Intercostal arrhythmia

Author Ольга Кияница


In neurological diseases, a complication such as intercostal arrhythmia often occurs. Whether this state is dangerous, whether there are methods of its effective treatment, it is possible to learn from the presented article.

Arrhythmia is considered in clinical practice as an independent disease, and in the form of a complication. In intercostal neuralgia, violations of the heart rhythm occur in the event of a long course of the underlying disease, lack of therapy or ineffectiveness of the drugs used. Neuralgic pains cause severe discomfort to the patient, and his condition further deteriorates when additional attacks of heartbeat occur.

Intercostal neuralgia, or thoracalgias, is a painful condition caused by squeezing or excessive stimulation of intercostal nerves.



Passing along the ribs, the nerves in some cases become inflamed or damaged and begin to become seriously ill. In the pathological process involved nearby organs, and first of all - the heart. There may be violations of not only cardiac rhythm, but also cardialgia. Still, what is an intercostal arrhythmia and is this a dangerous disease? This issue is especially worry about the already overused neuralgia, since the disease may return about once or twice a year.

Intervertebral neuralgia - pain in the chest cavity

Description of intercostal arrhythmia

By itself, arrhythmia is a heart rhythm that is rejected from normal sinus. It is called by the definition of the main driver of the rhythm, the first-time pacemaker - the sinus node. It contains atypical cardiomyocytes. They are capable of creating the potential of action under the influence of calcium ion current. Another important feature of these cells is that they do not have the resting potential, so they continuously create fluctuations that cause myocardial contraction.

The appearance of arrhythmias is facilitated by electrical instability, that is, arrhythmogenicity of the myocardium. It is interconnected with excessive activity of the sympathetic department, which is part of the autonomic nervous system.Such a mechanism of development is characteristic of intercostal neuralgia, which involves various sections of the nervous system, including vegetative.

The concept of intercostal arrhythmias is taken from the use of patients and doctors, and the international classification of diseases does not include 10 revisions.

What is the risk of intercostal arrhythmia? For life and health, the pathology does not present a serious threat, but with prolonged course it can significantly deteriorate the condition of the patient, which also feels so bad because of constant intercostal pains.

Symptoms of intercostal arrhythmia

All types of disturbances of the heart rhythm are manifested by the characteristic signs:

  • interruptions are felt in the area of the heart;
  • heart rate changes in the direction of decrease or increase;
  • attacks of arrhythmias occur suddenly and often do not last long.

Clinical manifestations of intercostal arrhythmia and neuralgia can be leveled at each other, which makes it difficult to distinguish a violation of the heart's rhythm from a neuralgic attack. Particularly illnesses are similar when there is a neuralgia on the left, that is, in the same place where the heart is located.

What are the symptoms of neuralgia from arrhythmia?

  • a neuralgic attack is characterized by a prolonged flow and it often disturbs patients at night, whereas arrhythmias occur and pass through abruptly;
  • when feeling or bending, and also at turns, the severity of pain in neuralgia increases, while the violation of the rhythm from such actions practically does not change;
  • Neuralgic pain is relatively effective in pain relief, whereas arrhythmias often pass after the administration of nitroglycerin.


Causes of intercostal arrhythmia

The pathology developing on the basis of intercostal neuralgia is essentially a complication of this disease. Therefore, for intercostal arrhythmia, neuralgia is the root cause of development. The emergence of neurological attacks is often associated with a number of factors:

  • traumatic conditions;
  • inflammatory and infectious diseases of the spine or ribs;
  • severe experiences or nervous breakdowns;
  • diabetes mellitus;
  • poisoning with toxic substances;
  • a shortage of mineral and vitamin components;
  • osteochondrosis;
  • tumor processes affecting the spine in the thoracic department.

In clinical practice it is noted that the occurrence of neuralgia helps to find a person in a draft or in a cold room for a long time. Also, elemental physical overvoltage can cause intercostal neuralgia, and then - arrhythmias. Therefore, always be careful when changing the climate, weather or the usual walk on the coast of the sea.

Types of intercostal arrhythmia

For intercostal neuralgia, characteristic arrhythmias are not characteristic. The patient may have sinus tachycardia or paroxysmal attacks. Also, with previously asymptomatic flow of extrasystole there are tangible clinical manifestations.Organic heart defects against intercostal neuralgia may be expressed by more dangerous conditions - angina, myocardial infarction, hypertensive crisis, which, in principle, have an indirect relationship to arrhythmias.

Sinus tachycardia

Perceived by the patient as a frequent rhythmic heartbeat. If it is possible to test the pulse, then heart rate ranges from 90 to 150 beats per minute, respectively, in age. The appearance of sinus tachycardia in intercostal neuralgia is due to a violation of cardiac automatism - prolonged neuralgic pain contributes to irritation of the sympathetic system, which in turn activates cardiac activity.

Pathology does not pose a danger to human health. In some cases, it occurs independently, but with frequent attacks of sinus tachycardia, you must contact the cardiologist.

Paroxysmal tachycardia

It manifests itself in the form of suddenly developing seizures of arrhythmia. There may be minor pain in the heart that is not as intense as intercostal pain. The heart rate is also increased, as with sinus tachycardia. The only heart rhythm is wrong, which can be noticed after interruptions in the work of the heart.

The occurrence of paroxysmal tachycardia does not endanger the health of the patient. Attacks are mostly on their own, but with their frequent occurrence should not be delayed with a visit to a doctor.


It is observed in the majority of the population, but with intercostal neuralgia can bring a significant inconvenience to the patient. Characterized by paroxysmal cardiac activity, which in some cases increases, while in others it is slowing down.

There are several types of extrasystoles: single, pair, monomorphic and polymorphic, early, middle and later. All these varieties are determined by the electrocardiogram, which is prescribed by the doctor, if the patient has addressed complaints that are characteristic of the disease.

Diagnosis of intercostal arrhythmia

Violation of the rhythm is determined by the use of an electrocardiogram - the main method for the study of heart disease. Signs of sinus and paroxysmal tachycardia, extrasystoles are clearly visible on the ECG. In the latter two cases, it may be difficult, since at the doctor's appointment is not always an arrhythmia attack. To determine them, a daily ECG is administered, which is performed with the help of a special device that is in the patient with a patient for a day or several days.

To confirm the diagnosis of arrhythmia that arose in the context of intercostal neuralgia, additional methods of investigation are prescribed:

  • electroneurography, especially shown with suspicion of nerve damage;
  • MRI or CT of the spine, which are prescribed for the differentiation of tumor and hernial processes;
  • X-ray examination of the chest organs;
  • laboratory tests, including a general blood test, detection of antibodies to viruses, etc.

Treatment of intercostal arrhythmia

When arrhythmia is prescribed antiarrhythmic drugs, but it is important to treat not only rhythm disturbances, but also intercostal neuralgia. With this disease is shown:

  • compliance with bed rest;
  • sufficient use of the liquid in the form of morsels, compotes, the first dishes;
  • taking sedative medications (herbal or pharmacological);
  • refuse to drink alcohol, exercise and emotional overvoltage.

In intercostal neuralgia, it is often recommended to use mustard or pepper patches, but in the presence of arrhythmias, this should not be done, so as not to provoke a new attack of rhythm disturbance.

The implementation of elementary rules will help to get rid of intercostal neuralgia more quickly, and with it - from violation of the cardiac rhythm.

Prevention of intercostal arrhythmia

Violation of the rhythm can be warned if you are to prevent the exacerbations of intercostal neuralgia. For this purpose, there are the following recommendations:

  • strengthen the muscles of the back and chest;
  • Avoid overcooling and drafts;
  • lead a healthy lifestyle;
  • take vitamin supplements.

Arrhythmia Video Disorders of the heart rhythm

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