Symptoms of tachycardia
Acute flowing condition, which is accompanied by an increase in the heart rate to 200 beats / min and more. The general state of health in such patients is satisfactory, but there may be faintings or half-immortal states. With progressing tachycardia, symptoms appear as they grow. As a rule, only vegetative disorders (dizziness, weakness, anxiety) can occur initially, and then shortness of breath, shortness of breath, pulsation of the carotid arteries can occur.
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Violation of the rhythm can be manifested in two forms - chronic and acute. In each variant there are more or less characteristic symptoms :. With acute pathology, patients with dizziness and weakness experience a background with a rapid heartbeat. The general condition may worsen with fainting. In chronic spiroetectic tachycardia, sometimes there are no symptoms and patients feel satisfactorily. But most commonly there are signs of tachycardia common: neck throat, temples, increased pulse on the artery, increased heart rate.
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There are a number of symptoms that are characteristic of other forms of tachycardia. In particular, it is a question of a rapid heartbeat, when the patient may feel discomfort in the area of the heart. In some cases, severe breathing, increased sweating, and dizziness appear, indicating vegetative disorders. The mechanism of formation of flickering tachycardia is such that the heart rate can reach 600-700 beats / min. At the same time, the pulse becomes irregular and poorly defined. In some cases, the symptoms of rhythm disturbances do not manifest, but this is less favorable, since then the first sign of the pathological condition can be its complication - vascular thromboembolism.
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About such pathological rhythm disturbances are said in those cases when on the background of a stable state the heart rate is sharply rising. Also, a person can fall into extreme conditions that provoked the development of tachycardia. It manifests itself in a standard way - an intensified palpitation, expressed by the pulsation of large vessels, an increase in the pulse, which can be determined in the region of the artery.
In extreme tachycardia, other symptoms may occur – shortness of breath, heart pain, weakness, dizziness. Similar signs are more characteristic of organic pathology of the heart, therefore their occurrence worsens the prognostic significance of the disease.
Arrhythmia or heart rhythm disturbance
Physiological sinus tachycardia
It develops from almost every person who conducts healthy physical activity. During its development, there is a regular heart rhythm, with rapid heartbeats. At the same time, the general state of health remains normal. It is important that other symptoms that are characteristic of the organic pathology of the heart do not disturb. In physiological sinus tachycardia, as a rule, there is a rapid breathing. It is especially important to note that its occurrence follows an exercise or emotional experience.
In a calm condition, the frequency of heart cramps and respiration is quite fast in norm.
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The presented violation of the rhythm is a transient condition, so its symptoms in a calm state, as a rule, pass. First of all, patients report a heartbeat, the frequency of which can reach 170-200 beats / min. In addition, weakness, agitation, irritability, dizziness are observed. Patients suffering from other cardiovascular diseases may experience shortness of breath, discomfort in the region of the heart.
In transient tachycardia, there are often no specific symptoms. Patients may not even feel an attack, especially often, this is observed in trained people. Occurring tachycardia is detected only during the preventive examination or passage of the medical board. If the attacks do not cause any anxiety in the patient, then the prognosis is more or less favorable.
On the background of extrasystole, a rapid heartbeat develops, which begins after a tangible push in the region of the heart. Some patients notice a subsequent fading of the heart, which causes a feeling of fear and anxiety. If there are organic lesions of the heart muscle, then there is pain that can be of varying intensity. Extrasystolic tachycardia has varying degrees of severity. This is mainly due to the kind of extrasystole.
If group extraordinary cuts are determined, then the health outlook is less favorable.
The development of this pathology has a direct relationship with the atrioventricular node, so the heart rate during an attack can reach 250 beats / min. The heartbeat, as a rule, is combined with vegetative disorders (weakness, anxiety, increased sweating). There may also be an intense throbbing in the area of the temples and neck.
For nodal tachycardia, the appearance of sudden attacks, during which a rhythmic fast pulse is observed, is characteristic.Depending on the general condition of the patient, paroxysm can last for a different period of time – a few seconds or a couple of hours. Repetition of the heart palpitations happens with different periodicity, some patients – once a year, others – every month or every day.
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Left ventricular tachycardia
In rare cases, it is asymptomatic. Most patients feel during an attack heartbeat, pulsation of large vessels, heart rate can rise to 170 beats / min. Other characteristic features of paroxysms: duration from 30 seconds or more, occurrence in daytime, provoking factor is often a physical activity. With left ventricular tachycardia, anomalies may be observed.
Often this is associated with organic heart disease, when the left ventricle ceases to function normally. If there are no such manifestations, then the prognostic value for this pathology is more or less favorable.
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The pathology is associated with an implanted pacemaker. Despite the specific cause of the occurrence, there are no distinctive symptoms of this pathology. Tachycardia is manifested by a frequent heartbeat, which is often accompanied by weakness, a decrease in the overall vital tone. Paroxysm is difficult to stop with vagal tests, and ineffective treatment with sedative drugs or nitroglycerin may also be ineffective.
When paysmakernaya tachycardia is often determined by the same name syndrome. It includes psycho-emotional disorders, autonomic disorders (increased sweating, weakness, anxiety, fear). Hemodynamic disorders may also be observed, especially in those patients who had previously suffered from cardiovascular disease. Attacks in the heart beat are often provoked by physical stress and stress.
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Its manifestations are very similar to sinus tachycardia. During an attack that lasts relatively short, unpleasant discomfort in the heart region may be felt. Additionally, disorders of the autonomic nervous system, which manifest themselves in the form of anxiety, irritability, weakness, and paleening of the skin, often occur. In sinouricular tachycardia, the attack begins and ends suddenly, which distinguishes pathology from sinus tachycardia.
Also, when presenting a violation of the rhythm, paroxysm is determined by an atrial extrasystole. The heart rate can range from 120 to 200 beats / min, while the elderly has a lower heart rate than younger people.
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Difficult manifestation of rhythm disturbance, attacks which can be observed every day for 2-3 hours. Typical symptoms of tachycardia are arises: heart palpitations, throat or whiskers. Also, with the probing of the radiation artery, you may feel an intensified, sometimes irritable, pulse. If earlier the patient determined a form of tachycardia and eventually began to actively manifest, then most of all it is a recurrent tachycardia.
In recurrent tachycardia, symptoms may not be observed and patients feel well even during an attack. However, at the reception, the doctor can listen to changes in heart tones and increase the frequency of heart rate. In addition, instrumental diagnostic methods are used to help determine the exact type of pathology.
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The appearance of tachycardia in intercostal neuralgia indicates a complication of the underlying disease. Symptoms typical of tachycardia arise: palpitations, a feeling of ripple in the temples or at the neck. Some patients complain about cold limbs, increased sweating, irritability and pallor of the skin. These are signs of autonomic disorders, they are more often manifested in emotionally labile people.
In intercostal tachycardia, the symptoms of the main disease – intercostal neuralgia are extremely pronounced. In particular, an intense pain in the course of intercostal nerves, which may be nose, spitting, sharp, in the form of swellings, manifests itself.When left-sided lesion of the nerves of the clinic of intercostal neuralgia is very similar to cardialgia, combined with a rapid heartbeat.
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Generally, it develops after 50 years, with the first symptoms often appearing in physical stress or emotional experiences. The heartbeat is expressed in the sensations of "squeezing heart from the chest", pressure in the heart region. Some patients do not notice subjective discomfort, but this is very rare, since the pathology is associated with organic heart disease.
With ischemic tachycardia, heart pain is often determined, which the patient can characterize as a burning, compressing, compressing, irradial to the left hand. Pain sensations can be of varying intensity. But the increase in their severity often points to the progression of the underlying disease – ischemic heart disease.
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In the course of development of the presented pathology, the same symptoms are observed, as in sinus or paroxysmal tachycardia. The only difference is that there is no organic damage to the heart, so there are no symptoms characteristic of them - shortness of breath, "rhythm of the gallop", severe pain in the heart. Since in the development of functional tachycardia the main role is played by the autonomic nervous system, the signs of its disorder often come to the fore.
With functional tachycardia, the patient may experience weakness, tinnitus, darkening of the eyes, coldness of the extremities, paleness of the skin. The higher the activity of the sympathetic department of the nervous system, the more pronounced the above signs of the disorder. In some cases, the disease is asymptomatic.
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An attack of tachycardia can begin with the appearance of such sensations as fear, increased irritability, excitement. Patients feel a heartbeat in the form of "jumping out of the heart from the chest", "interruptions in the work of the heart". Additionally, there are signs of vegetative disorders in the form of weakness, pale skin, dizziness, and a sense of lack of air.
In rhythmic tachycardia, symptoms that are characteristic only of this pathology do not appear. Therefore, at the medical examination it is possible to determine a rapid heartbeat, pulsations in the region of the radiation artery or heart. Subsequently, additional diagnostic methods are carried out, which allow to establish a more accurate diagnosis.
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Pathology is often determined in childhood and adolescence, and less characteristic is the development of a supposed rhythm disturbance in adults. As children often do not complain about a rapid heartbeat, the disease often remains unnoticed. Still, when observing a sick child, one can mention his isolation, emotional lability, problems with peers, frequent depressive states.
In non-paroxysmal tachycardia, the heart rate is up to 130 beats / min, up to three years this figure is slightly higher – in the region of 200 beats / min. In addition, complaints of dizziness, weakness, and unpleasant sensations in the epigastric region may be presented. Patients with a similar rhythm disturbance are often found in the neurologist with various neurological disorders. In addition, heredity for cardiovascular diseases is noted.
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The development of pathology can be observed at any age. In some cases, the symptoms of antidromic tachycardia are detected even in newborns. Violation of the rhythm is often combined with the WPW syndrome, which is essentially a complication. As a rule, it does not pose a danger to human health, although it sometimes causes fibrillation of the ventricles or atrial fibrillation. The same happens with organic heart disease (myocardial infarction, IBS, cardiomyopathy, heart disease).
General manifestations of antidromous tachycardia largely depend on the duration of paroxysms, emotional sensitivity of the patient, the presence of cardiovascular diseases. First of all, patients experience a rapid heartbeat, there may be a throat on the neck or a feeling of “climbing the heart from the chest”. In children, problems with the heart manifest with anxiety, increased irritability, poor sleep, in severe cases, shortness of breath appears. Infants may suckle their chest badly, and when the hand is applied to the area of the heart, a frequent heartbeat is felt.
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A rather complex symptom complex, which is first manifested by a heartbeat at the age of 9 years, although there is a pathology occurring in the region of 40 years. Men suffer more from illness than women. Organic heart lesions are usually absent. The dependence of the onset of an attack on physical or emotional overvoltage is noted. In particular, the provoking factor often floats.
In polymorphic tachycardia, seizures may develop, which does not allow diagnosis to be established correctly. Also, syncope states that increase the risk of sudden death can often be seen. Some patients have a hereditary predisposition, so the probability of getting sick with the present form of tachycardia is much higher than those with a sudden death in the family of up to 40 years of age.
Video Polymorphic Extrasystole
The appearance of a rapid heartbeat on the background of a hormonal disorder is known to many women. Such a violation of the rhythm is also not uncommon in adolescence and during climax. In addition to tachycardia, the presented pathology manifests itself as a vegetative disorder: weakness, feeling of warmth, increased sweating, feeling chills, trembling throughout the body. Predstavlyaemыe STATUS neprodolzhytelnы s, As usually pass quickly.
When hormonal tachycardia serdtsebyenye Can Virtually no oschuschatsya, Liboje contrary, vыrazhennost symptom dovolno Peak time, togda chuvstvuetsya pulsatsyya vessels to shee, plummet. In cases of clinical pathology slozhnыh dopolnyaet plohoe Global state of health, as a result cheho Can snyzhatsya The quality of life of the patient.
Videos serdechnыe Cases: tachycardia at a young age
Neprostoe Disease, harakteryzuyuscheesya similar symptomatykoy As at vehetatyvnыh abuse and orthostatic tachycardia. In patients without vydymыh reasons poyavlyaetsya uchaschennoe serdtsebyenye, soprovozhdaemoe vehetatyvnыmy disorders. In particular, arises dizziness, potlyvost peak times. Often bolnoj stanovytsya razdrazhytelnыm, podavlennыm at this tyazhelыh in cases Can be observed swoon.
The development of idiopathic tachycardia chashche observed at a young age and vstrechaetsja Among women bolshe, chem Among males. Vaud TIME Pristoupa state of health of patients zametno uhudshaetsya, an intimation Characteristic – not as painfully turns otvlechsya state. Not all Preparations cropped paroxysm, techenye Therefore Disease How Often rastsenyvaetsya neblahopryyatnoe.
Dovolno rasprostranennaya pathology, kotoraja in cases rarely bring Significant discomfort patients. Predstavlyaemoho appearance violations rhythm svjazano s SHIFT POSITION PE IZ in the horizontal vertykalnoe. If a man or sharply podnymaetsya sadytsya, in him Could poyavlyatsya dizziness, mist before the eyes, loss of equilibrium, oschuschenye mild toshnotы. In cases after slozhnыh Changed Situation nastupaet obmorochnoe state.
When orthostatic tachycardia observed uchaschennoe serdtsebyenye. This symptom vыrazhatsya Can Increase in heart rate, appearance pulsatsyy luchevoy artery in the field and on shee. Signs of weak vыrazhennoy pathology dovolno pass quickly in cases nekotorыh Requires Treatment of symptomatic, Avto oblehchyt STATUS patient.
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При этой патологии нередко проявляются вегетативные нарушения, с которых чаще всего определяется головокружение, пульсация в области висков и шеи. Если во время приступа прощупать пульс, то он будет ритмичным, правильным, учащенным. Также важная особенность представляемого нарушения ритма - внезапное появление и завершение приступа. Развитие ортодромной тахикардии сопровождается повышением частоты сердечных сокращений до 200 ударов в минуту.
Появление патологии нередко сочетается с синдромом Вольфа-Паркинсона-Уайта. В таких случаях перечень вышеперечисленных симптомов дополняется ощущением нехватки воздуха и обморочными состояниями.
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Pathology own way klynycheskoy kartynoy napomynaet supraventrykulyarnuyu tachycardia. In pervuju Queue is determined uchaschennoe serdtsebyenye, kotoroe Often accompanied by manifestations second, feeling of anxiety, pulsatsyy to plummet, weakness and apathy. Because of povыshennoho Can be observed in heart rate and dizziness odыshka. In cases slozhnыh razvyvaetsya obmorochnoe state. In retsyproknoy tachycardia frequency serdechnыh sokraschenyy nevыsoko podnymaetsya, chashche Total is determined to areas 140-250 beats / min.
Эmotsyonalnost vlyyaet on vospryymchyvost patient, IN TIME Therefore Pristoupa Can be observed razdrazhytelnost, anxiety, neuravnoveshennost. If pathology sochetaetsya s second Diseases of the cardiovascular system, togda Clinic in dopolnyaetsya harakternыmy signs for them.
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In supraventrykulyarnoy tachycardia frequency serdechnыh sokraschenyy Can sostavlyat 200 beats / min and more. Эtoy during ventricular rhythm rarely uniform violations yzmenyayut their contractility, hemodynamic Therefore yzmenyaetsya not in hudshuyu side. Often the disease is determined in childish age, patients with this mamы Malysh otmechayut s anxiety, vyalost, peryodycheskoe emergence of dry cough and cold secret.
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Uchaschennыm serdtsebyenyem manifested, when he bolnoj Can chuvstvovat usylennuyu pulsatsyyu in the same vessel or measuring pulse is determined at Peak heart rate in more than 100 Adults in udarov minute. Patients chashche Total zhaluyutsya on odыshku, zatrudnennoe dyhanie noise in the ears, pomutnenye before the eyes, dizziness and weakness vыrazhennuyu. In cases nekotorыh tachycardia protekaet bessimptomno, yet not come a hypertensive crisis, the pressure of Kotor and High podnymaetsya sharply.
In arteryalnoy tachycardia frequency serdechnыh Can ripened sokraschenyy 200 beats / min. Clinical Vыrazhennost dependent as age, underlayment, availability of second cardiovascular diseases. Symptoms of more than proyavlyayutsya Bright pozhylыh people, kotorыh chashche nablyudayutsya Changes in cardiac muscle.