Heart blockade: treatment

Often during an ECG examination, if there are patient complaints of well-being, the conclusion is "cardiac blockade".However, special violations in the work of the heart may not be observed. At the same time, a separate blockade can cause irregularity of contractions and palpable slowing of heart rhythms, or individual impulses begin to fall out.

Electric impulses, formed and carried out in all parts of the muscles by the cardiac system, act on the heart contraction. If the condition is normal, the impulse goes to the sinus node located in the right atrium area, at its upper part. Further it passes to the atrium, causing a contraction: from the area of ​​the atria to the ventricles, passing through the node of the atrioventricular, then from the ventricles through the branched conductive system the pulse is fed to the remaining areas.

The changes that are associated with the passage of an electrical impulse along one part of the system, and are called cardiac blockade.

instagram viewer

Treatment of blockades of

Blockades of the heart of various types are usually treated medically, but sometimes ventricular electrostimulation is used - permanent or temporary.

Drug therapy

Atropine at a dose of half an mg every 5 minutes, or every 3 or 4 hours, until a total of 2 mg is obtained.

Isadrin up to 5 mg put under the tongue 3-6 times a day, or 1-2 mg 200-400 ml 5% of the p-re glucose in-in the drip( rate 2 μg per minute);The dose is then titrated until the heart rate reaches about 70 beats per minute.

Sulfate orciprenaline 10 to 20 mg orally after 3 or 4 hours, or 5 ml - 0.05% solution in 200-400 ml of 0.9% NaCl solution in-in and drip( rate from 10 to 20 drops inMinute).

Surgical treatment of

The operation is performed if atropine is ineffective and the general condition is severe. In this case, the pacemaker is paced or constant. Those who are sick need an implant-pacemaker, usually 60-67 years of age.

When therapy is required

Sometimes there is no need to conduct a special treatment, then for Morgani-Adams-Stokes attacks, the patient should be laid and called an ambulance for further hospitalization.

Do not apply treatment if conductivity in individual branches of the system is impaired. This may be a consequence of heart disease requiring treatment with therapy. But a complete blockade worsens the patient's condition and serves as an indication for carrying out the implantation operation of a permanent electrostimulator or temporary.

There are drugs that themselves provoke a blockade, so there is a need for compliance with all prescriptions of the doctor. All medications that are prescribed by other specialists should be coordinated with the treating cardiologist.

Recommendations in the treatment of

  • compliance with the correct daily routine;
  • daily walks, or regular stay in the air;
  • diet, a significant reduction in the diet of products of animal origin, and vice versa - an increase in plant products;
  • inclusion of dairy products, fruits and berries in the menu;
  • complete refusal of alcohol and smoking;
  • rejection of strong coffee and tea;
  • during attacks it is better to lie or sit, take more air into the lungs and hold it for 15 seconds, then exhale - do so 5 to 10 times until the condition improves;
  • intake of freshly squeezed juices from red hawthorn flowers 15 drops before meals;
  • reception tincture from the flowers of red hawthorn.3 tbsp. Spoons of dried flowers pour 600 ml of boiling water and insist for half an hour. Strain. It is necessary to drink this infusion of 200 grams 3 times during the day;
  • receiving alcoholic infusion from the fruits of red hawthorn.100 gr. Fresh chopped berries pour 0.5 liters of vodka, insist 3 days and strain. Take from 30 to 40 drops three to four times a day;
  • reception of tincture from flowers of the May lily of the valley. Teaspoon of flowers pour 200 grams of boiling water, insist 1 hour, strain. Take 2 tablespoons approximately every couple of hours;
  • reception of vodka tincture from flowers of the May lily of the valley.1 part of the flowers pour 3 parts of vodka, insist 10 days in a dark place. Strain and take 15 drops 2 times a day.