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Дата публикации: 06.05.2018
Дата проверки статьи: 28.11.2019
Аритмия — нарушение ритмичности и частоты сокращений отделов сердца. В норме частота сердечных сокращений у человека варьируется в пределах 60-80 ударов в минуту. При появлении головокружения, одышки, боли в груди следует немедленно обратиться к врачу. Ранняя диагностика и лечении аритмии помогут избежать опасных осложнений.
Аритмия сопровождается такими симптомами:
Аритмия возникает на фоне следующих причин:
Медики выделяют 4 вида аритмии:
Синусовая аритмия сопровождается нарушением сердечного ритма и развивается при ишемической болезни сердца, сердечной недостаточности, инфаркте миокарда, бронхитах, миокардитах, сахарном диабете, вегетососудистой дистонии, злоупотреблении спиртными напитками и курении.
Пароксизмальная аритмия характеризуется внезапным началом и окончанием. Она возникает на фоне психоэмоциональных нарушений, воспалительных, дистрофических, некротических и склеротических изменений в сердечной мышце, нарушениях в работе нервной системы. Длительность пароксизма может составлять от нескольких секунд до нескольких дней. Приступ вызывает головокружение, шум в голове и дискомфорт в грудине. Иногда у пациента отмечается повышенная потливость, вздутие живота и тошнота.
Мерцательная аритмия сопровождается учащенным сердцебиением, покалыванием в грудной клетке, мышечной слабостью, одышкой, повышенным потоотделением, головокружением, и учащенным мочеиспусканием. Она может появляться при инфаркте миокарда, кардиосклерозе, хронической сердечной недостаточности и высоком артериальном давлении.
Чтобы поставить точный диагноз, врач опрашивает пациента, задает дополнительные вопросы, проводит физикальный осмотр и направляет на дополнительные исследования. Например, чаще всего назначает электрокардиографию. В сети клиник ЦМРТ быстро ставят диагноз, используя следующие методы диагностики:
При проявлении первых симптомов болезни запишитесь на приём к кардиологу. Он точно определит тип нарушения сердечного ритма, при необходимости направит на обследование, поставит диагноз и назначит лечение.
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При аритмии врач назначает препараты, устраняющие основное заболевание, которое вызвало сбой сердечного ритма. Если у пациента органическое поражение сердца и брадикардия, то ему следует в малых дозах принимать ангиопротекторы и ацетилсалициловую кислоту. Эти лекарства нормализуют кровоток, улучшают питание миокарда и снизить риск развития осложнений атеросклероза.
Если аритмия возникла как побочный эффект от медикаментов, то следует отказаться от их использования или снизить дозировку.
Для нормализации частоты сердечных сокращений врач назначает блокаторы натриевых каналов. Если у пациента тахикардия и повышенная возбудимость сердечной мышцы на фоне нарушений в работе центральной нервной системы, то ему следует принимать бета-адреноблокаторы.
Чтобы восполнить дефицит микроэлементов в миокарде, требуется применение электролитов. Если у пациента нехватка калия и магния в организме, ему показано лечение в стационаре и внутривенное введение препаратов. В дальнейшем электролиты назначают для перорального приема.
Если аритмия вызвана сбоем в работе центральной нервной системы, то больному назначают седативные препараты. В отягощенных случаях требуются транквилизаторы. Если у пациента гипоксия тканей, ему следует принимать препараты железа.
При нарушениях со стороны щитовидной железы больному показаны лекарства, содержащие йод и препараты гормонов щитовидной железы.
Для профилактики фибрилляции желудочков применяют блокаторы калиевых каналов. Благоприятно влияют на организм пациента физиопроцедуры, иглорефлексотерапия и регулярные занятия спортом.
Для лечения аритмии в сети клиник ЦМРТ используют ряд методов:
Наиболее частым осложнением аритмии считается образование тромбов. Отрыв тромба опасен негативными последствиями, вплоть до развития инсульта и летального исхода.
Если не лечить аритмию, то она грозит развитием выраженной брадикардии. Такое состояние вызывает потерю сознания вследствие нарушения мозгового кровообращения. В некоторых случаях оно может сопровождаться остановкой сердца и наступлением клинической смерти.
При отсутствии лечения длительно текущей аритмии у больного наблюдается сердечная недостаточность. Это приводит к нарушению работы сердца, появляются отеки ног, болевой синдром в груди и одышка.
Если у пациента мерцательная аритмия с митральным стенозом, то у него может произойти закупорка атриовентрикулярного отверстия. Такое состояние чревато остановкой сердца и смертью.
На фоне фибрилляции желудочков нередко возникает аритмогенный шок.
Для предотвращения аритмии врачи рекомендуют соблюдать такие правила:
Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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