Blockade of the right bundle of the bundle, treatment, symptoms, prognosis

The heart is undoubtedly the main organ of the human body.Violations in his work, which is quite natural, have an impact on our overall condition.Therefore, to monitor his work should be with particular attention, the slightest violations should be the reason for contacting the therapist or cardiologist.

There are many diseases of the myocardium, some of them are very common and known to every person, others we sometimes have very vague knowledge.Diseases such as, for example, blockage of the bundle of the bundle are detected, only during instrumental examinations, however, can disturb the patient with repeated fainting, dizziness and heart rhythm disturbances.

If to characterize this ailment in brief, it consists in violations of intracardiac conductivity of excitation pulses along branches of the bundle.

This disorder can be detected with an electrocardiographic examination, and the treatment will be directed at eliminating the causes that cause disturbance of the conduction of impulses.

Contents:

1. Block bundle cell blockage, how does
arise
2. Specification of beam block structure
3. Causes of origin and formation of bundle bundle blocking
4. Blockade of right bundle bundle Treatment and diagnosis of disease
5. Block block

Blockade of the bundle branches, how

occurs To keep the conversation easier, let's recall how the heart muscle itself works.To ensure blood circulation in our body, alternate atrial contractions as well as ventricles are performed.These actions occur under the influence of electric shocks, which are formed by the structures intended for this purpose.

Produces pulses of the sinus node, after the signal is transmitted to the atrium, which causes it to contract, then it goes to the atrioventricular node.The latter is the "gateway" between the atrium and the ventricle itself.In the AV node, the blood is decelerated by 0.1 seconds, which is enough to allow it to pass into the ventricle.

After a push is made around the center of the bundle of the Guiss, from it to the legs of the bundle, then it goes to the ventricle.Cutting, the pulse drives the blood into the heart already into the combined channel.

Now we turn to the very blockade of the bundle of the bundle - the internal failure of the electrical conductivity of the cardiac muscle, which includes a delayed or complete absence of electrical shocks generated by the neuron bundle.This dislocation of impulse in cardiology is assigned a separate niche, because this is an individual disease.

Also, during the examination, it may be that this is a symptom of another heart pathology.As a result of the collection of these studies, it was found that this disease occurs in 0.5-0.6% of the population, but more often in the male;The population of the retirement age( from 60 years) the frequency increases by another 0.5-1%.

The bundle is a reorganization of the accumulated muscle fibers, which is an important part of the concept of the heart muscle.He himself shares in the interventricular septum on - right-sided and left-sided legs.The left part also diverges into branches - anterior and posterior, they are connected on two sides to the interventricular wall.

The fibers of Purkinje serve as the smallest branches of the internal system of the ventricle of the heart.They are combined with the contractile muscles of all the ventricles and permeate the heart.

If we consider the whole system of interactions, namely, that because of the cardiac contractions, impulses that pass from the sinus node are transmitted, then through the atrium, passing to the atrioventricular nodule, after - to the bundle of the Hyis and the final result - to reach Purkinje fibers.

Specification of the beam blockade structure

Given the biological structure of the bundle, the blockades are classified for the number of beams:

1. Single-beam - one of the branches of this beam is blocked.Variants of lesion of the legs, which are classified as single-bundle: blockage of the right;Or left-hand stalk, as well as blocking the left front or back legs of the bundle.
2. Two-beam - synchronous locking of 2 branches: right side of branch and front left leg, left-sided blockade of back and front branches, blockage of posterior left branch and right side of stem.
3. Three-beam - preproduce a one-time defeat of 3 branches of the beam.

The blocks of branches of the bundle of the Guiss as violations of the impulse are: full or incomplete.
With incomplete blockade, a jolt of shocks occurs along a single stem of the Guiss, and the work of the second, or its branches, occurs unchanged.In this situation, the ventricular myocardium is excited by undamaged branches, but this is done with some delay.

During a malfunction, namely, when the act of committing an impulse on the legs of the bundle of His is slowing down, an incomplete cardiac blockade of the first rank occurs.With cardiac blockade of the second rank - not all, and some of the impulses reach the ventricles.

Cardiac blockade of the third rank( full) occurs in the absence of pushes from the atria of the cardiac ventricle, they begin to contract mechanically.

Blockades are periodic or irreversible.Also, in some cases, the formation of blockages can occur during a change in the beat of the heartbeat.All these manifestations and specific deviations of each kind of blockade are visible on the electrocardiogram, which your doctor will explain to you.

Causes of the origin and formation of the bundle of the bundle of the bundle.

. The main causes of the above-mentioned disease are: weakness and defects of the heart valves, hypertension and a preliminary myocardial infarction.Also, the reasons for the formation of a complete blockade include special inherited or acquired ailments and diseases.

As for the inherited diseases, they can be attributed to:

• The defect of the interventricular wall.
• Damage to the interatrial wall.
• Dysplasia of right-sided bundle leg.
• Heart injuries that create congestion in the right ventricle.
• Acquired diseases include:
• Prolonged respiratory diseases: bronchial asthma.
• Damage by the blunt object of the thoracic vertebrae.
• Progressive muscle myopathy.
• Neoplasms of the heart muscle.
• Ischemic heart disease, in which there is a clear lack of oxygen and the correct blood supply to the heart muscle.Abundance of potassium in the body.
• .
• Pathologies in the myocardium.
• Poisoning, or an overdose of certain medicines( diuretics, cardiac glycosides and antiarrhythmics, medications).

The toxic effect of alcoholic beverages and tobacco products also affects the formation of the bundle bundle.

Consider the causes and factors that specifically affect the right-hand and left-sided legs of the bundle:

1. The blockade of the right-hand stalk is formed due to the excessive and congested identical ventricle: IHD, hypertension, etc.
2. Blockade of the left-sided pedicle occurs due to such diseases as: myocarditis, cardiomyopathy, aortic valve defect.
3. The factor forming the blockade of several beams is almost all aortic diseases.

Blockade of the right leg of the bundle Hisa treatment and diagnosis of the disease

When diagnosing the disease, the therapist first analyzes complaints, patient activity, hereditary diseases, surgical interventions, destructive habits, and examinations.

The standardized method of electrocardiography, as well as its variations, is the main way to detect blockage of the legs of the beam.

Electro-recording method in which an electrode

is placed in the patient's esophagus

In transoesophageal electrocardiography, a special electrode is injected into the nasal passage by the physician and transferred to the esophagus by means of a swallowing reflex.Due to the close location of the esophagus and heart, this method makes it possible to more accurately detect the activity of the atria and ventricles.When receiving the data, different forms of conductivity disorder, the types of block blocks and legs of the bundles of the Gis are determined.

auxiliary means for further examination of the heart, which eliminates the surgery - rhythmocardiography

study captures and displays graphic patterns of periodic frequencies cardiocycles.The rhythmogram represents an opportunity to make a prognosis about the development or about the progressing complications of ischemic heart block, myocardial infarction;Examine the type and nature of heart rhythm disturbances;Analyzing the effectiveness of taking medications.

Electrocardiographic Holter fixation

A device is used that continuously records the results of monitoring for 1-3 days.The patient's body is attached with sticky electrodes with a portable recorder, in which the heart's reaction to everyday activities is fixed.At the end of the period from the 24-hour monitoring device, the ECG reads the information and diagnoses cardiac dysfunction.

also to determine the additional features need to pass the following methods for detecting disorders of the heart muscle:

• magnetic resonance imaging,
• echocardiography,
• positron emission tomography,
• multislice computed cardiography.

To determine the exact conclusion about the blockage of the beam and its legs, consult a cardiologist, or cardiac surgeon.

Peculiar therapy for the detection of blockade of the legs - no, because first and foremost you need to treat the underlying disease, which became the root cause of the formation of blockades.

Analyzing the true origin and kind of blockade, we can analyze the following conclusions: partial blockade did not have any symptoms of the disorder has already formed, the detection of abnormalities may be seen only on an electrocardiogram, or when listening to the myocardium.

Considering this deviation as a disease in which there are no clinical symptoms, doctors conduct continuous monitoring of its further development.

If you take into account the presence of signs and certain symptoms - this indicates the formation of a complete blockade, it is also worth emphasizing the fact that even when listening to a patient, one can observe changes.Complete blockade

accompanied by the following symptoms:

• dizziness,
• unreasonable loss of consciousness,
• exhaustion,
• impotence,
• fast exhaustion of energy,
• oxygen shortage,
• rezi heart,
• pulse fails.

incomplete blockade right bundle branch block - treatment is not carried out specific methods, because the main task when it detects a symptom is to determine the correct diagnosis, which is why there was this glitch.

Complete blockade of the right leg of the bundle of His - treatment is carried out, coincides with the therapy of the main disease.

There are also two types of therapy for treatment and avoiding blockade of the legs, the first thing to consider is the drug treatment method.

Your doctor may prescribe to enter into the diet of vitamins, or a means to enhance immunity, they include:

• vitamin B1, B2,
• nicotinic acid;
• carnitine;
• , when detecting chronic blockade, apply - theopek.

The second method of treatment is surgical therapy, which is used in cases where medications did not give a positive result of treatment.In this method, an electrocardiostimulator is used, which is set to set the heart the right rhythm.

The danger of blockades is that they can warp an electrocardiogram, and do not reveal the characteristic outlines of myocardial infarction in it, reading it becomes overwhelming.

As for the prevention of blockage of the legs, several tips should be followed:

• Follow the established mode of day and night - sleep for 8 hours, alternating work and rest.
• Avoidance of negative situations that lead to stressful conditions.
• Correct, balanced nutrition.
• Exclusion of bad habits.
• Do not ignore the first signs of poor health and timely access to a doctor.
• Adoption of medication dosed by a specialist.

Blockade of the bundle legs - forecast

Summing up all of the above, it can be concluded that the blockade of the legs is not interpreted by a particular disease, it is more of a number of important and dominant symptoms of ongoing diseases in the patient's body.

Predicting such a disease in patients who do not have external symptoms, manifestations of blockade of the leg - positive.With the actual presence of the basic inferiority of the heart, the prognosis is justified by a certain major disease.

Therefore, blockade of the leg of the bundle increases the risk of a sudden death in a certain sector of patients, as well as the possibility of progression of complications.The development of heart defects and the formation of AV blockades increases the risk of a critical outcome.

More on the blockade of the right leg of the bundle Hisa - on the video: