Pravosudovich Sergey Alexandrovich Head of the department of electrophysiological

Zdorovye - - ПЕРВАЯ СТРАНИЦА -

What is a heart rhythm disorder?

Arrhythmia is a general concept of violation of all kinds of heart. This is a group of heart diseases characterized by impaired pulse formation or conduction in the heart, or a combination of these two mechanisms. With arrhythmia there is a violation of the sequence, rhythm and frequency of excitation and contraction of the heart.

What causes heart rhythm disturbances?

The causes can be divided into two large groups: congenital or inherited disorders and acquired with the help of human living conditions.

What is the disease statistics at the present time?

Now we can say, the most significant diseases are paroxysmal disturbances, a number of ventricles of heart failure. There are two predictions for life, this reduction in the probability of sudden death and a prognosis for the quality of life is an improvement in the situation of life, working capacity.

Most arrhythmias are not life-threatening, but life-threatening too. The growth of diseases, increased by 80%. Worldwide there is a tendency, in civilized countries the growth of fibrillation does not decrease. And on the contrary increases. Arrhythmia occurs more often at an early age (congenital), this is when before birth, in utero, we detect cardiac rhythm disturbances. Up to 1% of newborns have heart problems. As for the adult status (acquired), here the prevalence and significance of arrhythmia increases the growth of violations of a paroxysmal nature in the able-bodied population. Allocated patients 20-25 over the past two years, according to statistics in Ukraine.

What diagnostic methods are the most common?

If cardiac rhythm is suspected, electrocardiography is mandatory. It allows you to detect changes that are specific to a particular type of arrhythmia. Also, 24-hour ECG monitoring can be performed, which helps to detect irregular heart rhythm disturbances. Echocardiography is performed to identify cardiac causes of arrhythmia. In addition, stress tests (ECG removal during and after exercise) can be performed. In case of uninformative Echocardiography or for detecting diseases of other organs that could cause arrhythmia, an MRI is performed. To identify non-cardinal causes of arrhythmia, an overall urinalysis, a general and biochemical blood test are also performed, and the level of thyroid hormones is

necessarily determined.

What kinds of complications and prevention can be identified?

Complications of heart rhythm disturbances can be as follows:

• heart failure;

Sudden heart death;

• myocardial infarction;

• thromboembolism;

• acute disturbance of cerebral circulation.

It is necessary to observe the regime of work and rest, adequate sleep, balanced and rational nutrition, the exclusion of canned, fried and spicy food, the rejection of bad habits, as well as the timely treatment of heart disease and other organs. How are treatment options used for arrhythmia?

General recommendations include compliance with the diet (limiting fatty foods, eating enough fresh fruit and vegetables), avoiding stressful situations, a full rest. Positive effect can also have acupuncture, physiotherapy, psychotherapy. Conservative treatment for arrhythmia includes the use of antiarrhythmic drugs. If the drug therapy is ineffective or when a malignant (life-threatening) course of arrhythmia is performed, surgical treatment is performed (for example, an electrocardiostimulator or a portable cardioverter).

What will you advise our readers?

By - more often seek help from specialists, do not burden the body, follow a diet and exercise a little exercise. Also, eat plenty of fruits and vegetables, not fatty foods. Avoid stressful situations. What lead to heart rhythm disturbances. Pravosudovich Sergey Alexandrovich

Head of the department of electrophysiological diagnostics and anesthesia for invasive methods of research. Dnepropetrovsk Regional Clinical Center of

Cardiology and Cardiosurgery

Dnipro, Dnepropetrovsk region 49070 Ukraine

Tel. (0562) 41-24-15

Newspapers in Russian

Newspapers from Ukraine

© PressReader. All rights reserved.