Reasons Prototype shown. Syndrome of weakness of the sinus node in children and adults - loss of robotic heart rhythm

The harmony of the robot is good to live in a healthy way of life, with positive calls we will keep everything else and mother positively missed. As soon as the destruction of the robot of the sinus university has become all the same, then the knowledge of the sign of illness and the rules of behavior can always be turned up to the doctor, so that the situation will not be destroyed.

Also, let us know more about the etiology, symptoms and methods of treating the syndrome of weakness of the sinus node.

particularities of destruction

The heart has a center that can set the rhythm of the beat. Qiu funktsіyu vikonu sinusovy vuzol, vin є, in other words, vodієm rhythm. The university opens up an electrical impulse and distant direction in the heart according to the wired systems.

The sinus vuzol is dislocated in the right atrium without in the middle in the zone, deceasing the angry empty veins. Rechovina, the high school is stored, there is a lot of specific cells.

Sinusovy vuzol is a kind of power station, powering the discharges, scho set the rhythm of the beat of the heart. Syndrome of weakness of the sinus node is accepted quickly in the literature. Prototype evidence.

Robot destruction of the university wiklicaє zboi in the robot of the heart of the growth stage. In men and women, pathology manifests itself in the same way, it is not important to become. The problem is more frequent in the summer, but in children and people of the middle age.

Sinus node weakness syndrome (EKG)

Classification

Form Prototype

• ... Reducing the number of impulses, which is transmitted to the water rhythm, to reduce the frequency of the heart. If it’s less than fifty times faster to go to khvili, then it’s a sign of bradycardia.
• Bradycardia-tachycardia syndrome. Show prototypical evidence, as long as the robots change their hearts, we will speed up the bits. In some development of pathology, it should be brought up to the definition of more pauses between the beats of the heart and the transition to the permanent presence of the first type -.
• ... With a lot of ailments, sinus vuzol pratsyuє without changes. If you are asked to transfer impulses, some of them are not carried out. As soon as possible, blockade of the impulse occurs, and the rhythm of the heart is quickly recovered.
• The renewal of the robotics to the rhythm of the cardioversion is displayed by and by.
• Zupinka sinus node. Between the options for the development of pathology, if you follow the rhythm for a ten hour to break the break in the purged pulse.

More reports on the manifestation of sinus node weakness syndrome in children;

The nature of the development of the problem

Having shown the destruction of the robotics of the university, the principle is different to the nature of the development of the problem:

• Latent overrun. The patient has a lack of robotic sinus university of low power. Zboyuyuyut rіkko. Bagato-like care for the additional help of Holter monitoring is not a violation. Such an overload of ailments is often caused by failures of transmission of impulses during the period of synatrial conduction. It is possible to enter the pogirshennya, using the method of electrophysiological dosage, which is carried out intracardiacally.
• Intermittent intermittent Having shown the weaknesses of the university, it will start more often in the beginning of the year. Tse will be explained by flowing into the robot the rhythm of the vegetative system.
• Manifestu with a stretch. The destruction of the robotics of the sinus node manifests itself more dramatically. Holterіvske monitoring reєstru Prototype demonstration in case of additional support of the patient.

Reason for zboy

The breakdown in the robot is leading to the rhythm of the heart because of the reasons that went wrong:

• Organizational training and internal reasons, Yaki is injected onto the robot with a sinus node.
• Significant reasons, such as innovations in the functioning of the rhythm.

Read about the causes of sinus node weakness syndrome 1, 2 and other types.

Causes of the blame

Factories, such as building provocations Prototype indications:

• Even in the organizm, the correct allocation of electrolytes, necessary for the new life of organs, has been destroyed.
• vegetative nervous system And the very thing is parasympathetic to repair the overwhelming flow to the robot of the sinus node. The reasons for this phenomenon can be:
  • hemorrhaging from the blood in the area between the membranes of the brain.
• By taking the preparation, pour it into the rhythms of the heart in an uncontrolled amount.
• Zakvoryuvannya, inheritance of such buildings to spoil the robot of the sinus university:
  • , Scho pour a heart onto the robot,
  • heritage surgical engagement for injuries,
  • ailments, tied with common victims:
    • tsukroviy diabet,
    • functional safety in robots thyroid gland;
  • autoimmune disease,
• Idiopathic deterioration - substitution of tissue cells of a sinus tissue on cells of a tissue without apparent reason

symptoms

The destruction of a sinus university robot can be manifested through the signs:

• low prasezdatn_st, quick to come in volume;
• abduction,
• spoiled,
• confusion of property,
• darkening in the eyes,
• I will become, close to obscurity,
• fall into obscurity,
• the pulse is the normal posture:
  • rіdkіsny pulse,
  • then, we can alternate with accelerating the pulse;
• moments of restlessness inadequate behavior,
• the memory of my failures,
• after the hour of spending the testimony, you can be spared by the judgment.

Diagnosis of sinus node weakness syndrome

• Electrocardiogram is the main way of revealing the syndrome of weakness of the sinus node. EKG re-structure itself tі electric impulses, scho іndukє vodіy rhythm.
• Holter monitoring is the same method, only there is the possibility of guarding the patient to do more.
• Electrophysiological dosage - a reversal of the building and the correct rhythm of impulses. This indicator demonstrates the function of the automatism of the rhythm. Into the sinus vuzol, they infuse a rhythm that is imposing, a greater speed of the normal rhythm. In addition, when I come to lean back, freeze, after an hour, the rhythm will renew its frequency to the pulse.
• Pharmacological probes - to convert chi functions into a sufficient world sinus vuzol for new viroblyayut injected drugs, such as healthy victories more often yogo impulses. If you do not find yourself in the proper world, then it is ascertained about the weakening of the robotics of the sinus node.
• A test with physical navantazhennyam - the whole method of hearing, how to see the improvement of hearts very quickly, as the patient navantazhu himself physically or will take away the emoticons splashes. With normal robotic sinus university, the phenomenon is natural. As long as it is only up to seventy punches in the chilin, then you can talk about the Prototype.
• Massage of the carotid sinus - in some people, a slight infusion into the area of ​​the carotid sinus can wickle the heart. It’s not worth talking about the destruction of the carotid sinus in the robot, so the reaction is normal - a short-term injury of the heart is very fast.
• Tilt-test - the frequency of heartbeat is carried out when the patient is in the supine position on the vertical position (60 degrees). The patient for an hour to lie on a special table, the position of which is changed in the open space. Qiu to interfere with timid patients, who are sick to the point of losing their svidomosty.

lykuvannya

It is necessary for additional diagnostics to be carried out precisely because of the significance of the officials in a particular type of damage to the robot of the sinus university. Slide to mind, for all the possible reasons that pour into the rhythm, you will be usun. The main method of medical aid in cases of pathology is the installation of a cardiac pacemaker.

Olena Malisheva and her friends will tell you in detail about diagnostics and methods for treating sinus node weakness syndrome:

therapeutically

Lіkuvannya includeє come on usunenny calling reasons To start a robot sinus node. In addition, there are several factors that are critical for the establishment of a friendly background for the development of its function.

• Taking care of the normal capabilities of the patient's physical nurturing is necessary for the health of the heart.
• Slide vidmovitiya or maximally reduce the implantation of tyutyunu.
• It is necessary to enable the implantation of alcoholic beverages.
• Tonic drinks: mint tea, tonics without alcohol, kavi can be brown in a small dose, yaku sid uzgoditi with likarem.
• It is necessary to make sure that you get caught up in order to drive the robot to a sinus node, and if you need to get it.
• There has been no pressure in the commerce zone. As soon as it is seen from the tough comrades, it’s too much of a factor in the function of the sinus node.

medication

If the activity of the parasympathetic system has been adjusted, then it is recognized as a drug that is responsible for the viral dysfunction. And the axis of lіkarskі zasobi, zdatnі pushing the robotics of the sinus university did not go to zastosovuvati.

Drug treatment for SSSU is no worse effective method... This is how the factor of stagnation occurs in case of bradycardia and tachyarrhythmias, as well as the reduction of rhythms in the inner world.

If the method is used for the syndrome of weakness of the sinus node, it is necessary to proceed to the operation.

operation

Installation in the patient's organizmia of post-mortem electrocardiostimulation is the main method of treatment.

Prior to the installation of a cardiac stimulator, the following are shown:

• One-hour presence of bradycardia and others in the rhythms of the heart. Also, there are symptoms in vimag lykarsky zasobiv, I should give an antiarrhythmic effect, which is not permissible in case of SSS.
• Bradycardia with a critically lowered frequency of impulses - less than forty times faster in chilin.
• Yaksho buv hocha b one attack of Morgany-Edems-Stokes (loss of evidence with epileptiform courts).
• Coronary lack, zapamorochennya, anterior-objectionable stun.

Symptoms of sinus node weakness syndrome likuvannyu folk zasob, Read more.

People zasobi

Samol_kuvannya at SSSU is not permissible. zastosovuvati folk medicine followed only by the weather with a likar. As soon as you get sick, then you can use herbal infusions to help you sleep, fight stress and normalize self-esteem in case of arrhythmias.

To shy away from roslin:

• motherfucker,
• valeriani,
• m'yati,
• tree.

In case of bradycardia, as there is no evidence, take a variety of pine nuts.

prevention of illness

For a healthy heart, it is important to maintain a healthy way of life.

• It’s okay for my mother to be physically active.
• Harchuvannya maє buti is balanced. I will take small portions five times throughout the day. There is no need to live for nothing.
• Preparations are used only as prescribed by a drug.
• Vihovuvati has a positive outlook on light. Negative anti-indications.
• Stitches, schob nichny sleep buv povnotsinniy. Get some sleep in the afternoon.
• Before bedtime, take a walk on a fresh meal.
• Stezhiti, schob masa tila did not outweigh normal indicators.
• Slid i.
• Hourly to spill out of trouble, not admitting a chronic stage.

accelerating

The unfaithfulness of the robot of the sinus node can be witnessed as follows:

• - even if my heart does not show my function in the world;
• - Disorder of the functions of the brain through its lack of blood circulation;
• thromboembolic acceleration.

forecast

The very damaging of the vibrating of the impulse by the center of the rhythm is not even more insecure and not the least negative influx into the triviality of the life of the patient. The threat is borne by the inheritance, which can be a testament to the prototype, and the very deterioration of the heart-vascular system.

Due to the nature and nature of the mountain, there will be a forecast for the triviality of life. As soon as the malady in the robot of the sinus university was found to be slower as a result of the main malady, then because of that, the organism was strongly affected and it was possible to cheat, if the forecast for the future was found.

A lot of information about nutrition for sinus weakness syndrome to avenge the onset of video:

Syndrome of weakness of the sinus node (Prototype) is a single group of pathological stanes, in the basis of which there is a breakdown in the process of formation heart rhythm and the sinusoidal institution of the building is adequately and regularly verifies the function of the head center to automatism. Diagnostics of this is complicated, but it can be used with the help of different classy masks, and it simply reduces the quality of the life of the ailments. With a lot of congestion, the heart rhythm began to grow practi-vati, lower in the norm, and to bring the organism to a lack of blood supply.

The breadth of this pathology of the middle of the population becomes 0.03-0.05%. The frequency of the people grows more often - more often it appears among the people. Vvazhaєtsya, scho are more sick to the diagnosis of the syndrome of an individual of female stati.

cause

The syndrome is based on the dysfunction of the sinus node, tied up with the changes of an organic character, regulatory changes, and a toxic infusion. In the midst of this is a thought, which for prototypes is characteristic of the very non-eroded changes in its structures, and in some of them, the term “dysfunction” is more commonly used. Reasons for organic improvement of anatomical education and development:

• inconsistency (hypoplasia of the sinus node);
• degenerative processes due to the formation of cells in the rhythm and fibers of the conductive system, at the point where tissue grows at the moment;
• інфільтрація (plump hearts,);
• ignited zmіni (,);
• ischemia and necrosis (gostry, іnshі forma);
• postinfarction;
• ushkodzhennya of the providnoy system in case of operative engagement;
• endocrine ailments (, nadnirnikiv) and in.

In some cases, the deterioration of the function of the sinus node is not tied to organic snakes, but it can be a viclicano:

• reception of lіkіv, scho reduce thіѕ automatism (β-adrenergic blockers, antagonists of calcium, heart glucosides);
• otruunnyam mushrooms or organophosphorus spoluks;
• electrolytic damage (too much calories in the body);
• vegetative infusions (hyperactivation of the bloating nerve).

There are similar forms Prototypical evidence, such as being informed by the rosters of neurohumoral regulation, is based on a genetic basis and may be looking at the hypersensitivity of M-cholinoreceptors to acetylcholine and weakening sympathetic.

meaning pathological changes Reduce the automatism of the sinus node due to the failure of the impulse from the front to the atrium and the development of the sinus bradycardia. Tse wiklikє control blood circulation, accelerate perfusion internal organs, Persh for all cerebral structures, as well as activating heterotopic reproduction of the automatism of a compensatory nature. From the rest, the diagnosis replaces the rhythms right up to the "active" arrhythmias to the type of fibrillation at the front of the heart.

Slide to mean that the cause of this pathology should not be found. In such ailments, there is a mice idiopathic form of the syndrome.

Classification

The changes in the electrocardiogram before the warehouse include:

• sinus bradycardia of a persistent character with a frequency of the heart at a rate of less than 50 strokes in a chilin;
• zupinka heart rhythm, which is less sinus walking, with pauses of more than 2-2.5 seconds and is replaced by ectopic rhythms, for example, with atrioventricular zyudnannya;
• sinoatrial blockade;
• brady-tachycardia syndrome;
• more and more innovations in the robotics of a sinus university for cardioversion;
• bradystolic form;
• mіgratsіya vodіya rhythm along the forehead.

Prototype can be displayed as a key manifestations... At the connection with the cym, you can see the onset of this option:

• gostro scho vinik;
• chronic;
• violent until relapse.

With the urahuvannyam klinіchno ї pictures of yogo can be divided into 3 main types;

• latency (the pathology of the sinus node can only appear after additional additional functional methods until late; not appear);
• compensations (pathological symptoms of the onset, ale є change on the EKG);
• decompensations (in a sick person there are characteristic EKG-manifest syndrome and symptoms).

symptoms

Syndrome of weakness of the sinus node can be asymptomatic, as well as the most important picture. The emergence of pathological symptoms in the presence of pathology is accompanied by a rare frequency of the heart, rapid arrhythmias and associated with changes in the heart wikid. Klinichny manifest at a wide variety of diseases from advanced stomatomy to angina pectoris, heart failure and impairment of svidosti.

on cob stages to navigate in case of EKG bends, signs of the syndrome of sub-active vision are not readily visible. Some people with ailments have a skargi character:

• weakness;
• filthy portability of physical navantazhennya;
• low prasezdatnist.

A characteristic manifestation of the syndrome is bradycardia. In case of a trivial feeling of being supressed, it is necessary to use neurological disorders:

• p_dvishcheno zbudliv_styu;
• drativlivistyu;
• broken sleep;
• forget it;
• zamorochennyam i ін.

For a person who has been kidnapped, there may be a decrease in memory and intelligence.

When receiving tachyarrhythmias, the following may periodically appear:

• turn on the heat and face it;
• vidchuttya;
• press the b_l behind the sternum.

If the syndrome of contraction with pauses in the heart is very small triviality, then the sick person will become very sick. With a rapt decrease in the frequency of the heart, the rate is less than 20 for a quill and asystole for more than 5 seconds, a foul-mongering develops - this is the name of the Morganya-Adams-Stokes attack. Frequently, there is an overdose of the heart rate. characteristic feature I will become a visitor of the auri and the court. Esteem the testimony of such patients to innovate independently, but in the row of vipadkiv it is necessary to provide uncomplicated assistance.

With autonomic dysfunction of the sinus node key picture to see the symptoms of symptoms and to find themselves with other vegetative manifestations (asthenia, trivial, cardialgia and in.).

diagnostics

To detect the presence of a sick sinus syndrome weakness of the sinus node can be analyzed by analyzing:

• yogh skargi і dana ob'ktivnogo objezhennya (the rate of heart rhythm, development of arrhythmias, signs of vagotonia appear);
• History of ailments (past history, surgery on the heart, transfers of myocardial infarction or indications for any possible reason for this pathology).

However, it is possible to confirm it only after the results of additional methods of conditioning:

• standard electrocardiography;
• Holter monitoring (allowing uninterrupted recording of the electrical activity of the heart for 24-48 years);
• diagnostic tests (medication test with atropin and a test with physical tests, as there is a lack of growth frequency and very soon the heart seems to be on the basis of an option or the introduction of a drug);
• (Viyavlya structural defects of the heart and damage to the robot);
• Electrophysiological dosage (vikoristovuyutsya to clarify the diagnosis in the total number of cases, starting the hour of renewal of the sinus node for frequent stimulation of the anterior heart).

Viyaviti autonomic dysfunction allows for continued variability of the heart rhythm, reactions to hyperventilation and changes in the position of the body in space. Call you to visit young people or children on the background of neuroticism. Bradycardia can also be seen in athletes. In general, I don’t know the prototype. They have an adequate increase in heart rate for the new option.

Signs on the EKG

Naybіlsh is an important criterion for staging a diagnosis in SSSU є changes on the electrocardiogram. Prior to them, it should be mentioned:

• bradycardia (heart rate is less than 50 per chilin);
• sinus blockade (deterioration of performance, when there is an impulse from the sinus unit, there is no adequate speed of pressure from the sinus unit). ; at stage II - one or more pulses are blocked, on the EKG there is a progression of a progressive change in the intervals of R-R, after which there is a trivial pause; at III stage- sinus impulses are blocked, not reaching the front of the heart, it means P, QRS, T, if the time when the isoline is restructuring or the rhythm is replaced);
• zupinka sinus node (restructuring contour line without P waves, with a pause that is not a multiple of the P-P interval);
• cherguvannya bradycardia and tachisistolii (in the case of fibrillation, abnormal atrial fibrillation, before sinus tachycardia);
• periodical change of bradycardia by manifestations of sinus blockade;
• bradystolic form of fibrillation at the front of the heart (the appearance of the P waves, the R-R intervals, low heart rate);
• trivial period replace rhythm.

Also, on the EKG, there can be trivial pauses during the correction of the anterior tachyarrhythmias during the massage of the carotid sinus.

principle of liking

Tactics for managing ailments Prototype of the university to lie in the form, the reasons for its diagnosis and turnover of clinical manifestations. asymptomatic form given to the syndrome, As a rule, do not show the sign of any therapy. Likuvannya of symptomatic options Prototype indications are aimed at reducing the number of ailments.

Drug treatment for transferring is injected on the basis of disease, which is priceless. For example, in case of hypothyroidism, such ailment should be given to a substitute therapy with L-thyroxine, and in case of myocarditis, an antiapaline therapy. In case of likarsko indukovany syndrome, take the drug with skasuvati.

However, in most cases with organ damage of the sinus node, drug therapy is not effective. When the indication is evident (bradycardia, brady-tachycardia syndrome, symptomatic form of this pathology is manifested), such ailments become a piece of the rhythm.

In case of asystoles and attacks of Morganya-Adams-Stokes, it is necessary to carry out reanimation visits with the installation of a time-based cardiac pacemaker.

Syndrome of weakness of the sinus node (prototype) - a special type of arrhythmia destructions of the automatic function of the sinoatrial university (SU)... With a whole heart, it stops rhythmically breaking down and feeling fast. Poznennya vyroblenya electric impulses can be removed. The whole clinical symptom complex is characterized by a lack of blood circulation in internal organs, bradycardia and general signs. The result of pathology is not too old an old heart. Ingestion according to ICD-10 maє code I49.5.

The heart is a single organ, in which the electricity spontaneously arises. Sinus vuzol is a cleansing process. The very vin viroblyaє electric impulses. The myocardium clitinis start to speed up and speed up synchronously, so that the myaz fibers are allowed to grow. Sinus vuzol grows in the stints of the right atrium. At the same time, impulses are generated, which are transmitted to the type of fast cardiomyocytes and expand to the apical-dermal (AV) node. Regulation of the functions of the sinus university vegetative form Central nervous system. Changes in the heart rhythm of the need for hemodynamics: when physical activity win partly, in calm and not so much to learn.

a robot of a sinus university and a wire system

With pathology of sinus, the vuzol stops generating nerve impulses. Vin is weak. Frequency and strength of the myocardium change rapidly. The process of carrying out zabudzhennya on all heart music will break down. Weak impulses are not carried out on all parts of the myocardium, and early rapidity can cause bradycardia. As a result, the blood circulation of all organs and systems will collapse.

Causes of the syndrome to complete the developmental Spravzhnya abo pervinnaya form of pathology is overwhelmed organic exercises heart. The destruction of automatism can be tied up due to the sinus activity of the bloating nerve, or by the intake of certain medications. Prototype indication of the diagnosis in the case of a kidnapped person, with a history of cardiac ailments. Ailment in the region is very common among children. Symptoms of the syndrome lie in the rhythm of the heart rate: the more severe the bradycardia is, the more severe the sickness is. Clinical manifest pathologies vary from banal nonsense to the loss of evidence.

Diagnostics and treatment of the syndrome should be performed by cardiologists and cardiologists. To make a diagnosis, the results of electrocardiography, Holter monitoring, nasal tests, invasive diagnostic tests are necessary. For the help of the current therapeutic methods, it is possible not only to normalize the heart rhythm, but also to increase the sickness, having sucked the reason. Patients, if necessary, have a cardiac stimulator implanted.

Prototype indications over the course of the year:

• Hostrim - develop in case of myocardial infarction and are characterized by rapid heart attacks.
• Chronic - become increasingly progressive interruption with frequent relapses. The ailments gradually develop a rhythm, the zagalny camp is fading, the instinct is fast and the weakness is without interruption.

Fallingly as an ethiopathogenetic factor, the syndrome podrozdilayut on:

1. True or pervinniy, viklikaniy bezposeredno heart ailment - ІХС, hypertension, vadami, cardiomyopathy;
2. Secondly, it develops as a result of the destruction of vegetative regulation.

Stages of development of the syndrome and their main manifestation:

• Latent stage - without obvious clinical manifestations and EKG-sign. Put a diagnosis for such a diagnosis, the results of electrophysiological dosage are allowed. Ailments with a latent form of pathology do not require treatment.
• Compensated for the stage - the patients skarzhshennya zapamorochennya, weakness and overwhelming self-esteem. sick shown symptomatic lykuvannya s of interchangeability.
• Decompensated stage is manifested by stiff bradycardia, signs of dyscirculatory changes in the brain and myocardium. In ailments, there is anterior obstruction and zapamorochennya, paresis, pain in the heart, zadishka. In case of decompensation, the implantation of a pacemaker is indicated. Patients tend to be unprecedented.

Ethiology

The primary reasons for the tying of the heart and the main structures are:

1. ischemia of the heart muscle - myocardial infarction, myocardial infarction and scarring, angina syndrome;
2. hypertension;
3. development of cardiomyopathies;
4. inflamed myocardium;
5. heart wadi;
6. traumatic ear myocardium;
7. operative involvement or invasive manipulation at the heart;
8. collagenosis, vasculitis, myocarditis and other systemic ailments;
9. hormonal and cardiotoxic damage;
10. new satisfaction.

Ischemic, igniting, infiltrative, dystrophic, necrotic processes, as well as hemorrhaging, fibrous-sclerotic changes are produced to replace functional sinus nodes with tissue fibers.

The second prototype is shown to wick the exogenous and endogenous factors, which will destroy the normal robot's heart. The most widen middle of them:

• change of water-electrolyte balance - hypercalcium and hypercalcification;
• welcome drugs- adrenergic blockers, clofelin, reserpin, verapamil, sertsevikhlikosidiv;
• endocrinopathies - hypothyroidism, hypocorticism;
• cachexia;
• natural processes of old organism;
• syphilithic battle of the heart;
• important intoxications.

With overworld activity of the bloating nerve, a vegetative form of pathology develops. Hypertonicity of the nerve in the normal condition of the sinus with sesovipuskanny, for an hour, coughing and chhannya, boredom and blues, uvi ss. Yogo pathological activation is accompanied by lesions of the nasopharynx, urogenital tract, organs of etching, hypothermia, hypercalculus, septic camps, internal cranial hypertension. The vegetative form of pathology is encouraging to develop in adolescents and young people with unstable psyche, in women with “rosy” nerves, as well as in trained athletes. Neurosis є frequent ethiological factor development of ailments in children.

In the vicinity of the group, we see an intrinsic deterioration in the function of the sinus node. It is also an idiopathic form of pathology with an unidentified cause.

symptomatology

Klinichny show prototypes of the greats The stench does not catch the ailment of the uncommon. For children with pathology, the last hour is asymptomatic, or there are little signs of asthenia - weakness, blasphemy, lack of strength, apathy, diminished praise, cold hands and cold hands. Some of the ailments have symptoms of disturbed rhythm - cephalgia, confusion, obscurity. Rozlad hemodynamics, yaka supervodzhu syndrome, manifested by signs of heart asthma, a set of legends, and a strong coronary dysfunction.

Clinical signs The prototype is shown to be divided into two main groups - brains and hearts:

1. Prior to the symptoms of the first group, the following are recognized: swelling, urgency, greed, unimportance, unstable mood, decreased intelligence. If the syndrome is progressing, the cerebral symptoms of the growth are. In the eyes of the dark, the person is very chervonin, the winyak noise in the wuhah, sertsebitty, sudomi, obscurity, oniminnya of kintsivok. It hurts to blink, to think overly, they have a grip. Factors that provoke obscurity are coughs, cramping ruffs, tight vorit oilyagu. If the bradycardia grows swirling, the heart rate becomes less than 40 strokes in the sickness, the sickness of the raptor will consume the evidence. Subsidiaries of the processes of enrichment of the hypoxia brain, tied to weak blood cells of the brain. electrical activity The heart may be 3-4 seconds wide. As soon as the impulses are not generated more, the asystole is usually the result of the heart's activity. With the development of discirculatory encephalopathy, you will be willing to show ailments. Ailments have paresis and parallels, mittєvi failures in memory, defects in memory, frailty, sleeplessness, deranged misery, depression, and depressions of aggression.
2. Cardial signs of pathology: confidence in heart rate, weak pulse, cardialgia, bad luck, the feeling of poor eating, often and weakness, weakness. In ailments, sinus bradycardia and іnshі form of arrhythmias appear. For pathology, the characteristic symptom of "Takhi-Brad" is a paroxysmal swelling of a shy and common heart. In the world of progressing syndrome, there is a fibrillation of shlunochkiv, growth of growth of raptus remains of the heart.
3. The symptoms of the syndrome are known to occur: oliguria, culturing, weakness of mucous membranes, slunk-intestinal rosters.

diagnostics

Characteristic is the clinical symptomatology that allows cardiologists to suspect a patient with an ailment. In particular respect to the merit of bradycardia - the rate of heart rhythm turns. In diagnostics, the prototype is shown to be of great importance. instrumental methods Doslidzhennya: EKG, ultrasound and MRI heart.

• Dani electrocardiography - bradycardia, the weakness of the sinus node, periodically changing the rhythm.

EKG signs: skips are very fast, bradycardia

• Additional monitoring of the EKG by Holter allows for the appearance of the EKG-sign with a stretch to add, if it is necessary to add an asymptomatic form of the syndrome, to register the results of an atropin test and veloergometry.
• EED - the development of biological signals of the heart, additional help in diagnosing pathology and correct treatment of the disease. The essence of the method of polyaga is in the electrostimulation of the singing heart, which has set the cardiologists. It’s just an hour until it’s restarted by elektrograms. Use invasive and non-invasive techniques. THROUGH STRAVOKHIDNOYU DOSLIGENNYA polyagaє at the introduced electrode through stravohid and stimulation of the heart rhythm. The main method is to assess the speed of renewal of sinus rhythm with the help of EKG. If the pause is 1.5 cm, let the Prototype be shown. yaksho methodology given not a sign of pathology, but the ailment will continue to pay for the symptoms of the syndrome, to carry out EED with catheterization of the heart.
• Ultrasound and tomography allow the heart to reveal obvious organic pathology and assess the structural and functional stance of the organ.

lіkuvalny process

General therapeutic visits when Prototype is shown may be two meti - the weakening of the causative illness of an abo factor, the restoration of the normal rhythm of the heart. In order to grow up and normalize the robot's heart, it is necessary to turn for help to the problems in the field of cardiology and cardiohirurgia. For the purpose of determining the cause of the syndrome, conduct complex therapy This includes medication injected, taking care of children and special regime, promptly getting involved.

Lykarska therapy Prototypical indications are recognized to be ill, who become known to be sick, and symptoms are manifested every day. Take lіkuvannya even a weak effect. Patients with latent and compensatory stage syndrome are shown therapy for the main illness and dynamic care of a cardiologist.

In case of unacceptable symptoms of the syndrome, it is necessary to continuously conduct electrostimulation. For many patients, a cardiac stimulator is implanted, which generates an impulse with a significant reduction in the speed of the heart and control the frequency of heart rate. Yogo implantation is shown in case of bradycardia less than 40 strokes in chilin, there are signs of heart failure, blood pressure to high values, manifestation of the lowest arrhythmias. As the rhythm of the heart is normal, the pacemaker is in ochikuvannya mode. As the rhythm grows rapidly, the virobly pulses are renewed to the renewal of the functions of the sinus node.

good luck to the most important recommendations according to cardiology, in case of ailments of cardiac stimulation, you should use the following therapy: "Euphilin" "Apressin" and heart glucosides. For stimulation of oxidative-vital processes, increase of resistance of the brain to hypoxia and stabilization of cell membranes, adaptogenic and nootropics are stashed - "Actovegin", "Cortexin", "Piracetam", "Vinpocetin".

In extreme cases and critical situations during the development of unhealthy and syncopal stanes, amalgamated with bradycardia or asystole, internally inject "Atropin" or "Epinephrine", "internal"

Forecast and prevention

The prognosis of the pathology of hospitality in case of a quick addiction. In the first place, the syndrome of shvidko progresses, and the symptoms of it will grow. As the dysfunction of the sinus node will go back to the lesser rhythm disturbances, the prognosis will go down even more. The cause of mortality in SSS is thromboembolism and inheritance. Raptova's heart death can come in any period of ailment.

Prototype projection, it is necessary to quickly emerge and not be safe in the ethological school. As a result of the protection of anti-arrhythmic activity, it is added to the automatism and performance of the sinus node.

Unimportant to those who are sick of medicine vilikovu a lot of ailments in the heart, a large number of vipadks early death both the middle and the middle of young people. Fakhivtsi-cardiologists believe that the problem is tied to the diseases behind medical aid. If the incapacitation is within reach of the non-reversible stage, there will be a serious acceleration, there will be no liking. Likarі recommend for the first, navіt insignificant, symptoms from the side of the heart, as you can more quickly apply a visit to the university profile.

Video: Lecture on Prototype

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anamnesis

With the collection of scarg and anamnesis in ailments s

• show the prototypical evidence (first for all the manifestation or the appearance of obscenity and for the front-endowed state, the furnishings of the observance);
• Possible reason Prototype indications: transfers of IM, myocarditis, heart surgery, use of antiarrhythmic drugs, family history (bradycardia, implantation of ECS in relatives), indications of being busy with sports, chronic symptoms.
• іnannya with іnshih disturbed rhythm і provіdnostі (first for everything, s FP).

physical condition

In case of physical condition, bradycardia appears in calmness, or in case of a trial physical therapy, arrhythmic heart tone (extrasystole, pause to the rhythm), development of tachycardia in bradycardia syndrome. Inodi stike bradycardia can lead to compensatory adjustment arterial vise(Hemodynamic hypertension). In ailments with vagotonic dysfunction of the sinus node, it is possible to develop symptoms of vagotonia (for example, hyperhidrosis, stiff heart dermographism, heart disease) and symptoms of mesenchymal dysplasia (for example, asthma, asthma)

Laboratory dosage

necessary extravagant analysis blood (Нb, leukocytes, SHOE), the value of the lipid spectrum, the level of hormones in the thyroid gland (thyroxin) and thyroid stimulating hormone, with adolescence for myocarditis - electrophoresis of the blood cells, the value of serum cytogenesis of C-reactive to myocardium, cardiotropic viruses (Koksaki, cytomegalovirus, Epstein-Barr virus, virus group herpes), streptococci: a galvanized reaction of lymphocyte migration.

In case of adolescence on genetically determined malady, the cause of the disease is shown to be genetically determined.

instrumental doslіgennya

Standard electrocardiographic dosage in 12 entries

Possibilities for diagnostics Prototype indications for the help of EKG in 12 standard indications to complete the incidence, some of the arrhythmias are not often time-consuming and the indications in the type of diagnostics were interrupted for an hour.

Post-sinus bradycardia by reaching for a heart rate of less than 50 per chilin.

Sinus pause for more than 3 s, low reasons.

• Sinoatrіal blockade II stage:

The first type is the act of speeding up the interval R-R with more rapid growth (the ringing period of Samoilov-Venkebakh);

Another type is a pause to the rhythm, which is a multiple of the P-P interval (Fig. 1).

• Zupinkoy sinus node - the pause is not multiple in front of the intervals R-R (Fig. 2).
• Podvzhenoy post-textural pause (compensatory pause for extrasystoles I change two R-R interval). Bigger-mensh trivial lowering of heart rate for extrasystoles is called postxtrasistolic depression of sinus rhythm. An analogous phenomenon is sometimes caused by a paroxysm of tachycardia, and the pause before spontaneous renewal of sinus rhythm is more than 1.5 seconds, which may indicate a latent prototype. For an hour of pauses, the rhythm (anterior, vuzlovy, shlunochkovyh) can be replaced by rhythm (div. Fig. 1, 2).
• Trivial or intermittent period replaces rhythms, which are supervised by clinical symptoms.
• Bradycardia-tachycardia syndrome - sinus bradycardia and pauses with paroxysmal atrial fibrillation (in 58% of cases) and / or anterior tachycardia, especially if the reestablishment of the onset of recurrent rhythmic synapses Often times, dozens of times are picked up spontaneously.

Small. 1. Syndrome of weakness of the sinus node: sinus blockade of the II stage of the II type. There is a pause, until the transition between complexes 2 and 3 goes to the subinterval R-R. Complexes 1, 3 and 6 - substitute vuzlovs (complex 3 - zlivniy)

Small. 2. Syndrome of weakness of the sinus node: the sinus node zupinka with the emerging vnodal rhythm. Pochatkovo at EKG - sinus rhythm from heart rate 53 in chilin (complexes 1-4), further pause triviality 3 for further errors substitute vuzlov speed (complexes 5.6). Complex 7 is anterior. Complex 8 - renewal of sinus rhythm

holterivske monitoring

Holter monitoring of the EHC allows for a large number of financial statements of the EHC-signs and in a number of classifications in the classroom.

EKG probes

The significance of them in diagnostics of prototype is not great. The treadmill test allows for a significant increase in heart rate in response to physical adjustment. About chronotropic deficiency to reduce the rate of increase in heart rate more than 90-100 in quiline with a dried out і food 110-120 in quilting with a significant physical increase in quilting. For the additional help of the new EKG tests, it is also possible to suspect (or confirm) the fact that ІХС is the reason for the development of a breakdown in the rhythm.

echocardiography

EchoKG allows for the importance of morphological and functional changes of the heart (valve defects, hypertrophy of LSh, faction of the LSH, the appearance of zones of hypo-and-that akinesia, more reason for emptying the heart), to serve that purpose

THROUGH THE STRAVOKHIDNOI and intracardiac electrophysiological dosage of the heart

If there are any overconflicting criteria for diagnosing the data of the monitoring of the EHC diagnosis, the prototype can be verified for additional electrophysiological dosage, often through stravohidna. Visa start:

• hour of renewal of the function of the sinus node - the interval between the stopped stimulus and the first sinus P wave (in the norm not more than 1500-1600 ms);
• Corriguvati hour of renewal of the function of the sinus node - the difference between the positive hour of renewal of the function of the sinus node and the spontaneous heart cycle in the period before stimulation (in the norm not more than 525-600 ms).

The specificity of these indicators in diagnostics Prototype indicators become 90%, sensitivity 45-85%.

Differential diagnosis

Differential diagnostics should be carried out in front of the prototype of the organic nature and vagotonic dysfunction of the sinus node. With a great demand for vrahovuvati, young people up to 20 years of vagotonia can be a variant of the norms. Bradycardia, migration to the rhythm and pause, to be spared at night, to be guarded with an adequate or overwhelming increase in heart rate with physical nascent changes. Vagotonic dysfunction of the sinus node is diagnosed only in case of severe EKG swelling, signs of sinus vascular dysfunction, often in common with the clinical picture of NCD according to the vagotonic type. Deliver a clear delay. Prototypical indication of vagotonic dysfunction of the sinus node is allowed THROUGH THE EXTRAORDINARY ELECTROFIZIOLOGICAL DOSAGE, carried out on the lowest level of autonomic blockade (internal / early dose of 0.02 kg). With normalization of the cob, the function of the sinus node is updated and the function of the sinus node is updated, the vagotonic dysfunction of the sinus node is diagnosed, and if the function of the sinus node is reduced, In sick people with syndrome no apnea Verification of the connection of evanescent damage to the heart rhythm with episodes of decreased blood pressure (desaturation) is possible with a one-hour monitoring of the EHC and additional (or low) pulse oximetry.

Shown before the consultation

It is very difficult to imagine the situation and treatment of ailments with history of malnutrition and obscurity, with signs of sinus dysfunction, but it is not clear whether the sinus dysfunction can be the cause of this. For such ailments, it is often necessary to consult a neurologist and conduct a general neurological situation. Moreover, in case of ailments with vagotonic dysfunction of the sinus node, it is the fate of a neurologist, psychiatric psychotherapist.

When indicated before the implantation of the EKS, we need the consultation of the cardiohirurg.

Butt formulatory diagnostics

In the formulation of diagnostics, it is more likely to become ill, the type of destructive automation, the most important clinical manifestation.

• Postmyocardial cardiosclerosis with impaired rhythm and automatism: bradycardia-tachycardia syndrome (sinus bradycardia, paroxysmal form FP).
• Idiopathic sinus node weakness syndrome: sinus node zupinka with Morganya-Adams-Stokes attacks.

Tsaregorodtsev D.A.

You can find out from the statistics: there is also the syndrome of weakness of the sinus node (shortly Prototype), and why this is not safe. Symptoms, by some methods of confirming the diagnosis, as well as by the methods of treatment, and by the most effective odor.

Date of publication of the statistics: 01/14/2017

Date updated statti: 05/25/2019

With the syndrome of weakness of the sinus node, the gossip of the clinician does not seem to be able to vibrate the normal sounding pulses on all the conduction of the heart.

As a result, the heart will speed up more and more, not guilty (less than 40-50 times / min), and there may be arrhythmias for the rakhunok, there are additional impulses from the less active fires, the last generation of awakening.

Normal sinus rhythm
Progress back to heart rate by shooter

Such a change of heart activity will more severely ruin the sickness, the heart will speed up sooner: from every day of the symptoms and mild extravagant weakness to the loss of quality and contamination.

Specialized treatment for the syndrome of weakness of the sinus node (abbreviation of the prototype is fast) is dealt with by physicians, cardiologists, arrhythmologists and cardiac surgeons. successes modern methods lіkuvannya to talk about those who have ailments, or if they rise vilikovna, as if they have put down the reason, or if they can see a normal heart rhythm.

The root of the problem is the "line" of the heart

Fast heart is a spontaneous mimic process, which is a kind of spontaneous establishment of automatic activity of special cells of the myocardium. Most of the purchases from a viglyad in a fire with a size close to 1.5 × 0.4 cm are called a sinus vuz. The wrinkles at the upper part of the heart, in the middle of the upper and lower empty veins, which fall into the right front of the heart.

Some of the customers regularly generate electric discharges (impulses) at a frequency of 60-90 / min, and they conduct them to the myocardium in front of the heart. The power of the pulses from the sinus node of the floor is great, but the stench passes through the entire myocardium (heart muscle), and the last time the skin becomes faster. This is what they call the head water of the rhythm.

Syndrome of weakness of the sinus node (Prototype) is a pathological stance, with a heart rhythm - sinus vuzole - becomes weak. Win cannot generate wakeful impulses with normal frequency and strength. Smells abo vinikayut rіdko (mensh 40-50 / min), or too weak, it should not be carried out on the first part of the myocardium. As a result:

• fast hearts become small and irregular (less than 40 / hv);
• to activate the purchase of a clitin, which will be automatic, and let the ear grow destructive to the rhythm (arrhythmia);
• blood circulation in all organisms, in the first place in the brain, myocardium and other vital organs.

With sinus node syndrome, the heart is fast and lingering, but on the other hand, the skin is fast - stopped.

Rizni options for ailments

In practice, it is important to distinguish between prototypes on the basis of fallen debris from the steps of the debris and the severity of the manifestations. All the problems are equally reasonable and the answer to a particular patient is correct.

At the table of images, the main types of sickness in the fallowness are not safe, such as the stench to obstruct.

A special type of sinus node weakness syndrome - bradystolic variant of migratory arrhythmia. To that all ailments flashy arrhythmia For those, the frequency of the warehouse sertsebit is less than 50-60 / min, the blame is on the subject of the SSSU.

Causes and factors of rizik

All the reasons behind the sinusoidal university involvement in its activity can be divided into two large groups:

1. Primary reasons

Pervinnі - without a mediocre lesion of only a sinus node, or a heart in a whole (heart pathology):

• Ischemic ailment (transfer of infarction, diffuse cardiosclerosis, angina pectoris).
• Hypertensive and hypertrophic cardiomyopathy.
• Myocarditis.
• Vrodzheni and nabuti wadi hearts.
• Injuries and operations on the heart.
• Autoimmune and degenerative systemic discomfort with a good tissue (vasculitis, vovchak, rheumatoid arthritis).
• Idiopathic (causeless) weakness of the sinus node.

2. Secondary reasons

tse call in and internal changes in the body, to disrupt the normal heart activity:

• Endocrine disruption (decreased hormonal activity of the thyroid gland (hypothyroidism) and nadnirnikiv (hypocorticism)).
• Significant dystrophy.
• Old people wake up the body.
• Tretinn form of syphilis.
• Electrolytic rozladi ( adjustments Calcium and Calcium).
• Overdosing or an individual reaction to drugs that control the rhythm (heart glucoside, beta-blockers, amiodarone, verapamil, clofelin).
• Disruption of the autonomic regulation of the automatism of the sinus node (reflex vagal changes): strong coughі blues, swelling of the throat і breast cancer, Dramatic bloating nerve, systematic engagement in sports, important cardial form, movement of the internal cranial vise.
• Intoxication with toxic toxic effects or internal toxins (liver-nirkov deficiency, sepsis, cancer intoxication).

The main category of people, for those with a sinus syndrome, sinus syndrome weakness (group) - ailments of the pathological heart of the older age (60-65 years) - 70-80%. Rashta 20-30% - children and children, as well as people over 30 years old (more often, sickness tends to occur more often). Ale, in the presence of the cause, pathology can be found in any case, however, it is often both in women and in choloviks.

Symptoms not to catch ailments uncommon

A basic key picture for all forms The prototype is represented by three syndromes:

1. Cardial - show heart;
2. Cerebral - brain damage;
3. Astheno-vegetative - zagalny symptoms.

A description of the main manifestations of cich syndromes is given in the table.

Possible options for manifesting sinus node weakness syndrome:

• Chronic overshoot with steady reliance on the rhythm (50-59 / hv) and periodical degradation of the hour physical options(When walking, robotic), for fear: a person's rapid onset, weakness, weakness, malfunctioning, the pulse rate (40-50 / min) and heart rate may be more likely to occur (blinking, paroxysmal)
• At a normal rhythm (60-90 beats / min), there is a rapture attack at the expense of svidomosty, strong bradycardia (pulse in the range of 30-40 / min), lowering the grip. Tsey variant of ailment is called Morganya-Adams-Stokes syndrome.
• Raptors in calmness and in the absence of forward control of the rhythm - the backbone, strong offense, Wheezing in the legends, bradycardia (pulse 40-55), arrhythmia may occur.
• Symptom-free interruptions - symptoms of sleep, bradycardia appear to be deprived of periodically during the main sleep hour.

The prototype is shown in the rotational rhythm confidence (less than 35 / min) and with arrhythmias blocking the heart, infarction, stroke, and a lot of legends.

Diagnostics: identify and detail the problem

A head manifestation, at the stage of a diagnosis of weakness of the sinus node - bradycardia is swollen (increased heart rate is less than 40-50 beats / min). In 75% of people with such impaired rhythm, a diagnosis of prototype is established. For an accurate diagnosis of ailments, the following are carried out:

• test for navantazhennyam (veloergometry - riding on exercise bikes or sitting);
• test with Atropin (the introduction of the drug, which will speed up the sercebitty).

Syndrome of weakness of the sinus node is invariably accepted, as the heart does not accept the tests sooner than 90 / min.

1. The transesophageal electro-stimulation of the heart is aimed at straightening the myocardium by weak electric struma through the stravohid. At the same time, the tachycardia is guilty of nearly 110 beats / min. It’s impossible to see if the normal rhythm is renewed, a pause is made faster on the EKG for 1.5 seconds, diagnosis.
2. Dodatkovy advances to clarify the possible cardiological pathology: EXO-cardiography (ultrasound), tomography of the heart, blood analysis for the level of calcium and calories.

needy

The treatment of sinus node weakness syndrome is presented in two ways:

1. Usunennya cause - fall ill, yake accelerated Prototype demonstration.
2. Renovation of the normal rhythm is the appearance of the sinus node or any other piece of replacement.

Offended by the process of doing so, allowing you to increase your ability to grow up, or to bring back normal heart activity, having felt the possibility of contamination. Likewise, cardiologists-arrhythmologists and cardiac surgeons are engaged in nutritional care.

As soon as the reason for the proof has been established, we have to carry out the necessary complex of medical visits to the fallen lands of the primary disease (medicines, children, sparing regimen, operative treatment).

Possibility of medication rhythm renewal

opportunities drug therapy sinus node weakness syndrome is small. Vikoristovuvani drugs produce a weak effect and only in mild forms of pathology. Tse mozhut buti:

• Euphilin in the іn'єktsіy viglyadі (injections);
• Teofilin (short-dose tablets);
• Teotard (tablets of trivalo diy);
• Atropin (injections, which are injected only with the help of a great deal of help).

When Prototype is shown, it is supervised by a flashy arrhythmia, or by any disturbed rhythm (Amiodarone, Bisoprolol) to become stagnant because of the protection, as the stench makes the heart rate worse. In ailments, in some ailments, it can be tied to an overdose of tsikh kosht_v, the stench is called to skassovyutsya.

electrocardiostimulation

The main method of treatment For a person who is sick to implant (vprovadzhutsya), there is a special attachment for the shkir. Old learners constantly see electrical impulses, which replace the lack of a sinus unit. The current aparati operates in an autonomous mode, controlling the frequency of the service. If it’s okay, the pacemaker will pick up the mode. As soon as the rhythm grows lower than the number of numbers, it starts generating regular impulses, replacing the function of driving the rhythm until quietly, as long as it does not renew the functionality.

The main indications for the pacemaker:

• Loss of testimony on aphids of bradycardia (Morganya-Adams-Stokes syndrome).
• Part of the important problem of cerebral and coronary blood circulation (swelling of the brain, pain in the heart, restlessness).
• Subsequent Prototypes are shown for turning movements or for lowering the grip and be-like arrhythmias.
• Reduction of sercebitty less than 40 / min.

Prediction: yak life at the sick

The main pattern is that it expands on all ailments. Prototypical evidence is that it will end with the quick progress of ailments and important traits, especially as the reason is linked to the pathology of the heart.

As well as being carried out in a consumer society, I’ll get a polyphenation, or without implantation of a cardiac stimulator, it is possible only with isolated bradycardia, but it’s not supervised by arrhythmias and blood circulation disorders (50-60%). In all other types of problems, cardiac stimulation is not suitable for anyone.

More than 90% of ailments, as a stimulant is implanted, will, by default, begin to live in an abnormal mode. The triviality of life is not possible to transfer: from decilkim to dozens of rocky, but to lie down from the back camp and obvious ailments. Significant lethality in sinus node syndrome is 5% and is mainly associated with a raptus heart.