Cardiovascular Diseases / / May 11, 2016
Palpitations - the sensation that the heart was pounding or beating too hard.It can be felt in the chest, throat or neck.The patient in this case is:
- have an unpleasant awareness of your own heart;
- feel like the heart skips a beat.
heart rhythm may be normal or abnormal, when the patient has a strong heartbeat..
See also: Arrhythmia
Norma heartbeats - 60-100 per minute.People who regularly take the drug, and thus slow down the functioning of the heart, heart rate may fall below 55 per minute.
If a person's pulse (heart rate) is too fast (over 100 beats per minute), this is called "tachycardia".Slow heart rate (heart rate) is called 'bradycardia'.Random extra heartbeat is known as extrasystole (delayed depolarization and contraction of the heart or the individual heart chambers more often detectable kind of arrhythmia. Extrasystoles can be found in 60-70% of people. In general, they are neurogenic in nature, and their appearance is usually caused by factors such as:. stress, smoking,
heartbeat, usually depends on the presence or absence of sensation of abnormal heart rhythm (arrhythmia).The following conditions will likely cause an abnormal heart rhythm of the patient:
- known heart disease at the beginning of the heart;
- significant risk factors for heart disease;
- disruption of the heart valve;
- electrolyte abnormality in the blood - such as low levels of potassium.
Palpitation more often than not is a serious disease.It may be due to the following:
- anxiety, stress, panic attacks, or fear;
- caffeine or nicotine;
- cocaine or other illegal drugs;
- diet pills;
- sporting activities;
- high body temperature.
However, sometimes heart palpitations due to an abnormal heart rhythm can be caused by:
- heart disease;
- abnormal heart valves - such as for example:. Mitral valve prolapse (MVP or prolapse of the left valve prolapse butterfly valve, Barlow syndrome Butterfly Valve - This valve between the left atrium and left ventricle of the heart is presented with two connective plates, which at the time.systole of the left ventricle to prevent regurgitation - regurgitation - the left atrium butterfly valve consists of a front and rear flaps, however large number of flaps can be up to 6. mitral valve prolapse -.. is a disease that is accompanied by a breach of the valve function located between the ventricles andleft atrium. When the atrium is reduced, the valve opens and blood is sent to the ventricle. Thereafter, the valve closes and the ventricle is reduced, and the blood is ejected into the aorta. in certain connective tissue diseases or changes in the heart muscle may occur a violation of the structure of the mitral valve. duringcontraction of the left ventricle that leads to "deflection" it flaps in the cavity of the left atrium.Part of the blood flows back into the atrium.The magnitude of the backflow can judge the severity of a disease.Most often, this deviation occurs in the young, but the disease does not depend on the gender of the person and of the age groups.In the case of a small regurgitation clinically it is not there and does not require treatment.In rare cases, the return of blood flow rate is very high, and you may need to defect correction, including - surgery);
- abnormal levels of potassium in the blood;
- certain medications, including those used for the treatment of asthma, high blood pressure or heart health problems;
- increased activity of the thyroid gland;
- low oxygen levels in the blood.
Diagnosis and treatment of heart palpitations
- reduce caffeine and nicotine, do not smoke - this will reduce the heart rate;
- learn how you can reduce stress and anxiety.This may help prevent heart and will help to better manage them when they occur;
- try breathing exercises or deep relaxation (step by step, straining the body and then relaxing each muscle group in the body);
- regularly engaged in physical culture and sports.
After a serious reason, excluded physician, try not to pay attention to heart palpitations.This may cause stress.Nevertheless, the patient should see a doctor if he noticed a sudden change in the rhythm of your heart (increase or decrease the number of strokes).
If the patient has never had heart palpitations before, he should definitely see a doctor immediately.
following symptoms require immediate attention:
- loss of consciousness;
- chest pain;
- shortness of breath;
- unusually large sweating;
patient should contact your doctor if:
- it feels a frequent extra heartbeats (more than 6 per minute or more);
- he has risk factors for cardiovascular disease - takit as: high cholesterol, diabetes or high blood pressure;
- he has new or increased heart rate;
- his pulse over 100 beats per minute (without exercise, anxiety or a high body temperature).
doctor or nurse will examine the patient and ask him the following questions about his medical history and symptoms:
- whether heartbeat skipped and whether or not to stop strikes;
- whether the patient his pulse and heartbeat feels like slow or fast;
- whether the patient's feeling of unusual regular or irregular heartbeats;
- whether the patient saw the start and end time of a sudden heart;
- when rapid heartbeat usually occurs: in response to reminders of the traumatic event, and when the patient is resting, changing body position or when the patient is experiencing strong emotions;
- whether the patient's other symptoms.
should be made an electrocardiogram.In the emergency room the patient must be connected to a heart monitor.
If the doctor finds the patient's abnormal heart rhythm that can be made and other diagnostic tests.These may include:
- Holter monitoring (recording normal electrocardiogram of the patient during the day, when he is habitual physical activity in contrast to this diagnostic method, with normal ECG patient is at rest - without any physical exertion often heart disease..become noticeable only during physical activity - for example, during exercise, during, or after stressful situations during a meal and sometimes -. even sleep Therefore, Holter monitoring of heart activity during the day is much better can detect deviations in his work) for 24hours, or other cardiac monitoring for two weeks or longer;
- echocardiography (ultrasound diagnostic method in which the investigated morphological and functional changes in the heart and valve apparatus This method is based on the capture of the reflected ultrasound signal structures of the heart.)
-. Electrophysiological examination (a procedure which is aimed at getting to the inner surface of the biological potential recording of the heart, as well as the study of the electrophysiological properties of the conduction system, the myocardium of the atria and ventricles It uses special electrodes, catheters and special equipment are identified substrates arrhythmias, their localization and.electrophysiological characteristics);
- coronary angiography (a very accurate and reliable method for the diagnosis of coronary heart disease - a radiopaque method of research, which allows to determine the place, the degree and nature of the narrowing of the coronary artery is the "gold standard" in the diagnosis of coronary artery disease, which allows to solve the question of the choice in the future and the amount of such.medical procedures, such as balloon angioplasty, coronary bypass surgery and stenting).