Treatment of paroxysmal bradycardia

Author Ольга Кияница


Violation of the rhythm may take the form of two different types of mechanism of pathology formation. A vivid example of this is paroxysmal bradycardia, which is characterized by a rather uneasy clinic. Treatment of such a disease is mandatory, as it is important to prevent the development of health and life-threatening conditions.

Paroxysmal bradycardia is manifested by the alternation of symptoms of slowed-down rhythm and paroxysmal tachycardia. A similar case occurs in the presence of cardiac muscle damage in the form of cardiosclerosis, ischemia or infarction.

A normal pulse is considered when, for one minute, the radiation artery has 60 to 90 beats (in an adult). In a childhood, a more frequent heartbeat is determined.

Electrocardiography is used to diagnose rhythm disturbance, which, if necessary, is supplemented by Holter monitoring, ultrasound examination of the heart. During the examination of the patient it is important to establish the cause of the disease, since only after this can be effective treatment. In some cases even home-based therapy is appropriate, using traditional medicine recipes.

Video Treatment of bradycardia at home with folk remedies

General recommendations

In the event of a paroxysmal tachycardia, first of all, determine the pulse rate or slowdown. To do this, you need to adhere to certain actions:

  • Arrange sitting or lying in a comfortable position.
  • The hand on which the pulse will be measured is free.
  • Four fingers (except for large ones) are located on the radial artery, in some cases it can be limited to the index and the middle one.
  • Pushing the vessel, there is a ripple, which in the normal state should be defined as soft and rhythmic.

If pulsation does not cause fears, then the heart rate is counted in 30 seconds and multiplied by two. With arrhythmic pulse, you need to count at least one minute.

In some cases, the pulse on the artery is not determined, then this pulse detection procedure is performed similarly to the temples, legs or carotid artery.

When frequent attacks of rhythm disturbance should follow certain rules:

  1. To wear a sheet with medical appointments, because in a difficult moment it is difficult to remember which drugs are prescribed.
  2. When planning a trip, do not forget about the latest electrocardiograms that may be needed in an extreme case.
  3. It is not necessary to delay with the call of the doctor in those cases where the previously determined symptoms intensified, other unpleasant manifestations appeared, severe weakness, dizziness, and pre-anxious or abnormal state.

Medicinal treatment of paroxysmal bradycardia

The attacks of the slowed heart beat are stopped with medication if the rhythm disturbance lasts more than two hours.To do this, use the appropriate treatment tactics:

  • Eliminating the cause of rhythm disturbance.
  • A patient's offer of Zelensky drops, an extract or tincture of belladonna, plathyfillin or blaspone can also be used (blood pressure should be monitored when administering the drugs, so that hypotension does not cause even greater reduction in hypotension).
  • The introduction of atropine sulfate, which quite rapidly raises the heart rate.
  • The use of alupenta and ephedrine in the absence of a result from the above-described treatment methods.
  • Conducting of pacemakers with a decrease in heart rate of up to 40 beats / min and below, especially this is relevant in the concomitant development of myocardial infarction.

Detection of low blood pressure in combination with bradycardia can dramatically worsen the condition of the patient. To eliminate this symptom it is recommended to put the person horizontally and raise his legs by 45 degrees.

In the development of paroxysmal bradycardia against the background of the use of antiarrhythmic drugs (bisoprolol, metoprolol, propranolol), their use should be discontinued, and glucagon is administered intravenously to improve the patient's health.

Operative treatment of paroxysmal bradycardia

Short-term elimination of signs of bradycardia can be achieved with the help of medicines, but today no such preparations have been developed that can be used in the long-term treatment of the slowed heartbeat. Therefore, with pronounced symptoms of paroxysmal bradycardia (frequent fainting, strongly lowered heart rate, a threat of sudden cardiac arrest), they resort to surgical intervention.

Implantation of the pacemaker is the most frequent small surgery today, with the aim of radically solving the issue of bradycardia.

It is enough local anesthetic to install the device. Through a small incision made under the clavicle, access to a large vessel is used to introduce electrodes into the cavity of the heart. Next, the same cut is used to create a small recess in which the pacemaker is inserted. In normal cases, the operation takes no more than 1 hour.

After checking the device, the patient should be periodically displayed to the attending doctor. As a rule, patients spend two visits a year. If a physiological pacemaker has been implanted, then at a physical load or other changes in the patient's condition, it is automatically adjusted to change the heart rate. Older models are not able to react so sensitive and keep the heart rate within the established limits.

Use of pacemaker in everyday life

An introduction to the functioning of the implanted device allows for a more rational and prolonged use of the pacemaker. In particular, a number of recommendations should be followed:

  • The operation of the device is violated by the influence of magnetic and electrical radiation, therefore, such influence should be avoided.
  • Most household appliances and office equipment do not pose a risk to the pacemaker, but there may be devices that should be avoided. Such options should be clarified by the attending physician.
  • During the treatment, the dentist, the physician and any other specialist should notify the doctor that there is a built-in pacemaker.
  • Patients with implanted ECS suggest wearing a special bracelet, which helps to notify people about the current state of the person. A similar "pointer" should not be shy to wear, and you should always have an identification card assigned to the instrument.
  • It is necessary to undergo the examinations prescribed by the doctor in a timely manner, which will help to maintain the functionality of the device at the proper level.

Paroxysmal bradycardia may not provide an inconvenience to the patient, but in some cases, it is required not only medical treatment but also surgical treatment. Thus, if the correct approach to the treatment of the disease can improve the quality of life of the patient.

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