Arrhythmia: early signs of a dangerous disease that is worth knowing

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about prevention, treatment and early symptoms. – cardiac rhythm disorders are a dangerous heart disease that can lead to serious health disorders and even become a threat to life. How to recognize the disease in the early stages, what to take measures for its prevention, as well as the treatment of arrhythmia is told by Eduard Ivanytsky, Doctor of Medical Sciences.Arrhythmias, that is, heart rhythm disorders, are several: bradyarrhythmia is associated with liquid pulse, and tachyarrhythmias are associated with increased heart rate. Arrhythmias differ in which sections of the heart they come out: from the atria, from the ventricle, and in the clinical course. There are arrhythmias that patients do not feel, but it does not mean that they are not dangerous, it is like a meal of slow action: the patient does not feel it, and then gets a complication that dies or remains a deep disabled person.

The most common atrial fibrillation, its old name is atrial fibrillation. It accounts for about a third of all heart rhythm disorders. Atrial fibrillation can also occur in a different way: attacks can be greatly disturbed by the patient, it is difficult to proceed, so that he can almost cannot endure them, and can pass unnoticed. And by accident, by taking off the ECG and listening to the heart beating unevenly, they can “catch it”. But if arrhythmia proceeds unnoticed, the patient can get a stroke, and what is stroke, thank God, now knows not doctors.No one on the planet knows why atrial fibrillation happens, we know only some of its mechanisms. A few years ago, the textbooks categorically wrote that they are mainly the elderly. But when we began to actively operate the patients – who we have only not, including – children. In fact, it is a very common disturbance of the heart rhythm, but we cannot completely cure it, we can affect the course of the disease with medicines and surgery – to achieve prolonged remission so that there are no attacks. We have patients who have a recurrence one and a half to two years after surgery. They come again: operate, I lived without attacks for two years, and I want to live too.

– how can arrhythmia manifest?

These are attacks of accelerated-more than one hundred beats per minute or irregular heartbeat. Basically, people feel arrhythmia, but there are absolutely non -impromal patients, and here they have a risk of fatal complications. A bad situation where suddenly the first symptom of such a patient will be a disorder of cerebral circulation – stroke. How do these patients treat?

Cardiologists are engaged in treatment. By today's recommendations, they always start with medical treatment. Quite often, arrhythmia is combined with impaired thyroid function or other pathology is found. Then, according to the results of the examination of the cardiologist and depending on his findings, a certain tactic is selected. If the patient has a severe valve heart defect and atrial fibrillation, there is no conversation here – it is surgery, and a large operation of valve prosthetics with artificial circulation. If the coronary vessels are found, either stenting or open surgery, and, of course, if there is atrial fibrillation – these conditions are treated at the same time. Arrhythmia is treated either medication or – if surgery is also required here, a combined or consistent surgery is performed: first about other cardiac pathology, then – at the atrial fibrillation, or vice versa. In any case, the doctor offers the type of treatment, and the decision is always made by the patient.Operations for isolated atrial fibrillation are also different. There is a catheter procedure: through puncture of vessels, the doctor penetrates into the heart cavity, then – into the left atrium, it is the so -called puncture of the atrial partition. procedure. The patient at this time breathes himself, anesthetics, is in a drug sedation, but is in contact with the doctor. In general, the history of catheter ablation of atrial fibrillation began in 1998, and now it is the operated violation of the heart rhythm.

but the surgical treatment of atrial fibrillation from open surgery has begun, and now it is also practiced when it is necessary to do a combined operation – on the valves of the heart. Catheter ablation is low-traumatic surgery, patients go home on the second or third day. However, we limit physical activity for two weeks, and patients take certain drugs, there are clear recommendations for postoperative treatment.