HealthDiseases and Conditions

Bradycardia of the heart: features and treatment

Bradycardia of the heart is a decrease in the number of heart beats per minute. As a rule, if you measure the pulse rate by pressing the wrist and there is a reduction in strokes, this does not mean that the patient has a bradycardia. Not all pulsations of the heart cause corresponding tremors on the arm. To more accurately determine, you need to listen to a person using a phonendoscope or just put your ear to your chest.

Possible causes, which can result in a bradycardia of the heart, are violations of the work of this body, they can disrupt the functionality of the sinus node and the work of the conducting system. As a rule, this is due to myocardial infarction, arterial hypertension, myocarditis, and congenital heart defects. It is possible that bradycardia arises as a reflex in response to the action of cold water on the body. In this case, even a cardiac arrest can occur. One of the most dangerous causes of this illness can be an overdose of medicines.

There are situations where when performing cardiotocography of the fetus, bradycardia of the fetus may appear. If it is not accompanied by other disorders of the heart, then this is not a cause for concern.

There are a number of concomitant symptoms that occur in a person with bradycardia. When moderate bradycardia of the heart is observed, there are no serious disorders in the blood circulation and other systems. If the pulse rate is less than forty beats per minute, dizziness, persistent weakness, possible fainting and pre-stupor states become manifestations of this .

Perhaps the manifestation of bradycardia through a prolonged sense of fatigue, difficulty breathing, pain in the chest, as well as sudden pressure surges, decreased vision, memory impairment. The first organ that reacts to the bradycardia is the brain. He immediately feels an acute shortage of oxygen (hypoxia). As we see, the bradycardia of the heart can lead to a clouding of consciousness, which can be fraught with the onset of seizures. If such a condition has arisen, it is dangerous for the patient's life and requires urgent medical intervention.

Treatment, as well as drugs for bradycardia, the doctor appoints individually and according to a specific clinical picture. If the bradycardia is functional and mild, treatment is not required. When it has a toxic, extracardiac and organic form, then you do not need to directly treat the bradycardia, and its cause is the underlying disease. If the reason is taking medications, you need to cancel or reduce the intake of those that slow the heart rate.

If you are concerned about persistent weakness and dizziness with a bradycardia, you can prescribe drugs on a plant basis (belladonna, caffeine, eleutherococcus, ginseng root, etc.), which should also be taken individually.

If taking medications does not have the desired effect, treatment should be performed promptly. Indications for this type of treatment include stenocardia, regular and deep fainting, acute heart failure and arrhythmia of the ventricles.

If the patient's condition is aggravated by the occurrence of Morgagni-Adams-Stokes syndrome (syncope as a result of a reduction in heart rate), you may need to install an pacemaker that will regulate the heart rhythm. If the work of the stimulator is satisfactory and well-coordinated, complete restoration of the rhythm is possible, as a result of which the bradycardia of the heart will be completely eliminated.

Bradycardia is treated both traditionally and operatively. The most important thing is to find the cause of its development correctly and eliminate it.

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