Symptoms of bradycardia

Sinus bradycardia

Relatively common pathology that occurs at any age, but more often - in emotionally labile people, often exposed to stressful situations. There are several forms of rhythm disturbance (syndrome of bradycardia-tachycardia, sinato-rhythm blockade, SSSU, sinus node stopping), each of which manifests itself by one or another symptom.

Sinusual bradycardia can occur in a chronic form, which is dangerous for the development of symptoms such as fainting, severe weakness, severe dizziness. If you experience shortness of breath and swelling on your legs, you should immediately contact a doctor because of the high risk of developing heart failure.

Video Bradycardia and treatment


Neurogenic Bradycardia

It is directly related to the pathology of the nervous system, therefore in the clinical picture prevailing signs of the underlying disease. In particular, the expression of cold and sticky sweat, abrupt change in blood pressure, difficulty breathing, cardiac pain, marked weakness and fatigue can be determined.

A neurogenic bradycardia can be complicated by loss of consciousness or severe anxiety, dizziness. Similar symptoms should not be ignored. It is better to immediately contact the cardiologist, who will provide the exact diagnosis and appoint the necessary treatment.

Video Violations of the heart rhythm

Ischemic bradycardia

It is manifested against a background of ischemic heart disease, which in turn complements the clinic for a slow heartbeat. In particular, the general symptoms of bradycardia (weakness, fatigability, sensation of cardiac arrest) are added to the pain in the cardiac region, anxiety and fear, shortness of breath. The severity of the symptoms depends on the size of the ischemic site, as well as destructive changes in the heart muscle.

Ischemic bradycardia can be manifested by half-imbecile and faint states. Such a phenomenon occurs especially at a sharp decrease in pulse, which causes acute oxygen starvation of the brain. If at the same time myocardial infarction develops, then a characteristic clinic, dangerous with a high risk of death, is manifested.

Video to Live! Heart failure

Extracardial bradycardia

Relates to diseases not related to cardiovascular pathology. Can develop on the background of disorders of the nervous system, hormonal disorders, changes in electrolyte composition of blood. Most often manifested by symptoms of the underlying disease - changes in the functioning of the autonomic nervous system, the thyroid gland. There may also be signs of traumatic brain damage or inflammatory processes affecting other organs (the stomach and duodenum).

Extracardiac bradycardia is characterized by the appearance of typical symptoms for a slowed rhythm. First of all, this is the feeling of “fading” the heart, increased fatigue, and possibly irritability if a person is exposed to frequent stress. In this case, it is necessary to periodically calculate the heart rate, which normally lies within the standard limits of the pulse, corresponding to the age.

Video Bradycardia and Pressure

Vagus bradycardia

It is considered to be a relatively safe disease, as it develops no organic damage to the heart. Despite this, the clinical picture can be quite vividly expressed. It all depends on the patient's emotional lability and stability. If the activity of the vaginal nerve is quite high, then the reduction of the heart rate to 40 beats / min may be sufficient to manifest in the patient's wakefulness.

Vagus bradycardia is weakly manifested in most cases. There may be a feeling of lack of air, weakness and fatigue. Similar attacks are often provoked by a tightly tied tie and a tightly tightened belt. Sometimes the clinic is supplemented with symptoms such as memory and sleep disturbances, underpressure.

Video heart disease bradycardia

Hyperkaliemia bradycardia

The severity of the clinical picture largely depends on the degree of excess potassium in the blood. If there is a slight increase in the concentration of cation, then general well-being worsens due to lowering the frequency of heart contractions, that is, bradycardia. Against the background of a moderate increase in potassium in the blood, weakness, fatigue appears, it becomes difficult to do the usual work.

Hyperkalaemia is manifested not only by bradycardia, but also by more dangerous conditions. In particular, a significant increase in potassium in the serum can lead to heart failure and death. Hypercalemia may be suspected by feeling nausea, vomiting, intestinal atony, pain in the heart and difficulty in breathing. In such conditions it is very important to render an ambulance to the patient.

Video Hyperkalemia. Symptoms, signs and methods of treatment

Pathological bradycardia

Violation of the rhythm can be expressed in various forms: sinus, paroxysmal, reflex, neurogenic bradycardia, weakness of the sinus node. Clinical picture depends on the severity of the pathology, the presence of concomitant diseases, age and other factors. Often, patients with a slow heartbeat experience weakness, fatigue, and reluctance to perform their usual work.

Pathological bradycardia can be expressed more critically. For example, if you have prolonged or frequent seizures, your waking states may develop. Their appearance threatens the life not only of the patient, but also of other people, because loss of consciousness can occur anywhere, including on the road. If you do not have time to go to the cardiologist for treatment, a tragedy may happen.

Video to Live! Weakness of the sinus node

Paroxysmal bradycardia

Relates to those diseases that are most common in childhood. The onset of the attack is expressed in the paleening of the skin, and silent cries may be issued. There is a decrease in the frequency of cardiac contractions, combined with lowered arterial pressure.

The course of paroxysmal bradycardia can reach the cardiac arrest and the development of seizures. Such processes are extremely difficult by the parents of sick children, therefore, it is often necessary to help not only the child, but his mother or dad.In some cases, the pathology is not clinically expressed, then the disease is difficult to diagnose, but it requires a lot of attention.

Video Violations of the heart rhythm

Blind bradycardia

The disease is characterized by a combination of symptoms of two different mechanisms of state development. With atrial fibrillation, an increased frequency of cardiac contractions is often noted, a feeling of "chopping" the heart, a lack of air. In the case of an acute onset, the patient may lose consciousness from the lack of oxygen in the brain.

A mild bradycardia may show a slow heartbeat. With this arrhythmia, weakness, heaviness in the area of the heart, drowsiness and pronounced fatigue are felt. With the progression of the pathological condition, flies or darkening may appear in front of the eyes. A severe flowing rhythm disorder can be complicated by fainting.

Video What to do at high pressure and low pulse?

Reflex bradycardia

This variant of the slowed heartbeat is manifested by a decrease in the heart rate, which is determined by the probing of pulse in the radiation or carotid artery. In addition, the patient may feel weakness, fatigue, and the inability to perform the usual work. Sometimes, a deterioration of well-being occurs during physical activity.

Reflex bradycardia is associated with various extracardiac diseases, so during the attack, signs characteristic of these pathologies can be noted. If this is a disorder of the nervous system then vegetative disorders (sweating, skin color changes, anxiety and anxiety) appear.

Video A doctor’s board in Utrea at 7. What is sinus bradycardia?

Sinusoidal bradycardia

Manifestations of the disease are often expressed in common to all bradycardia symptoms: weakness, increased fatigue, reduced function. Similar signs are more peculiar to moderate and poorly expressed pathology. In some cases, patients do not feel themselves at all as they are often associated with autonomic disorders that slow down heart rhythm.

Sometimes sinusoidal bradycardia appears to be severe. This may be due to the presence of concomitant organic pathology of the heart: IHD, cardiomyopathies, myocarditis, angina pectoris, heart defects. Then the symptoms listed above are accompanied by a semi-fatigued and faint state, shortness of breath, a rare heartbeat, or even a heart stop.

Video Symptoms and First Aid When Stopping a Heart

Ventricular bradycardia

Clinical picture depends on the degree of myocardial lesions, the presence of concomitant pathology, age and general condition of the patient. As a rule, disturbance of ventricular rhythm leads to undesirable manifestations expressed in the form of weakness, feeling of fading of heart, lack of air, discomfort in the cardiac region. In the presence of concomitant organic heart disease, abnormal conditions and cardiac insufficiency may develop.

In ventricular tachycardia, other symptoms may be determined in addition to the above symptoms. Frequently reduced working capacity, it is difficult to tolerate physical activity. There are vegetative disorders in the form of increased sweating, sticky sweat, sensations of heat in the body. If additional blood pressure has been raised, then there will be flies in front of the eyes and noises in the ears.

Video What is bradycardia and how is it treated?

Vertical bradycardia

The presented pathology is a variant of the location of the heart on the electric axis of coordinates, so when determining the organ 30-40 degrees from the middle speak of the vertical position of the heart. In this location, bradycardia may develop and it also manifests itself, as well as other forms of slowed-down rhythm.

The slight signs of vertical bradycardia are weakness, dizziness, and reduced capacity for work. A person may not feel change at all, or lose consciousness that threatens health and life as a whole. If in such cases it does not help in time, an attack may end with a fatal outcome.

Video What is the normal pulse rate, and what is the health hazard?

Medicinal Bradycardia

Pathology is associated with the acceptance of a number of drugs that can be used only in small doses, because in excess causes a slowing of the rhythm and even a heart stop (asystole). Basically, medication bradycardia occurs when the medication is misused, that is, during self-medication, therefore, agents such as cardiac glycosides, vitamin complexes, antibiotics, psychotropic components can be used in doses strictly selected by the physician.

In mild cases, medication bradycardia appears weakness, dizziness, low blood pressure. If the patient is in critical condition, then loss of consciousness and even termination of cardiac activity are observed. Therefore, in case of loss of consciousness, a person should be promptly instructed to help prevent death.

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