles - the EU, which is from the young dzherel.

The rhythm of the SHE will also be resurrected:

• behind the type of bigeminy- one normal speed, one EU;
• by type of trigeminia- two normal speeding machines, one EU;
• by type of quadrіgeminіі- three normal fast cars, one EU.

The most important is the first type of extrasystole.

For localization approval:

• livoshlunochkovy extrasystoles;
• right-handed extrasystoles;
• shlunochkovі and anterior extrasystoles at once.

cause

Shlunochkov_extrasystoles can be shaped on aphids:

• heart-vascular pathology;
• zahvoryuvannya legenii, thyroid zalozi, organ etching;
• damage to the hormonal background;
• electrical imbalance in case of heat.

To provoke extrasystoles to shkіdlivі sings, malignant mint tea and kava, taking drugs (antidepressants, heart glucosides, sechogіnnі). The reason for the failure of the SHE may be a deterioration in the regulation of the parasympathetic nervous system. The appearance of extrasystole appears in the majority of healthy people.

how to grow

Shlunochkova's extrasystole is the result of the transmission of an electric pulse from a pathological heart in the heart. In the norm, the ventricles are controlled by the vuzol, which is located in the atrium - the rhythm.

Win transmits an impulse to the atrioventricular vuzole, which stimulates the quickening of shlunochki. It’s in the myocardium of shlunochkiv є in the fire, where the electric pulse is generated, as it expands the growth of energy, as it stimulates the fast-moving.

show

A patient with a clown extrasystole can show such scars:

• interruptions in the robot's heart;
• seeing a dead heart;
• emocyne hvilyuvannya;
• stomachache is increased.

Bagatioh patients have sub-active symptoms of the day.

When you look around, you will see a change in the heart rate. Auscultation of the heart gives a fast paced past with a thick heart tone. Symptoms of the main disease also appear.

diagnostics

To make a diagnosis, it is important to take a history of scarg:

• if the first symptoms appeared, he was overwhelmed;
• the manifestation of chronic ailments;
• the fact of regular reception to provoke lіkіv;
• the appearance of singing officials.

To confirm the tribute of an objective look, it is necessary to carry out a number of additional information.

Table. Methods for diagnostics of slunochkovy extrasystoles:

Differential diagnostics should be carried out from supra-slit extrasystoles. To find out extracadian causes of illness, the need for consultations of university faculty - endocrinologist, gastroenterologist.

come in

The goals of the lykuvannya of the shlunochkovoi extrasystoles є:

• vyavlennya that usunennya of the main ailment;
• Usunennya provocative officials;
• decrease in the frequency of symptoms;
• lowering risiku accelerated;
• the renewal of the quality of life and the greatness of the people.

The hospitalization in cardiology is shown at the first arrhythmia for the further development and establishment of the character of the disease, the sign of illusion. Nadal lykuvannya is carried out on an outpatient basis.

non-drug methods

Patients are advised to follow a healthy way of life, to see them in shkidlivy calls. To reduce the consumption of mint tea, kawi. Whenever possible, try to provoke drug products. Shown is regular physical activity, busy swimming, aerobic.

drug therapy

Lykarsky drugs are recognized in the same time, when the symptoms occur, are not absorbed by non-drug methods. Vibor є antiarrhythmic drug for the first class - Allapinin, Etatsizin. The efficiency of the cich cats is up to 70%.

Ridkisnі shlunochkovіextrasystoles can be successfully stopped by sedative methods - tincture of glode, dog sprinkle, valeriani, corvalol. The assignment of antiarrhythmic agents to another class (Amiodarone) is shown in case of ineffectiveness in the first class.

Prototypes are shown before the anti-arithmics є:

• cardiosclerosis;
• aneurysm of the heart;
• exasperation of the myocardium;
• heart failure.

Such vipadkas priznachayut beta-blockers, such as, vіm, may be less effective.

surgical treatment

It is indicated for frequent monotopic extrasystoles, non-effectiveness of conservative therapy. Operation of a polyagus in attaching a pathological disc to myocardium with a laser or a radio frequency knife. Mіrcha (radio frequency ablation) in case of shlunochkovy extrasystole є by the most beautiful method of operative treatment.

Ablation of a radio knife is the best safe method for the reduction of a pathological vognisch

forecast

Chim is not safe for SHE?

The prognostic plan has three types of extrasystoles.

1. Good luck. Characterized by the visibility of the organ myocardial lesion. Minimal risk of raptus heart death.
2. Potentially evil. Extrasystoles are detected on the organocardial lesion. Є middle risik of raptor death.
3. Malicious. Parts of an extrasystole on aphids of an important lesion of the myocardium. The maximum risk of raptor death.

Raptov's death insists on developing fibrillation of shlunochkiv. With the correct and timely likewise, the prognosis is friendly.

food for likary

Good day. I have a vagіnіstіst 20 tijnіv, on the EKG a shlunochkova extrasystole appeared. Is it not safe to get sick in my camp? How many natural canopies? Yuliya, 30 rockiv, Samara

Good day, Julia. Prediction of extrasystole in case of vaginosity to lie down at the stage of severity of illness. Рідкісні EU does not bring healthiness, does not ruin the excess of vaginosti and flatness. Canopy canopy with a natural path. Also, it is important to take medication corrections, it is recommended to carry out caesaric rosin, a lot of high rhizik on the heart.

Good day. I have diagnosed LDCs by the type of shlunochkovoy extrasystole. Likar saying, scho drug therapy as long as it is not needed, you can get by with the normal way of living. What do I need to introduce? Igor, 44 rocky, Pskov

Good day, Igor. Non-drug treatment is recognized in children with SHE. You will need to learn from food and alcohol, drink less mint tea and cavi. It is necessary to impose a daily regimen, to prevent sleep.

Speedy shlunochkіv the heart in front of the heart to help carry out electrical impulses through the wired systems, which includes a sinoatrial and atrioventricular university, a bundle of gas and fibers. Fibers transmit the signals of the blood cells of the shlunochkiv, which without the middle come out of the blood from the heart in the Great Sudin (aorta and the legendary artery). In a normally functioning heart, the frontal heart is speeding synchronously with the slings, the correct rhythm is quickly established with a frequency of 60 - 80 strokes into the chilin.

Also, in the heart mucus of shlunochki against any pathological process (burning, necrosis, scarring), there can also be an electrical inhomogeneity (difference) of the meat clit of shlunochkiv. The mechanism of re-entry is developing, so that an impulse is carried out on the way, an electrically neutral scar tissue on the In such a rank, the winery of heterotopic (rosetting in the wrong place) is the middle of the buzzing in the shlunochki, the wikklik їkh post-devil quickening, called the extrasystole. Extrasystole can be seen in the atria, atrioventricular (atrioventricular) і ndnanni and in the slings. The remaining option to wear I will call the shlunochkovoi extrasystoles.

Shlunochkova extrasystoles - the same rhythm, which is characterized by the pre-chaste, post-dorm fast shlunochkiv. Razr_znyayut such tips:

1. For frequency:
- Рідкісні (less than 5 in khilina),
- average frequency (6 - 15 per chilin),
- parts (ponad 15 per chilin).
2. For the degree of growth on the cardiogram, there are single and guys (two fast sleepers) extrasystoles.
3. For localization - right - and livoshlunochkovy extrasystoles, which can be displayed on the EKG, but there is no special meaning for it.
4. Behind the nature of the growth of the vognischa zbujennya
- monotopic extrasystoles, which come from one and the same vognisch
- polytopes, as they come from the rosters in the children of the myocardium of shlunochkiv in the open
5. Behind the shape of the slurry complexes
- monomorphic extrasystoles, showing the same form by extending the record with the same cardiograms
- polymorphic, change shape
6. For rhythm
- Periodic (allothmic) extrasystoles - post-mortem fast skinny shlunochk_v see periodically;
- nonperiodic (sporadic) extrasystoles occur irregularly across the leading heart rhythm.
7. In terms of fallowness, the results of additional monitoring of extrasystoles are classified according to the criteria, broken down by Laun and Wolf. See five classes of extrasystoles:
- 0 class - extrasystoles were not a stretch to finish
- 1 class - it is meant to be born, up to 30 per year, monomorphic, monotopic extrasystoles
- 2 class - parts, more than 30 for a year, singly, monomorphic, monotopic extrasystoles
- 3rd class - one polytopic extrasystoles are re-staged
- 4A class - guys polytopnye extrasystoles
- 4B class - volleys of extrasystoles (more than three in a row at a time) and probes of slunker tachycardia
- Class 5 - early and very early extrasystoles, type "R to T" according to the EKG, which occur in the early, cob phase of dyastoli shlunochkiv, if there is a risk of relaxation m'yazovoy fabric... Such extrasystoles can lead to fibrillation of shlunochkiv and asystole (zupinennya heart).

This classification is important in the prognostic plan, so that 0 - 1 class is not dangerous for life and health, and 2 - 5 classes, as a rule, are found on the smallest organic battle of the heart and I can be smart until you can get away with it. heart death.

Causes of shlunochkovoi extrasystole

Shlunochkova extrasystole can develop with such camps and illnesses:

1. Functional reasons. Often, the appearance of single rare extrasystoles on the EKG is restructuring in healthy individuals without any heart problems. It can cause emotional stress, vegetative dystonia, vzhivannya kavi, energetic drinks in great quantities, vikuryuvannya a great number of cigarettes.
2. Organizational heart training. We have a group of reasons to include:
- ischemic ailments of the heart, more than 60% of the syllochkovy extrasystoles are accumulated in a number of ailments
- myocardial infarction gostry
- postinfarction cardiosclerosis
postinfarction aneurysm
- cardiomyopathy
- myocardial dystrophy
- myocarditis
- postmyocardial cardiosclerosis
- vrodzheni and nabuti wadi sertsya
- minor anomalies in the development of the heart, zokrem, prolapse of the mitral valve
- pericarditis
- arterial hypertension
- chronic heart failure
3. Toxic inflow on heart ointment. To develop in the case of intoxication of the body with alcohol, narcotic words, drugs - heart glycosides, drugs that can be used in alcohol bronchial asthma(Euphilin, salbutamol, berodual), antiarrhythmic drugs 1 C class (propafenone, etmozin). Also, extrasystoles can develop in thyrotoxicosis, if there is an intoxication of the body with thyroid hormones and cardio toxicity.

Symptoms of the shlunochkovy extrasystole

Innocent extrasystole does not seem to be a patient. But in a large number of cases, the main manifestation of illness є the feeling of interruptions in the robot's heart. Patients describe yak bi "crossover", "inversion" of the heart, at the moment when the heart is lost, surrounded by a compensatory pause for the extrasystole, at the same time it is possible to see the shipment in heart rhythm, We will not be able to cope with the speed of the myocardium of shlunochkiv after a pause. In the case of frequent extrasystoles or episodes of low-pitched tachycardia, you may see an accelerated heart rate. In some cases, show yourself to be weak, spoiled, pithy, tricky. In the case of frequent extrasystoles, there may be a loss of svidomosty.

Skargi, disgustingly carried by the patient, scho winnicky rapt, or for the first time in life, vimagayut termine animal to a lykar, that needs viclikati I will help the shvidka, Especially as the pulse is more than a hundred beats in khvili.

With the manifestation of an organic lesion of the heart, the symptoms of a strong extrasystole are supplemented by manifestations of the main ailment - pain in the heart with ІХС, back pain and swellings with heart failure, etc.

At the development of the fibrillation of licks, it is essential death.

diagnostics of extrasystoles

For diagnostics of the shlunochkovy extrasystole, the following methods are used:

1. Opituvannya and klinichny look around the patient.
- the assessment of the scar and the anamnesis (history of illness) allows the diagnosis to be allowed, especially if there is an indication of an organic pathology of the heart in the patient. There will be a frequency of diagnoses of interruptions in the heart, sub-active responses, calls to new assignments.

Auscultation (lingering) of the organs of the breast. With a lingering heart, there may be a weakened heart tone, pathological noises (with heart problems, hypertrophic cardiomyopathy).

At the same time, an irregular pulse of the rapid heart rate is restored to the pulse of the pulse - before the extrasystole, the heart rate is set to a small amplitude of the heartbeat, because of the extrasystole - a large amount of blood flow during the hour

Tonometry (vimіryuvannya arterial vise). AT can be reduced in healthy individuals with signs of vegetative - vascular dystonia, in patients with dilated cardiomyopathy, on in different stages heart failure, if the aortic valve is vada, and may also become normal or become normal.

2. laboratory methods obsozhennya. be recognized back-to-back analyzes blood and severity, biochemical pre-treatment blood, hormonal pre-treatment, immunological and rheumatological tests, if necessary, to reconsider the level of cholesterol in the blood, prevent endocrine pathology, autoimmune disease for rheumatism, which leads to the development of the heart.

3. Instrumental methods of conditioning.
- EKG do not wait for the permission to dawn the extrasystoles, when you are about healthy people without organ pathology of the heart. Often, extrasystoles are re-staged vipadkovo in the process of planned tightening without skarg for interruptions in the heart rate.
EKG - signs of extrasystoles: enlargements, deformations of the QRS complex, which can appear before an hour; in front of it there is an open P wave, which shows a fast aperture; the complex is more than 0.12 s, after a new compensatory pause, the electrical non-excitation of the shlunochki is zoomed in on the extrasystole.

Extrasystoles on EKG according to the type of trihemenia.

In the case of the presence of the main ailment, signs of myocardial ischemia, aneurysms of the lone slug, hypertrophy of the lone slug, or of the other chambers of the heart and of the debris appear on the EKG.

- echocardiography (ultrasound of the heart) appears to be the main pathology, as well as such є - heart defects, cardiomyopathy, hypertrophy of the myocardium, zones of low or rapid speed in case of cerebral artery disease, aneurysm of the heart chambers of the heart) and the front of the heart and the mouth.

- Holter monitoring of the EHC can be carried out to all persons from heart pathology, especially to patients who have suffered myocardial infarction for the reconstruction of the extrasystole, since they do not see it sub-actively, heart attacks. and Providence. Є Important advances in the predictive and prognostic plan for patients with frequent shlunochkovy extrasystoles, so as in the class of extrasystoles, lie the prediction and prediction. Allows to assess the nature of the extrasystole to the ear of the drug and to control the effectiveness of therapy in general.

Tests with physical tests (thread test) are carried out even more carefully and only at the fall, as when there are attacks in the heart, there is a clear connection with the help of those who are ischemia myocardium). While in the process of recording the EKG when walking on the big road, the extrasystoles are seen with signs of myocardial ischemia, then it is quite possible, as soon as there is a wishful thinking about the end of the day for the end of the day.
To protect it, it is necessary to carry out additional tests, so that you can prevent the slurry tachycardia or fibrillation of the slums. To that in the office until the last day, butti dial for carrying out a heart-to-heart reanimation is absolutely guilty.

- coronary angiography - allowing the prevention of the pathology of the coronary arteries, as well as the development of the myocardial ischemia and coronary artery disease, the nature of the extrasystole.

Lіkuvannya with shlunochkovoi extrasystoles

Likuvannya of extrasystole is aimed at the therapy of the main illness, which is the cause and the suppression of attacks of extrasystole. In order to determine the need for quiet drugs, the classification of extrasystoles has been broken down in the fallowness as a result of good breakdown.

Dobryakisna shlunochkova extrasystole As a rule, to be spared when there is an organic lesion of the heart, and to be characterized by the appearance of short or mid-frequency extrasystoles, asymptomatic interruptions or weakly swelling sub-active manifestations. Rizik of raptus heart death is low in the region. Therapy in such cases may not be recognized. In case of foul tolerance of symptoms, antiarrhythmic drugs are recognized.

Potentially evil overrun winery in case of extrasystole on the background of the main cardiological ailment, is characterized by frequent abnormal frequencies of extrasystoles, visible or obvious symptoms, garnet or fouls tolerance. Rizik of raptus heart death is one hundred percent, which is why the nestiyka of shlunochkov tachycardia is being rebuilt. Therapy in such cases is indicated by reducing symptoms and reducing mortality.

Malicious shlunochkova extrasystole from a potentially evil view of those who have a history of the main symptoms, a history of a syncope (obscurity) and / or a heart failure (survivors of reanimation). Rizik of heart death is even higher, therapy is focused on lower rhizik.

Frequent shlunochkova extrasystoles, which appeared for the first time in life, or even earlier, but at the present moment the rapt was developed, є indicated for hospitalization in the hospital and internal introduction of drugs.

The preparation of drugs for treatment is guilty of reliably working with a doctor in a polyclinic or stationary, with a compulsory analysis of possible indications and selection of an individual dose. The ear of therapy is guilty of gradual dosage adjustments, the increase in drug intake is unacceptable. The triviality of therapy arises individually, in the event of a potentially malignant interruption, the protection of the drug is guilty of but is fixed by monitoring the EKG according to Holter to confirm the effectiveness of therapy. In case of a malignant interruption, the therapy is trivial, perhaps more or less.

Antiarrhythmic drugs may be in the capacity of side effects of proarrhythmic action, so that the very development of the breakdown of the rhythm. It is not recommended to put it in a pure viglyad, є we will correct the sign of beta-blockers, so we will reduce the risk of development of raptus heart death. Three antiarrhythmics are more potent than those of Propanorm, Etatsizin, Allapinin, Amiodarone, Cordarone, Sotalol in combination with low doses of beta-blockers (Propranolol, Bisoprolol and IN).

Individuals who have undergone myocardial infarction and myocarditis in the state of myocarditis are shown signs of amiodarone abo cordarone, as antiarrhythmics in patients with heart disease may suffer rhythm damage. In case of organic heart disease, nitrate is recognized (nitroglycerin, cardiket, nitrosorbid), іngіbіtori APF(Enalapril, lizinopril, perindopril), blockers of calcium channels (verapamil, diltiazem), antiaggreganti (aspirin), drugs that reduce the vitality of heart meat (Panangin, Magnerot, vitamini and antioxidants.

Therapy is carried out under the control of the EKG every two to three days before an hour, being transferred to a hospital and once every 4 to 6 days in a polyclinic on a local basis.

How to live with a shlunochkovy extrasystole

With a little bitter extrasystole, especially with a vicious heart, it is necessary to be more likely to get sick, more often to spend on a new day, after getting into the regime of goodness and alcoholism, being able to get away with alcohol, correctly.
Patients with a good type of shlunochkovy extrasystoles do not need to be interconnected physical activity... In case of an evil type, it is necessary to intercept the meaning of the task and psycho-motivation of the situation, it is necessary to lead to the development of the attack.

accelerating

Folding with a good type of slurry extrasystoles, as a rule, does not develop. With the wicked slowdowns with the evil type є stiyka shlunochkov tachycardia, it is good to go to trips to fibrillation of shlunochkiv, and then lead to asystole, to the end of the heart and death.

forecast

With a good run out of the daytime of the main cardiological ailment, the prognosis is friendly. In case of a potentially malignant type and in the presence of an organic lesion of the heart, the prognosis is often unpleasant, and it is not only the characteristics of suckling extrasystoles according to the EKG monitoring (parts, middle, boys, groups), but the nature of the main disease ... In case of a malignant interruption, the prognosis of unpleasantness through the arch of the high risk of rapacious heart death.

The polish prognosis allows for the use of antiarrhythmic drugs in combination with beta-blockers, so that the same drugs will not only reduce the quality of life, but rather reduce the risk of development of lethal results.

Lykar therapist Sazikina O.Yu.