Extraordinary heartbeats or extrasystoles, which vary in intensity and duration, are one of the most common types of cardiac arrhythmias and are related to the diagnosis of “extrasystolic disease”.
The treatment of the pathology depends on a series of factors that are identified in the mandatory research process:
- Anamnesis that precedes this disease.
- Frequency and rhythm of extraordinary extrasystoles.
- Establishing the type of additional reductions.
How are extrasystoles?
Normally, a healthy heart generates impulses (in everyday life the name is often confused, replacing it with “electrosistoles” which correctly reflects the essence of the discharge that arises, stress) that affects the heart muscle (myocardium) in the sinus node .
When the arrhythmia is due to several reasons, the impulses are formed in other parts of the heart: the supraventricular sites, the atria, the ventricles. They cause malfunction in the work of the cardiac apparatus, which leads to too rapid activation of the myocardium, when the heartbeats are formed too strong or weak, which threatens a collapse of the heart.
The ventricular location of the excitation foci is among the most common types of pathology: around 62%.
Symptoms and causes of cardiac arrhythmias.
In an overwhelming way, all the causes of the disease are classified in two ways:
- Organic disturbances Caused by various pathologies. These are cardiovascular diseases, metabolic and thyroid diseases, neuropsychiatric disorders, osteochondrosis.
- Functional impairment, It consists of temporary ailments or increased loads, causing short-term manifestations of extrasystolic disease. These include: intense physical exertion, stress, overwork, excessive absorption of tonic beverages, jumps in blood pressure, menopausal processes.
- Reflective reasons, When failures occur in the rhythm not due to a cardiac pathology, but as a response to any disorder of the body.
Patients feel episodes of beats, such as:
- Sudden shocks or heartbeat from the inside.
- The feeling of “flipping or falling” the heart inside.
- Interruptions of cardiac activity.
- Heat, sweating.
- Upset, anxiety.
- Dizziness, lack of air.
When should be treated with extrasystole and when not?
Holter monitoring allows you to make the most accurate prediction of whether it is possible to completely stop disturbances of the rhythm and by what means. During the day, ECG data are recorded after the patient, showing how many times the systole and what force caused the arrhythmia during this time.
In addition, the doctor’s verdict, based on the diagnostic data, obeys the “quantitative rule” and follows one of the options:
- If more than 1000 ectopic contractions were recorded per day, the patient should not be left without serious antiarrhythmic treatment.
- If less than 1000 extrasystoles were detected, the pharmacological treatment can be replaced with a prophylactic treatment and control the patient.
If the extrasystoles have a nature of neurogenic origin and other health parameters are normal, then the arrhythmia is treated by improving the emotional background, eliminating stress and anxiety, optimizing sleep and rest.. In this case, it helps especially to swimming, walking and outdoor activities, gymnastics.
When the cause of extrasystoles is not in the heart.
In the reflex premature beats, when the cause is not in the heart, but outside it, the treatment is reduced to a general improvement of the body, namely:
- Unloading extra kilos with unloading and cleaning diets, since the diaphragmatic reflex caused by a large body mass often contributes to arrhythmias.
- Food rationalization, Gastrointestinal disorders (bloating, constipation) often cause extrasystole attacks.
- Clean the liver and gallbladder from the bile. (by blind detection, tube) since the extension of these organs contributes to the excitation of the vagus nerve, which causes the appearance of extrasystoles.
- Elimination of inflammatory diseases of the genital area in women., since they can cause arrhythmia.
When you can not do without the treatment.
Some types of heartbeat are dangerous tests for serious heart abnormalities. With an unfavorable course of the disease, rhythm disorders can lead to atrial fibrillation, chronic coronary insufficiency, renal circulation.
The complications of ventricular premature beats are usually paroxysmal tachycardia.
Therefore, in cases of suspected fibrillation and other pathologies, urgent measures must be taken.
The following types of extrasystoles require a qualified approach:
Alorhythmia, in reference to the type of pathological contractions, in which abnormal extraystole occurs through three to four normal.
- Emerging in different parts of the heart, not having a permanent focus (polytopic arrhythmia). With such an unstable rhythm, the probability of developing a complex arrhythmia or heart failure is high.
- Multiple systole in the heart, that is, more than 5 in 60 seconds.
- Persistent extrasystoles after the cessation of atrial fibrillation. There is a high probability of your gain with any provocation.
What can cure the arrhythmia?
The treatment tactics of practicing cardiologists in the fight against heart disease involve a gradual transition from weak drugs, if ineffective, to stronger ones. (From sedatives to antiarrhythmics)
The main stages of therapy include:
- Sedatives that anticipate the excessive excitement of the foci of extrasystoles, acting on the signals of the brain.
Medicines that contain potassium and magnesium that strengthen the heart muscle (Asparkam, Panangin). In the case that the patient uses diuretics, which wash the necessary electrolytes, intravenous infusions of these medications (adenosine) are prescribed.
- In cases of arrhythmia on the background of bradycardia, they are treated with medicines that contain belladonna (atropine).
- In cases of extrasystole at the bottom of the tachycardia, the glucosides (foxglove), administered in small doses, have proven their effectiveness.
- Antiarrhythmic medications (Propafenon, Amiodarone, Moratsizin, Bretilium) were created specifically to help patients with rhythm disorders that occur in the atria and ventricles of the heart. They have serious contraindications and side effects, they can not be treated independently.