Symptoms – cardiac rhythm failure
Author Ольга Кияница
The heart rhythm is an integral part of the heart's activity, which has a direct connection with the pulse. The latter figure is oscillation of the vascular wall, similar to the shocks, which in turn are associated with the heart rate. Unlike pulse, cardiac rhythm is a more stable characteristic, which includes additional and very important indicators: frequency, rhythm and regularity of myocardial contractions.
In the normal state, an adult has a frequency of about 60-90 beats / min, with the pulse being rhythmic and regular. Otherwise, they say that the heart rhythm crashes.
The diagnosis of a type of cardiac rhythm failure is performed according to a specific scheme supported by all modern physicians and cardiologists in particular. In particular, after a physical examination, the patient is required to undergo an electrocardiogram. Further, ultrasound of the heart or Holter monitoring may be prescribed, all depends on the clinic of the disease and the conclusion of the ECG.
Arrhythmia or heart rhythm disturbance
In most cases, initial changes in the heart rate can not be felt at all by the patients. Such a course of the disease is defined as asymptomatic, but this does not mean that it is necessary to neglect the general recommendations of cardiologists.
Symptoms of cardiac rhythm failing are disturbing signals of the periodic discomfort in the heart area, which over time may be replaced by longer and more severe cardialgia or various pathological sensations. In particular, arrhythmias may result in a feeling of "trepidation of the heart", "jumping out of the heart from the chest", "fading of the heart", and the like.
A cardiac rhythm failure may develop in various diseases, therefore, in addition to abnormalities in the activity of the heart, the first calls may affect the following organs:
- the endocrine system, first of all - the thyroid gland (there are symptoms characteristic of hypo- or hyperthyroidism);
- nervous system, especially its vegetative department (pallor, sweating, irritability, anxiety, in extreme cases - panic attacks appear);<
- the digestive system, among which the stomach has a greater influence on the heart (often, when overeating, arrhythmia is felt).
It is important to remember that until the development of a stable clinic, a heart rhythm failure can take a lot of time, so that a person is often not immediately able to determine whether his heart is disturbing or another body needs help. Therefore, if there is any doubt, it is necessary to consult a doctor immediately. In particular, a cardiologist and an arrhythmologist is involved in heart rhythm failure, although the polyclinic has to go to the district therapist.
The main symptoms of cardiac rhythm failure
In the presence of a failure of the heart rhythm often talk about arrhythmias. This group of diseases includes various forms of rhythm disturbance, each of which has the characteristic features of the course of the clinic. >In addition, all arrhythmias have one similar and very important symptom - a failure of the heart rhythm, that is, the frequency, regularity and rhythm changes.
- Heart rate - if heart rate rises, it may increase, then talk about tachycardia, or decrease, indicating bradycardia.
- Rhythmicity basically changes to non-rhythmicity, when the normal alternation of pulse oscillations of vessels is replaced by extraordinary or arrhythmic ones.
- The regularity of the cardiac rhythm in pathological cases is replaced by pulse changes, which also indicates a failure of the heart.
In many cases, the symptoms that are characteristic of many forms of cardiac rhythm failure are determined:
- feeling unwell at first sight;
- discomfort in the area of the heart not only during fictitious transport, but also in rest;
- general weakness that in children can be expressed by a decrease in mobility;
- pains in the cardiac region, which in their nature of manifestation may differ (perceived as piercing, nodding, pushing), but tend to spread quite often along the left arm.
It is important to know that during the next failure of the heart rhythm, the patient ceases to do what he has been doing before. He seems to listen to the activities of the heart, while there is increased anxiety, suspiciousness and fear of death.
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Symptoms of cardiac rhythm failure in various forms of arrhythmia
There are symptoms of cardiac rhythm failure that occur with specific forms of arrhythmia. With their determination it is possible to diagnose with maximum accuracy.
Sinus tachycardia . Characterized by the appearance of a frequent heartbeat, when the pulse in adults is determined to be higher than 100 beats / min, but not more than 150 beats / minute. In children, the indicator varies by age: the smaller the child, the higher the heart rate in the burrow (in infants, for example, up to 170 beats / minute is normal). Manifestations of pathology are mainly related to physical activity, emotional excitement. If the patient will be at rest for a while, then the heart rhythm will be normalized. Therefore, in this form of arrhythmia, there is often no need for medical treatment.
Sinus bradycardia Its current is the opposite of the previous form of arrhythmia. With this pathology, heart rate falls below 60 beats / min. In children, this figure can be 70-90 beats / min and below, which depends on the child's age. When bradycardia, the heart feels most often, although this symptom also occurs during cardiac blockade, when the impulse can not normally spread through the heart.
Both forms of arrhythmia, sinus bradycardia and sinus tachycardia, can be physiological and pathological. The main symptom of the separation of these two varieties of arrhythmia is the presence of pathological manifestations in a calm condition. If the heart rhythm in a state of rest, on the contrary, comes to the normal, then it is a physiological variant of rhythm disturbance.
Paroxysmal tachycardia It is characterized by irregular, discontinuous and sudden cardiac rhythm failure, when without a visible cause the heart rate rises to 200 beats / min and above. At the same time, the patient noticeably worsens the general condition, in some cases it reaches to the fainting, which is an indication for immediate hospitalization.
Extrasystole Relatively often occurs and is determined even in clinically healthy people. Attack of extrasystoles is perceived by the patient as a push in the region of the heart and the more often extrasistoles are generated, the heavier the condition of a person. Failure of the cardiac rhythm in the form of extrasystoles may not depend on physical activity, therefore, it is often determined in a calm condition.
Inverted arrhythmia. Symptoms of this type of cardiac rhythm failure are often associated with an increase in the frequency of heart attacks, while the absence of rhythm and regularity of the heart. At flickering, heart rate can reach up to 400 beats / minute, so patients during an attack feel a heart flutter or indicate that the heart is about to pop out of the chest.
Fibrillation of the ventricles. The most complex and dangerous form of arrhythmia that requires immediate medical attention. Manifestations of sudden weakness, darkening in front of the eyes, prolonged heartburn, when heart rate is 400-500 beats / min. Patients also experience shortness of breath, severe dizziness, severe in cases of fainting.
Symptoms of cardiac rhythm failure play an important role in establishing an accurate diagnosis. Therefore, one should not be surprised when at the reception of the doctor it is necessary to answer many questions, often seeming at first glance at all not necessary. The correct diagnosis allows you to select the necessary treatment tactics, resulting in a patient significantly improving his well-being.
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