Missing heart beats, what is it?

Author Ольга Кияница


During the determination of the pulse, it is possible to notice its non-rhythmicity and omission, which are not as harmless as it may seem at first glance. It is extremely important to pay attention to rhythm disorder in time and visit a doctor, which will allow you to take appropriate precautions. Also, for the correct understanding of what constitutes a missed heart attack, you need to get information about the causes of their occurrence, the type of pathology and existing risk groups.

Missing heart attacks is nothing but an irregular heartbeat that can occur for various reasons. In the presence of other cardiovascular diseases, heart lobes are more pronounced than if they are functional or not at all for any apparent cause.

In a normal state, a person is determined to be about 60-90 beats / min. At heart attacks, normal heart rate and bradycardia, tachycardia can be observed.

If frequent failures of heart attacks are noted, then you should not delay visiting a doctor. After physical examination, the patient is referred to instrumental examination methods, and in the first place, electrocardiography is performed. If there are organic heart disease, then ultrasound of the heart, MRI, and X-ray examination are performed. In frequent arrhythmias, which are often observed omission of heart attacks, electrophysiological examination is most often prescribed.

Video Diagnosis by pulse!

Why there are missing heart beats

The occurrence of non-rhythmicity is primarily due to a violation of the contractile activity of the main rhythm drivers - the sinus node, the atrioventricular node. The same happens with various congenital and acquired pathologies, when, in addition to the rhythm, it changes to a greater or lesser side. Frequency of heart contractions.

In some cases, additional ectopic foci are formed, which begin to generate their own impulses, causing the heart rhythm to collapse. This can be facilitated by ischemic, infarct, dystrophic and other pathological conditions.


Missile heart attacks occur more often in the following diseases:

  • ischemic heart disease;
  • arterial hypertension;
  • angina pectoris;
  • cardiomyopathy;
  • heart disease;
  • myocarditis and other inflammatory processes.

The listed diseases are cardiac. But missed heart attacks often occur in extracardiac pathologies. Especially often - with various emotional overvoltages, stresses, long disturbances. Sometimes even normal physical activity can cause a disturbance in rhythmicity. Also, endocrine diseases, misuse of certain drugs, electrolyte disorder often leads to incorrect pulse determinations.

Forms of the manifestation of pathology

Missile heart attacks are mainly combined with three forms of arrhythmia - tachycardia, bradycardia and extrasystole, which, depending on the course of the pathology, may be more or less expressed.

Tachycardia has a more frequent reduction of the heart, from about 100 beats / min and above. There are different types of tachycardia with similar pathognomonic characteristics:

  • on the mechanism of occurrence - focal, return, automatic;
  • by localization - sinus, atrioventricular, atrial and ventricular;
  • along the current - acute, paroxysmal, recurrent and permanent.

Tachycardia has a number of characteristic symptoms that make it possible to understand what has to be done in the early stages of pathology development. First and foremost, it's a feeling of jumping from the heart to your heart. Also, the clinic often displays missing heart attacks, rapid tiredness, feeling of weakness, possibly dizziness. If a person performs physical work at that time, then he may not have enough air, and breathing becomes more frequent.

The important thing is that at physiological tachycardia signs of a frequent heartbeat in a calm state pass rather quickly.In pathological form they are observed for a long time, therefore it is extremely important not to miss a dangerous condition and to contact a doctor in a timely manner.

Bradycardia is not as frequent as tachycardia, however, it may also be manifested in heart failure. Other characteristic symptoms of the pathology are a pulse of 50 beats / min and below, indicating a reduction in the heartbeat. Pre-anxious and abnormal conditions, changes in the level of arterial pressure, and an increasing weakness, often independent of physical stress, can also be determined.

Basically bradycardia is diagnosed in elderly people, not so often - in young ones. Depending on these or other characteristics, the following groups of pathology are distinguished:

  • along the course - chronic and paroxysmal, or paroxysmal;
  • by type - atrioventricular blockade, syndrome of weakness of the sinus node.

Definition of bradycardia should alert the patient and his relatives, as this disease often leads to serious complications.

Extrasystoles and are quite well known to many people, because these disorders of the rhythm occur in both patients and healthy. The only thing that can be observed in the pathological course is a variety of unpleasant complications other than extrasystole. In some cases, extrasystole formation is associated with tachyarrhythmias, and then the course of the disease is considered less favorable.

The following forms of extrasystole are distinguished:

  • by density - single and even;
  • by localization - atrial, ventricular, sinus, atrioventricular;
  • at a frequency of one hour - rare (less than 10), average (from 10 to 30), frequent (more than 30).

Among the manifestations of extrasystoles, the main role is played by missing heart attacks. It is under the mask of interruptions in the work of the heart that extrasystoles are perceived by most patients. Other signs of weakness and dizziness are less characteristic of the present pathology.

Risk groups

Many variants of tachycardia, bradycardia and extrasystoles do not pose a particular danger to human life and health.The patient may even feel the pronounced and frequent interruptions and omissions of heart attacks, but in similar diagnostics, it is often defined as a disorder of the nervous system. At the same time, quite dangerous arrhythmias, threatening heart failure or other pathology, may weakly manifest.

The most dangerous for the patient arrhythmias are those forms that can be complicated by ventricular fibrillation / trembling or increase the risk of cardiac arrest. In particular, such pathologies include ventricular tachycardia, syndrome of weakness of the sinus node, complete atrioventricular blockades, etc. Generally, even in complicated cases, if in due time to pay attention to the disease and take appropriate measures, the predictive value of the pathology improves.

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