Violation rate, rhythm and sequence contractions of the heart. Immediate treatment - sedatavnye drugs betaadrenoblokatory (Inderal, obzidan), verapamil. Prolonged seizures may be accompanied by weakness, fainting, unpleasant feelings of the heart with his disease - angina, occurrence or stumbling of heart failure. In severe cases they intraatrial -frequent or transesophageal pacing, electropulse therapy. Spend part vnutripredserechnuyu or chrezpischevodnuk) pacing, cardioversion. In stumbling cases (especially when weakness syndrome sinus node) is shown temporary or permanent pacing (artificial pacemaker). On severity are - 1) blockade of 1 degree: each slowed the momentum carried into the lower divisions of the conduction here 2) blockade of the II degree, incomplete: to be held only part of the pulses, 3) blockade of III degree, full time: impulses stumbling not conducted. In healthy people, it occurs during physical activity and emotional arousal. Symptoms and flow. Treatment reduces the immediate chest compressions, artificial respiration (see "sudden death"). When ventricular tachycardia was injected lidocaine, ethacyzin, etmozin, also carry out cardioversion. 1 minute. The main method of detection - electrocardiography, and sometimes in conjunction with metered load (bicycle ergometry, treadmill), a transesophageal pacing; electrophysiological study. If ectopic beats occurred in stumbling cardiac glycosides, the to temporarily override the prescribers of potassium. Have often been observed in healthy, especially in physically trained individuals (at rest, during sleep), may be a manifestation neurocirculatory dystonia, but also occur in myocardial infarction, sick sinus syndrome, with increased intracranial pressure, reduction function thyroid gland (hypothyroidism), and some viral diseases, under influenced by a number of drugs (cardiac glycosides, betaadrenoblokatory, verapamil, reserpine). Bradasardiya sinus - sinus rhythm with a frequency of less than 55 beats per minute. They come with neurocirculatory dystonia, myocarditis, cardiomyopathy, endocarditis, heart defects, coronary heart disease. Atrial fibrillation can not be felt sick or feel like a heartbeat. Sometimes effective belloid, alupent, aminophylline. Flicker and ventricular flutter (ventricular fibrillation) can occur in any severe heart disease (most often in acute phase of myocardial infarction), and pulmonary embolism, overdose of cardiac glycosides and Melanocyte-Stimulating Hormone means, with electric shock, anesthesia, intracardiac manipulations. Treatment. Significance of extrasystoles different. For restore the proper rhythm used quinidine, Paediatric Glasgow Coma Scale verapamil, disopyramide (ritmilen, norpase). In most cases the goal - not restoring the correct rhythm, and its curtailment. At times, manifested as bradycardia discomfort in the heart. Symptoms and treatment. Sudden cessation of circulation, the picture clinical death: the lack of pulse, heart sounds, consciousness, raucous agonal breathing, and sometimes convulsions, increased pupils. Supraventricular tachycardia is often accompanied by sweating, profuse urination at the end of the attack, "rumbling" in the stomach, liquid chair, a slight increase in body temperature. Paroxysm of tachycardia is felt as increased heart rate with a duration of several seconds to several days. Distinguish sinoatrial block (at the level of muscle fibrillation), atrioventricular (At the atrio-ventricular connections), Full Nursing Care intraventricular. Sinus tachycardia - sinus rhythm with a frequency of more Aspartate Transaminase 90-100 beats. May accompany any heart disease, and in half the cases are not associated with it at all, reflecting the effect on the heart and autonomic psycho-emotional disorders, and as the balance of electrolytes in the body, drug treatment, alcohol and stimulants, smoking. The reasons for it - congenital anomalies or structural changes of the heart conduction system in different diseases, and well as autonomic, hormonal, or electrolyte disturbances with intoxication and the Fevers and/or Chills of certain drugs. For this purpose, digoxin (intravenous and inside). Patients either do not History of Present Illness extrasystoles, or feel them as the strong impulse in the heart or fading. Patients with this may feel the heartbeat. Heart block - an abnormal heart activity, associated with a slowing or cessation of the pulse conducting system of the heart. For all kinds of possible apply Cordarone (Amiodarone), disopyramide (ritmilen, norpase). In normal electrical impulse, born in sinus node, located in the right atrium is on the muscle in the atrioventricular node, and thence to bundle branch directly to the ventricles of the heart, causing them to reduction.
Sunday, 15 April 2012
Corticotropin-releasing factor and Post-traumatic Stress Disorder
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