The types of cardiac arrhythmias and their treatment

• tachycardia or bradycardia (slow or rapid, but the right rhythm) associated with the failure, neurogenic or endocrine regulation (it is possible for nervous tension, trauma, intoxication during an infectious disease), disorders in the heart (inflammatory process, the beginning of decompensation in the initial stage during fasting, tumors);
• nodular form of rhythm from the AV node or migration of the main driver from the sinus node Asia-Tawara associated with the transfer function a stronger neural connection, a rare form of arrhythmia is more common in children;
• heart rate can have the opposite direction (from ventricles to Atria) is called an idioventricular if the pacemaker arises in the ventricular myocardium;
• arrythmia or extraordinary reduction is formed by the formation of additional foci of excitation, they have their own localization, ahead of the normal reduction, manifested in the form of single or group associated with the transition of the heart the ectopic rhythm (from other centers), the emergence of such lesions is associated with cases, inflammation or dystrophy, the children are registered with infections, children the teenage period due to the hormonal changes;
• paroxysmal tachycardia is the result of increased excitability of the autonomic nervous system and myocardium, different paroxysmal for acute rhythm disturbance;
• atrial fibrillation has been figuratively called "the heart delirium, madness, is a violation of connections between Atria and ventricles, arbitrary cuts due to low content of potassium in myocardial cells, and hyperexcitability of a particular center. Is shown on the background of Bradi - or tachycardia, possible seizures, dependence drug overdose treatment drugs of the digitalis group;
• blockade at different levels of the conducting system are functional or organic, when the nerve flow is literally "cut" a hotbed of necrosis, area of myocardial infarction, scarring in the infarction, inflammatory process in the attack of rheumatism in children. Such conduction disorders vary in degrees, the fullness of the interrupt pulse.

A special heart rate variability manifests itself in the acute stage of heart disease: there is a combination of different disorders. To restore the correct reduction, the treatment of the underlying disease given electrolytes, enzyme composition of the blood, the duration and severity of symptoms.

What is the symptoms of arrhythmias

Symptoms of arrhythmia may not be felt by the person and identified only with checkups. Most often patients complain of suchstatus:

• the feeling of disruption of rhythm, the "jolts" or "bumps" in the rib cage;
• for blockades characteristic "sinking" or feeling of "stopping" of the heart;
• dizziness, darkening of the eyes;
• shortness of breath at rest;
• General weakness in children may notice a decrease in normal physical activity;
• pain in the heart area have a different character (stabbing, pressing or squeezing as angina), radiating to the left arm, shoulder blade.

Changing the patient's behavior: it suddenly stops "listening" to the heart, becomes excessively suspicious, concerned by the fear of death.

Examination

Maximum information about the arrhythmia, the doctor obtains from electrocardiographic diagnostic method (ECG).

Transcript of ECG allows to determine:

• kind of rhythm disturbance;
• ectopic foci, if the rhythm becomes extrasystoles, their localization;
• the direction of propagation of waves of excitation;
• the rate of change of conductivity;
• the type of blockade;
• to establish a connection with myocardial pathology (to identify the signs of heart attack, hypertrophy of cardiac chambers).

Modern technical possibilities allow for Holter monitoring during the day without changing the mode of the patient, followed by analysis of ECG changes. Monitoring the results of treatment helps to identify the side effects of drugs, to prove the effectiveness.