Archive for the ‘Cardiac arrhythmia’ Category
ventricular parasystole
Question: Husband 39 years. Never complained about his heart. He was taken to the hospital 2 months ago with arrhythmia (felt discomfort in his chest) to analyze 1) cardiogram: sinus rhythm, NBPNPG 2) echocardiography-norm, but there is mitral valve prolapse 1 tbsp. 3) Holter showed 2,344 single yellow. extras. , 978 paired yellow. extras. , 514 group, ventricular tachycardia always-returnable 2193, ischemic ST-T changes were found 4) thyroid gland normal. He felt himself very well. At discharge, arrhythmia was not (as-treated do not know). They appointed Tioktatsid 2 months, Meksidol month, 10 injections Milgamma and Egilok to 25 in the morning and evening. Nam told is not terrible, he had ventricular parasystole. After 2 months cancel egilok and a month later for re-Holter. Questions: 1) How to cancel egilok (how to reduce the number of drinking reduced dose, etc.) 2) If egilok to constantly-what side effects it can give over time, through 5-10-15 years? 3) In fact allapini so dangerous, how it is written? (he was discharged in the event of arrhythmia) 4) What is the probability of repeated failure, and that might provoke? 5) Can it be cured or live with it all my life 6) What is generally avoided, opasatsya with this arrhythmia? Thanks in advance for the answer. Irina
Answer: 1) cancel within 10 days, ie, approximately 1 / 2 tablets every 3 days. 2) No, if an adequate dose. 3) all antiarrhythmics other than beta-blockers (ie, type of drugs egiloka) are dangerous and have to weigh the pros and cons. 4-5-6) this will show additional research. Smoking and alcohol are contraindicated.
heart beats
Question: Question: I am 62 years old. I was plagued disruptions in the heart. Medical tests: single ventricular EC. An unstable progressive angina (in question). Hypertensive heart disease 3 stages. Hyperplasia of the thyroid gland 0-I stage. HH. Previously the disease had been vegetative-vascular dystonia, tachycardia. Sugars, hormones – in the norm. EC appeared in December 2005. First they were rare, quiet, now more noticeable, frequent, type trigemenii (recorded on the ECG monitor), day 2947 (217 per hour), at night they do not exist (as of 16. 01. 07g.). In 2006, treated Beto-blockers (Concor – 5 mg 2 times a day), ES is not stopped, changed to etatsizina (5 mg 3 times daily), ES disappeared, but it was unbearable excessive sweating. 16. 01. 07g. ECG done and showed signs of incomplete blockade of the anterior branch of the left bundle branch block. Then etatsizina canceled, designated: 1) Concor 10 mg day at nach 5 mg, 2) enalapril 2.5 mg 2 times a day, and 3) flavor motherwort 0,014 g 3-4 times a day (pills), 4) kardiomagnil 75 mg evening 1 time, 5) yodomarin 100 – 1 times in the morning, 6) diuretics in a day, 7) valokordin 3-4 times daily 15-20 drops. Under this scheme, being treated for two months, shortages remain in the same amount, there are mainly afternoon: after eating, walking, at the slightest exertion, with nervous tension, sitting and lying less than EC. I'm an emotional person, very worried for his health, because the EC give very unpleasant feelings (in constant fear, inner trembling, sweating remains). Dear Doctor, please, please, is the number of ES is considered normal for a healthy person? And as far as possible to live and be cured? Advance grateful. Dear doctor! Answer additional questions: average heart rate of day 70, the night 56minimalnaya HR day 53, the night 50AD -130/90, 120/80Pri admission Concor pressure almost always 130/90, 120/80. Rarely comes up, but I'm strictly looking at the rise of pressure. The blockade of the doctors said did not always go to the ECG. Hypertension 3 degrees (instead of 3 stages). During prolonged walking reach of EC per minute and up to 10 times, I feel clear and more scared to walk. To the kitchen and back (home) EC also appear. Many thanks in advance!
Answer: These beats are not dangerous, but because of their poor tolerability advisable to use antiarrhythmic drugs. Now it Concor, he has proven to be ineffective. Therefore, we need another, but in absentia is not appropriate to give advice. Perhaps one thing at the same time blocking arrhythmia and reduces the pressure instead of seven medications.
Compatibility drugs
Question: Moved ischemic stroke in 76 years. Appointed drugs: kardaron, kaventin, preduktal, Asparcam, ferrumlek. Currently jumping AD and upset stomach. Questions: – compatible if the medication – whether it was permissible prinisat kardaron compre with tincture of hawthorn – can I replace the reception kardarona taking hawthorn
Answer: KOrdaron, cavinton, Ferrum Lek and others among themselves and with infusion compatible. Change anything without discussing with your doctor is not correct.
Uzlovaya tachycardia
Question: Good denyu I am 21 years old. Autumn diagnosed: AV-nodal tachycardia type of slow-fast with a heart rate of 170-180 min. He was advised to radiofrequency ablation. Seizures do not bother regularly (a few per day to one per month). Pulse alone holds about 120 bpm. I would like to know what is the necessity of this operation and its consequences?
Answer: No negative effects are foreseen. Necessity is that you in the future will have to bear the pregnancy and give birth.
Cardiac arrhythmia
Question: Is rarely Supraventricular extrasystoles (3 years ago) moved to rhythm disruptions. Passed examination at the regional hospital. Nothing was found. Extract is. Doctors speculated that this result is postponed angina. I removed the tonsils. Rhythm disruptions continued. Last year rhythm disruptions do not occur, but the arrhythmia as a whole increases. Sometimes the cuts go on for several hours (4-5). Tablets (amiodarone egilok, Inderal, Corvalol) no effect on the arrhythmia did not have. The last time started helping amiodarone tablets. Since there were severe blows to the chest. They say that this is already ventricular disruption. Daily monitoring was not conducted with the survey. Cardiogram were normal. Our doctors say that you should accept. Drip about once a year kaliypolyarizuyuschuyu mixture injections meldronata. Every year it becomes worse. Interruptions hear every day now. Indeed nothing can be done?
Answer: 44 years. Go tredmil test, it would clarify the prognosis.
Tachycardia
Question: I have tachycardia. At rest, 90-100 beats per minute. When walking grows to 120 or more depending on the load. My diagnosis: osteochondrosis of the cervical spine, a chronic relapsing course. The instability of C2-C3, C3-C4, C4-C5, C5-C6 segments. The anomaly of the craniovertebral junction. Anomaly Kimerli. The syndrome of intracranial hypertension. The syndrome of vegetative dystonia. Kardialgiya. Sympathicotonia. Syncopal states. Mitral valve prolapse 1 degree, neznachichitelnaya mitral regurgitation. Now I have a problem: should I become ill in stuffy rooms, transport, frequent pulse, almost losing consciousness, a sense of fear, but the fresh air passes. It remains only a strong sense of tension and helplessness, because I can not help themselves, so it is no longer repeated. Pugh Concor to 2.5 mg / day for 6 years. Helps. But recently, I was intimidated by another cardiologist, and then a homeopath, that such a long receiving the drug could harm me, and all were surprised that no one I have not yet abolished. While the previous cardiologist told me that since my diagnosis I might have to take life Concor and that he was "clean" product and not hurt. New cardiologist appointed egilok 12.5 mg in the morning and evening and drink away enerion and Phenibut, but I did not help. Q: What threatens the long reception Concor? What side symptoms it causes? I have read that taking blockers leads to depression and a bad influence on bone. Thank in advance for your reply.
Answer: Please read carefully the instructions supplied with the drug. If for 6 years nothing happened, then nothing bad will happen. The problem with taking beta-blockers, long-acting arise when planning pregnancy. Usually recommend observed one doctor.
Antiarrhythmics
Question: Please, which antiarrhythmic drugs can be taken at a bradycardia. I paraks. atrial fibrillation, bradycardia, coronary artery disease, hypertension 3 risk. Of course I understand that all rigorously individually, but many doctors simply prescribe medications, and then in the instructions it appears that the counter at a bradycardia to take them. Sincerely, patient.
Answer: You can not raise the question of what can be – what you need. But the issue need to receive medication in this case is not clear, with paroxysmal form of atrial fibrillation is not always shown antiarrhythmics. The pulse rate is not reported. In addition, there are contraindications and there are limitations to the use of the drug. So really all strictly individually.
murmur
Question: Two years ago, my mom and storm hit tachyarrhythmias in intensive care. Then tachyarrhythmia was slightly less pronounced. Summer of 2006 for this reason experienced predinsultnoe state. She had lost it. Hypertension taking enalapril constantly. Dizziness bezsilie not leave her, when the slightest stress, anxiety or walking is getting worse-is stronger tachyarrhythmia. Recently, at a pressure of 170/80, I heard a noise in her heart while sitting beside beside her. When the pressure was able to reduce the noise proshol. What do I do, Mom 1939
Answer: If there is a constant (?) form of atrial fibrillation (atrial fibrillation), you need to make fully certain drugs that regulate the heart rate and prevent stroke. Please refer to the cardiologist himself.
CHD, aretmiya Serce, high blood pressure
Question: Dear doctor. My mother 69. High blood pressure 180/90, aretmiya heart, coronary artery disease. Appeared in rachu appointed preduktal, aspirin, kankor, diraton. after 10 days of Pius rhythm sertce slipped to 53 from 68. Kankor stopped to take a regular basis (it was naznaeno 1p per day. Now as has been previously asked to add numbness in the legs, and sometimes itching or colic. Tell me now, my mother takes preduktal aspirin (diraton, but not always, these pills can I take something calming example PIRACEZINE. Thank you
Answer: should show the same doctor again: not always the optimal selection of medicines can be done right the first time.
Hypertension 2 degrees Arrhythmia
Question: Dear, Doctor. I'm 45 years already for around 7 years I byvyut bouts of paroxysmal arrhythmias. Several times consulted, had conflicting advice, some say to treat others-nelechit. 7 years, 4 times had to call an ambulance (in these cases were accompanied by panic). In the remaining cases could pay off an attack or breathing exercises, or taking pills abzidana during arrhythmia there is some sort of a heaviness in his head. I noticed that the last time provatsiruet arrhythmia Bath. Although small nat. nagruzgahna air feeling quite well (before zanimalsya cord. weightlifting). Generally noticed that the attacks are becoming more frequent in sedentary lifestyles, mental stress, stress, in the use of alcohol. For some reason, after the attack, which some sensation in the left of the solar plexus in the ribs (okolo1 year I started chustvovat) as if spazmiruetsya under some sort of a rib muscle. Can attack provatsirovapt pancreas? I would like to show you a cardiogram commits assault and the results of Holter. Conveniently, it would be to send them to you by email. mail? I would like to know your opinion. One cardiologist uvdel on Holter allegedly zheludochkovyke even beats. . another said that it is nonsense. . Ochenby wanted to know your opinion if it is possible
Answer: send the documents do not need. Deterioration being clearly associated with a specific situations, know how to stop seizures. What do you want to know the opinion?
