Ventricular extrasystole
Question: Female 19 years old. Since 2005, worried about the pain in my heart (when you inhale the sharp pain, which took place almost immediately) diagnosis on ECG: sinus tachycardia, heart rate 118 beats per minute, a shortening of the interval PR. If I was treated, then something riboksin. In 2006, complaints of pain in the heart palpitations. Diagnosis: sinus tachycardia with a heart rate of 122 beats per minute, single ventricular extrasystoles. Again, almost no treatment because the disease is rarely disturbed. 2008, compressive pain in the heart, numbness in the left hand, she could not lie on your left side, my heart almost immediately began to ache (compressive pain). Did a ECG diagnosis: sinus tachycardia heart rate of 120 beats per minute, BPNPG, frequent ventricular extrasystoles, single reduction with aberrant ventricular conduction. Holter: yellow. ekstrosistol 6344, by type bigenimiya – 1955, max. number – 724 from 3:00 to 4:00. By type trigenimiya 534, max count – 233 from 11:00 to 12:00. Steam M / E -1. Supraventricular extrasystoles 17, including nizhnepredserdnye. Steam H / E – 1. Complaints of heart attacks, even at rest. Saw metoprolol (5 months) to 0,125 + mildronat. Extrasystoles were isolated. Dose is reduced to 0.0625 (1mes.) beats passed. The drug is indicated. After 3 weeks after the cancellation, compressive pain in my heart throughout the day. After weeks 5 done done Holter: extrasystoles nadzheludochkovyh – 6, ventricular – 9721, one of which doubles, a short jog atrial tachycardia, conduction disorders were observed. Thyroid hormones are normal, an echo of the heart – mitral valve prolapse. We have no complaints except for periodic compressing no pain, heart attacks, too. Average daytime heart rate -93 beats per minute, at night – 70 strikes. Is it necessary for treatment, what? And what could be the cause extrasystoles? Please consult. Thank in advance!
Answer: It is necessary to consult a neurologist just in case, some of the manifestations are similar to osteochondrosis. The above picture fits into the framework of the so-called syndrome of mitral valve prolapse. Pathology is functional, ie, people do not die from it, but suffer greatly. Treated quite true, metoprolol, in such cases is shown. Since now displays virtually no no, I recommend motherwort tincture and sports such as cycling or swimming. Tablets do not have to drink now and then in the head of the girl made to believe that "I am seriously ill, no one can help me." Observed condition – feature of the autonomic nervous system, which is not out just so. If there is a pronounced psychological component (anxiety, panic attacks), the only thing that can help – a call to the therapist, who may appoint receiving psychotropic drugs.
