Treatment of progressive tachycardia
Author Ольга Кияница
Basically, this definition indicates that the rapid heartbeat does not decrease, but on the contrary, it becomes more pronounced and one that gives the patient discomfort.
Detection of progressive tachycardia is an unfavorable prognostic sign, as high frequency of heart attacks leads to the development of a number of threatening complications.
At the first signs of rhythm disturbance, electrocardiography is performed, which if necessary is performed repeatedly to determine the degree of progression of the pathological process. At an express clinic, the patient is assisted in the hospital, if the heartbeat is not heavily disturbed, then treatment at home may be performed.
Video Treating tachycardia at home
In some cases, a rapid heartbeat may be noticeably complicated if the rhythm disturbance occurs due to adverse conditions. The following can be attributed to such predisposing factors:
- frequent psychoemotional overvoltages;
- strong physical activity;
- the presence of harmful habits in the form of smoking and alcohol consumption;
- malnutrition, with an overabundance of cholesterol-containing foods;
- increased body weight.
In some cases, symptomatic tachycardia can be helped by vaginal tests, which begin immediately after the onset of an attack. For this, the strain is carried out after a deep breath, the root of the tongue is irritated, and the face is washed with cold water. Similar actions may be effective in poorly progressing sinus tachycardia or other forms of rhythm disturbance associated with changes in sinus node activity. In the extremely pronounced clinic used medication.
Medicinal treatment of progressive tachycardia
Before initiating antiarrhythmic therapy, the cause of the rhythm disturbance should be determined. This allows you to more precisely select the preparations taking into account the clinical course. In particular, it is necessary to treat the following concomitant diseases: anemia, hypertension, obesity, coronary heart disease, thyroid gland hyperfunction, heart defects.
In some cases, to find out the reason is time, and the patient needs to restore normal cardiac activity as quickly as possible. Then "universal" preparations, suitable for application at various forms of an arrhythmia, are used.
- Beta-adrenoblockers - have an effect on the conducting system of the heart, in particular, normalize the work of the sinus node.
- ATP, or adenosine, affects the interaction of constituent cardiomyocytes with specific receptors, resulting in less calcium ions penetrating into the heart muscle. This increases the concentration of magnesium and potassium ions in the tissues. Additionally, the need for cardiomyocytes in oxygen is reduced, which contributes to energy conservation.
- Amiodaron, he is a cordarone, a multidirectional drug in its action, which reduces the passage of ions through three channels: calcium, sodium and potassium. It is most often used in such progressive tachycardias as shimmering and ventricular.
With timely treatment, prognostic value is often favorable. If the medications do not help and the replacement of the constituents of therapy also does not bring results, then resort to other methods of treatment of progressive tachycardia.
Electropulse treatment of progressive tachycardia
It is conducted only in critical cases, when the increase in heart rate is extremely pronounced and the patient is at risk of atrial fibrillation or ventricles.
The ventricular tachycardia, which manifests itself by the confusion of consciousness and the stopping of breathing, is most often stopped by electrocardiogram. A similar tactic of treatment is the basis of intensive care, the ECS is combined with an indirect heart massage. All actions are carried out quickly, since after a heart stop there is no more than three minutes to return a person to life without consequences. At first, the discharge is fed in 200 J and, if necessary, raised to 360 J.
Conducting electropulse therapy in the first 30 seconds from the cessation of cardiac activity allows achieving the result in 95% of cases.
Surgical treatment of progressive tachycardia
The presented method of therapy is justified in the case of determining the patient's pathological focal points of excitation. Most often, this is the case with atrial fibrillation, the development of which is based on the activity of additional foci in the area of pulmonary veins. During radiofrequency ablation, these areas are destroyed, resulting in pathological impulses no longer generated. After such a less invasive intervention, more than 70% of patients report persistent remission.
Implantation of cardioverter defibrillator is another method of surgical treatment, which is mainly used in fibrillations and progressive ventricular tachycardia. During the operation, the patient is placed in the left sub-area of the device, from which the electrodes are brought to the heart chambers. When a rhythm disorder occurs, the heart stops under the influence of a weak discharge, after which it begins to decrease normally.
There are other types of operations performed in the presence of hormonal neoplasms. Their presence leads to progressive tachycardia, whereas the removal of the tumor helps to normalize the cardiac rhythm.