The most common hormonal causes of tachycardia in women are associated with changes in estrogen levels:
- hormonal changes during puberty;
- menopause or menopause.
Causes not related to the endocrine system:
- strong physical exertion;
- stressful situations;
- a sharp change in body position;
- chronic diseases;
- prolonged nervous tension;
- metabolic disorders;
Many of these causes can cause tachycardia in men, but some are still unique to women.
Many women experience a rapid heartbeat during pregnancy, which can occur even in those who have never before encountered such problems.
Physiological tachycardia, according to cardiologists, is normal. During this period, a woman experiences increased stress on all internal organs, and especially on the heart. Heart palpitations are necessary in order to accelerate the blood through the body faster, allowing you to saturate the fetus with oxygen and useful substances.
Therefore, most often this condition of a pregnant woman is able to bring benefits to the fetus. However, it happens that tachycardia when bearing a child is due to other reasons.
During pregnancy, hemoglobin or hypotension may occur in some women. With toxicosis and frequent vomiting, a violation of the water-electrolyte balance is possible. In addition, heart rhythm disturbance often occurs with an unbalanced, irregular diet and vitamin deficiency.
When characteristic symptoms appear, you must do the following:
- crouch or lie down in a comfortable position. As soon as the body relaxes, the heart rate quickly recovers;
- restore breathing: inhale and exhale deeply for several minutes;
- try not to worry so as not to provoke panic and severe emotional upheaval.
Quick weight gain can affect heart function, so you don’t often need to eat sweet and fatty foods in large quantities. In the daily diet must necessarily be present in large quantities fresh vegetables and fruits, herbs, milk and dairy products.
Among other things, it is necessary to take a vitamin complex so as not to provoke a lack of nutrients.
A pregnant woman should not spend all 9 months without movement. It is necessary to take daily long walks in the fresh air to provide the child with sufficient oxygen.
Excessive physical activity can be harmful, so swimming, gymnastics and yoga for pregnant women are ideal. In the absence of contraindications, the body requires regular physical activity – it will maintain muscle tone and will have a positive effect on heart function.
Before resorting to traditional medicine, it should be remembered that self-medication of various kinds is possible only in the case of natural, physiological tachycardia, which does not require the mandatory intervention of specialists.
The following methods are referred to folk methods of treating tachycardia:
- drink 20 g of adonis infusion three times a day;
- instead of regular black tea, it is necessary to brew an herbal mixture based on rose hips, hawthorn, motherwort and green tea;
- for three months, take an infusion of blue cornflower flowers in half a glass three times a day;
- if tachycardia develops against a background of hypertension, then the consumption of oats juice of 50 ml three times a day will become very effective;
- reduce the frequency of tachycardia attacks in women, a decoction of mint or lemon balm will help.
A woman in an attempt to cure tachycardia should remember that her treatment is strictly prohibited in some cases, when she becomes a consequence of problems in the activity of other organs and occurs against the background of:
- large blood loss;
- diseases caused by infection;
- heart defects;
- some types of injuries.
In all these cases, tachycardia is an adaptation mechanism, in the absence of which a significant worsening of the patient’s condition is possible.
In order to keep the heart healthy, a woman should follow preventive measures and, if symptoms of tachycardia appear, consult a doctor in a timely manner.
In women, as in men, tachycardia can occur against a variety of reasons. These can be both natural physiological factors and pathological changes in the body. For example, the pulse increases with a decrease in blood pressure, which can occur due to the presence of various bleeding and low hemoglobin.
To establish the cause of tachycardia, its varieties and to develop a treatment algorithm, the following diagnostic steps are taken:
- a general blood test is taken, the purpose of which is to establish the level of hemoglobin and the number of cells indicating possible diseases (anemia, leukemia, etc.);
- determination of the amount of thyroid hormones;
- Analysis of urine;
- regular and daily electrocardiogram;
- echocardiogram or ultrasound – to determine possible heart defects and diseases, as well as a comprehensive analysis of its work.
The data obtained from the results of these examinations become material on the basis of which the doctor prescribes treatment for the patient. Here, factors such as:
- causes of tachycardia in a woman or man;
- age and physiological criteria of the patient;
- the presence of other diseases related to the treatment of tachycardia.
As already mentioned, not every case requires treatment. Sometimes it is enough to eliminate the current symptoms. However, with the occurring tachycardia, it is very important to immediately consult a doctor to determine the cause of heart failure, since it is in it that the level of its danger lies.
Each sex-age category of the population has its most common causes of tachycardia. In addition, they differ in its most common forms and possible consequences.
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- In men
- In the elderly
- Classification of types of tachycardia
- Tachycardia: symptoms and causes of development in women
- The concept of tachycardia
- Clinical case
- Diagnostics: when and with what to see a doctor?
- Doctor’s advice: check-up for suspected tachycardia
- How to relieve a tachycardia attack: first aid
- What actions should not be taken
In women, tachycardia often develops due to an unstable psycho-emotional background. The female psyche is more labile, they are more emotional and prone to hysteria. Therefore, especially at a young age, heart palpitations in most cases are physiological in them.
Also, signs of tachycardia in women often appear due to hormonal imbalance. Very often, their heart palpitations develop in the premenopausal and menopausal period. Therefore, if as a result of the examination of the heart no pathologies are detected, they are usually referred to an endocrinologist and gynecologist.
Usually, tachycardia in women is sinus or supraventricular in nature, so the risk of developing sudden cardiac death is lower compared to men.
Unfortunately, in men, paroxysmal ventricular tachycardia is common, often ending with ventricular fibrillation and death. It can be provoked by insignificant at first glance damage to the heart muscle.
In most cases, tachycardia in children is normal, physiological. As a rule, it is caused by psycho-emotional moments or the restructuring of the body during the period of growth and, especially, puberty.
However, in some, its development is associated with congenital heart defects, abnormalities of the coronary arteries, as well as metabolic disorders. Therefore, if a child has frequent unmotivated attacks of tachycardia, it is best to undergo a comprehensive examination by a pediatrician and cardiologist.
Timely detected defect is the key to timely treatment and ensuring normal heart function in the future.
In the elderly
Heart palpitations in the elderly are often associated with worsening exercise tolerance. It is also very often caused by the development of heart diseases, which are widespread at this age. In addition, tachycardia in the elderly can cause the development (or one of the symptoms) of chronic heart failure.
With a regular increase in heart rate in old age, it is recommended to visit a therapist or cardiologist who knows how a particular disease appears, how to diagnose and treat it.
Increased heart rate in pregnant women is a frequent and, in most cases, absolutely normal condition.
The fact is that in the mother’s body an additional section of the circulatory system appears, providing nutrition to the fetus. In this regard, the volume of circulating blood increases slightly. To cope with this increased volume, the heart must work harder.
Therefore, in pregnant women, the frequency and strength of heart contractions increases. There is a so-called physiological tachycardia.
As the fetus grows, its need for blood supply also increases, therefore, with each month of pregnancy, the pulse increases steadily and reaches its maximum by the third trimester, when it becomes 15-20 beats per minute more often than the initial indicators.
However, in some cases, tachycardia during pregnancy can be due to pathological causes. This can be any obstetric disease (very often a rapid heartbeat is observed with toxicosis in the early stages), as well as hidden heart pathologies, aggravated against the background of an increased load.
In such situations, the heart rate may not increase by 15-20 per minute, but much more. In this case, the expectant mother has many symptoms of pathological tachycardia, and the fetus develops intrauterine hypoxia.
Classification of types of tachycardia
By origin, tachycardia can be physiological and pathological.
Physiological tachycardia develops normally in healthy people on the background of the release of adrenaline into the bloodstream as a result of intense physical exertion or severe stress. In this case, stimulation of adrenoreceptors located in the heart occurs, and it begins to contract more often.
After the cessation of the active production of adrenaline, the pulse quickly returns to normal values.
Also, a kind of physiological tachycardia can be considered a rapid heartbeat that appears against the background of pathologies not associated with heart diseases:
- High fever;
- Intense pain;
- Acute surgical diseases;
- A critical decrease in blood sugar;
- Bazedovo disease;
- Various injuries, especially accompanied by blood loss and a decrease in blood pressure, etc.
Of course, these conditions are not normal and, in most cases, require compulsory treatment. However, tachycardia with them can be considered as a natural protective physiological reaction of the body.
A pathological increase in heart rate is associated with the presence of any heart disease:
- With fresh or previous myocardial infarction;
- With the defeat of the sinus node or other elements of the conduction system of the heart;
- With heart failure;
- With inflammatory diseases (in particular, with myocarditis);
- With valvular heart disease, etc.
Depending on where the source of tachycardia is located, it happens:
Sinus tachycardia is the most harmless. It is characterized by the formation of pulses in the sinus node, where this happens normal. In most cases, it is physiological, while all other types of tachycardia are always pathological.
With atrial tachycardia, stimuli are formed in the atria, and with atrioventricular in the atrioventricular junction. These two types of heart palpitations are largely similar to each other in the clinical picture, as well as in the ECG image.
In addition, they require the same treatment. Therefore, very often they are combined into one type of tachycardia – supraventricular.
Depending on the duration of the increased heart rate, tachycardia is divided into a permanent and paroxysmal form.
With the constant option of increasing the heart rate, the body manages to adapt to this condition, so the patient may practically not feel any symptoms and not even suspect the existence of a pathology. With it, there are no emergency conditions leading to acute heart failure or sudden death.
However, its long existence significantly increases the load on the heart and contributes to its rapid wear.
The paroxysmal form is characterized by the appearance of sudden short-term attacks of rapid heartbeat, which occur spontaneously and, often, also pass spontaneously. At the same time, the well-being of a person during seizures can significantly deteriorate.
Tachycardia in women and men can be divided into:
With an inadequate type, a sharp increase in the heart rate of a woman occurs for no reason, at rest. In addition, there may be a lack of oxygen. The causes of this type of tachycardia can be:
- adverse reaction from drugs;
- diseases of the cardiovascular system;
- nicotine and (or) caffeine addiction;
- disorders of the nervous system.
This type is notable for its sudden appearance, uneven heart rate and a strong heartbeat, up to 400 or more beats per minute. Depending on the location, there are three types of such tachycardia:
- atrial. With this type of tachycardia, the woman does not feel much discomfort, however, complaints of a strong heartbeat, pain in the chest and shortness of breath are possible.
- nodal. Most common among women. It occurs in seizures lasting from several minutes to several days. The patient experiences a feeling of suffocation, clouding of consciousness, he has low blood pressure, nausea.
- ventricular tachycardia or ventricular fibrillation. With it, the lower chambers of the heart do not have time to fill up with blood, the organ does not work at full strength and does not have time to supply blood to all organs. Most often, such a violation is caused by severe heart damage, such as a heart attack, heart disease, or heart surgery. This type poses a threat to human life and requires immediate intervention by a specialist and urgent hospitalization.
Symptoms of all types of paroxysmal tachycardia in women are:
- noise in ears;
- nausea and vomiting;
- pain in the chest;
- low pressure;
Tachycardia: symptoms and causes of development in women
In parallel with the increase in heart rate, tachycardia also manifests itself in the form of other symptoms, which are largely a consequence of cardiac arrhythmia. Among them, the following deviations should be listed:
- weakness, fatigue;
- attacks of suffocation from a feeling of lack of oxygen;
- darkening in the eyes – as a result of a violation of the blood supply to the brain;
- pain in the chest;
- sensation of approaching loss of consciousness and actually fainting.
The symptomatic picture may vary depending on the type of tachycardia.
The first group combines the natural causes of increased heart rate:
- Exercise stress. If after exercising on the simulator, jogging for a departing bus or climbing to the eighth floor on foot, the heart began to beat faster, this is normal.
- Strong experiences. Also, it is cons >
The pathological causes of tachycardia can be divided into two groups: cardiac and extracardiac.
The first group includes diseases of the heart and blood vessels, among which the most common are:
- Coronary heart disease (a pathology associated with a lack of oxygen supply of the myocardium, or heart muscle), angina pectoris and myocardial infarction (develops with coronary artery disease);
- Heart failure (a disorder in which blood circulation is disturbed);
- Congenital heart disease (violation of the structure of the heart, present from birth);
- Myocarditis (myocardial inflammation);
- Cardiosclerosis (structural changes in the myocardium that violate its functionality);
- Infectious endocarditis (inflammation of the inner lining of the heart);
- Pulmonary embolism (blockage of a pulmonary artery thrombus).
- Adhesive pericarditis (inflammation of the outer connective membrane of the heart).
But not always tachycardia indicates a malfunction in the heart. There are also extracardiac causes of the development of the condition.
- Some diseases of the adrenal gland, in which adrenaline begins to be released into the bloodstream, which provokes an increase in heart rate.
- Thyroid disorder, such as hypothyroidism.
- Diabetes. With hypoglycemia, when the blood sugar index becomes too low, the patient may develop tachycardia, accompanied by headache, weakness, dizziness, excessive sweating and tremor of the hands.
- Anemia In women of different ages, this disorder is quite common. As a result of oxygen starvation, which brain cells experience with low hemoglobin levels, tachycardia begins.
- Heavy bleeding during menstruation. In women 40 years of age and younger, it is associated with endometriosis and other diseases of the reproductive organs.
- Painful shock. With severe pain, shock can occur, expressed in a rapid heartbeat and dizziness, then consciousness often occurs.
- Chronic obstructive bronchitis. With this pathology, there is a lack of air, which provokes a state of panic and tachycardia.
- Blood pressure jump. Often, symptoms of heart tachycardia in women 40 years of age and older appear due to hypertension. It is worth making a reservation that in recent years, doctors have noted the rejuvenation of hypertension: jumps in blood pressure occur in completely young people of different sexes.
- Food or chemical poisoning.
The concept of tachycardia
Known fact: tachycardia is not a separate disease, it is a sign of a person having any pathology (heart, endocrine system, etc.). Provoking factors trigger mechanisms that lead to an increase in heart rate. However, it happens that tachycardia catches a completely healthy person, and this is considered the norm.
The causes of tachycardia, which is considered the norm, are recognized:
- Exercise stress. When a person performs any work, his muscular system experiences a large load (relative to the state of rest). As a result, the body requires more oxygen and nutrients. To fill the needs, the sympathetic nervous system is activated, which increases the rhythm of the heart. In some cases, in a perfectly healthy person with physical activity, heart rate can reach 135 beats per minute. However, the rhythm must be measured – otherwise, tachycardia can become evidence of a disease.
- Strong emotional arousal. Emotions can properly cause an increase in heart rate, both positive and negative.
- Frequent stresses. It is worth mentioning right away that stress is not a negative emotion, but merely its consequence. Due to prolonged exposure to bad mood, the body begins to produce the hormone adrenaline. It acts on the sinus node, causing a fast rhythm of the heart.
- Sexual arousal. In this case, a complex of mechanisms, including the emotional component and an increase in the concentration of hormones in the blood, leads to an increase in heart rate.
- Pain. Even slight pain can provoke an adrenaline rush, which in turn leads to a rapid heartbeat.
- Reception of alcohol, caffeinated drinks and energy drinks, smoking. The cause of tachycardia of the heart in this case will be the appearance of a tone of the sympathetic nervous system.
- Taking certain medications. A side effect of many drugs is an increase in heart rate.
- The cause of tachycardia at night is usually physical and psycho-emotional overstrain.
Thus, the increase in physiological rate of the heartbeat is caused by exposure to some external stimulus. It is inconsistent and passes by itself over time. Threats to life and human health do not exist here.
The cause of tachycardia in children is the constitutional structure of a small organism. Heart palpitations in children under 7 years old are considered within normal limits (in the absence of other symptoms).
Despite the fact that tachycardia is only a symptom, not a disease, some experts still argue that paroxysmal tachycardia can be regarded as a disease. They substantiate their decision by the fact that this type of heart palpitations can occur in a completely healthy person without any prerequisites for this.
Based on the localization zone of increased heart rate, atrial and ventricular tachycardia are distinguished.
By the systematic nature of heart attacks, sinus and arrhythmic tachycardia can be distinguished.
Consider how tachycardia manifests itself, and its signs in people with different forms. To begin with, one should separate the constant rapid heartbeat, which is often asymptomatic, and the attack of tachycardia, the symptoms of which are much more pronounced.
With constant tachycardia, a person usually does not experience any discomfort in the heart, does not feel interruptions in his work.
In most cases, the clinical picture with this form is very scarce, and it is limited to nonspecific complaints of increased fatigue, weakness, decreased performance, poor tolerance of physical activity.
If the patient develops paroxysmal tachycardia, the symptoms are usually quite pronounced. The main one is the feeling of a heartbeat. Normally, we don’t notice how our heart works, this happens unnoticed.
Here it suddenly “accelerates,” and its intense activity, which occurs literally “out of the blue,” becomes very tangible and often frightening. It seems to patients that the heart “is about to jump out of the chest”, against this background, they often have a fear of death. In this case, the resulting panic causes an additional influx of adrenaline, which only exacerbates the situation.
Also during seizures in people, the development of:
- Shortness of breath
- Sharp weakness;
- Loss of consciousness, etc.
The appearance of frequent shallow breathing, on the one hand, is due to compensatory mechanisms that turn on when the cardiac activity is insufficient, and, on the other hand, it can also be associated with the activation of the sympathoadrenal part of the autonomic nervous system.
Weakness, dizziness and loss of consciousness occur against the background of a disturbance in the blood supply to the brain. This situation is observed in those cases when the heart contracts frequently, but the cardiac output is catastrophically small.
However, even the presence of all these signs does not mean that a person definitely has cardiac tachycardia. Symptoms that occur with tachycardia are very non-specific and can appear even with a number of conditions.
Therefore, for the diagnosis of tachycardia, an objective assessment of cardiac activity is very important, which can be done:
- Measuring the pulse;
- Having appreciated the apical impulse;
- After listening to heart sounds;
- Having written an ECG.
In order to establish the presence of tachycardia as such, any of these methods is suitable. However, the ECG has the greatest diagnostic value of them.
- tactical – to stop an attack;
- strategic – to prevent relapse.
In my practice, there was a case with a sinus tachycardia in a pregnant woman. The woman constantly felt a frequent heartbeat, which was an adaptive reaction of the body: pressure decreased, heart rate increased; but the patient also had anemia. After correcting the hemoglobin level with iron preparations, her health improved, and she felt a palpitations. Although at first the woman was genuinely surprised when she was not prescribed drugs to slow her heart rate!
Depending on the localization of the source of excitation, tachycardia is divided into supraventricular and ventricular.
The first occur in the structures of the heart to the level of branching of the bundle of the His bundle: in the atria, AV node, in additional pathways. The source of the second nucleation are the His bundle, Purkinje fibers, ventricular myocardium.
By the nature of the course, paroxysmal and non-paroxysmal types of pathology are distinguished.
By the mechanism of occurrence – reciprocal, ectopic, with trigger activity and so on.
Differential diagnosis of arrhythmias is a difficult and responsible task. In particular, when it comes to tachycardia with wide QRS complexes on the ECG. This may be a ventricular rhythm disturbance or tachycardia with the participation of DPP (additional pathways).
Ventricular tachycardia has an unfavorable prognosis and occurs as a result of damage to the heart muscle. In contrast, arrhythmia involving DPP appears in a person without a rough structural pathology of the heart.
To clarify the type of tachycardia, an ECG with intrathoracic lead should be recorded or transesophageal electrophysiological examination should be performed. However, in real clinical practice, such an opportunity is rarely provided, and in these situations, the doctor is guided by the following rule: to assess the condition as the most dangerous for human health and life and begin appropriate treatment.
Diagnostics: when and with what to see a doctor?
For any symptoms of tachycardia, you should immediately see an experienced cardiologist. For an accurate determination of the diagnosis, it is necessary to undergo certain examinations of the heart. Based on their results, the doctor will be able to accurately determine the condition of the patient.
The following procedures are used to diagnose this disease:
- ECG. An electrocardiogram will help determine which abnormalities are present in the work of the heart muscle, and what exactly can cause an increased heart rate.
- Daily ECG monitoring. This examination will allow you to most accurately study the work of the heart, since the readings are measured throughout the day: both in a state of excitement and in a state of rest.
- EFI. An electrophysiological study will determine the cause of a malfunction in the heart.
Only on the basis of the information collected, the doctor will be able to make the correct diagnosis and prescribe the most appropriate treatment method in this situation.
Diagnosis of any tachycardia begins with an examination by a doctor. He uses the simplest methods, such as measuring heart rate and listening to heart sounds. To do this, he needs only eyes, hands, ears and a phonendoscope. Such a simple set is quite enough to establish the very fact of the development of tachycardia.
However, this is not enough. It is also necessary to determine its type. In this doctor, as a rule, an ECG helps. With the help of a cardiogram, it is possible to evaluate the teeth and complexes and according to their shape determine where the electrical impulses come from, causing the heart to contract faster:
- With sinus tachycardia, all the teeth and complexes are correct, as on a normal ECG, only the distance between them becomes smaller;
- With supraventricular tachycardia, in addition, P waves change: they become biphasic or negative;
- With the ventricular form of rhythm disturbance, the P waves disappear, and the complexes themselves expand and deform.
Sometimes an attack of paroxysmal tachycardia is so short that it cannot be “caught” on the ECG. Then her daily monitoring by Holter comes to the rescue: a special apparatus is hung up for the patient, which registers electrical impulses coming from the heart in a continuous mode.
This method allows not only to determine the presence and type of arrhythmia, but also to assess the frequency of seizures per day, to identify the factor provoking them.
In addition, when detecting a rapid heartbeat in order to establish its causes and consequences, an ultrasound scan of the heart is performed, and if necessary, an MRI or coronary angiography. These studies are supplemented by laboratory diagnostic methods, such as clinical and biochemical blood tests, coagulogram, etc.
Any first-time attack of tachycardia that negatively affects well-being is an occasion to consult a doctor! And the more clearly expressed clinical manifestations, the sooner you need to consult. If during paroxysm a person faints, it is necessary to immediately call an ambulance and conduct an electric cardioversion (effect on the heart with a pulsed current discharge).
Doctor’s advice: check-up for suspected tachycardia
To establish the correct diagnosis, the following studies and analyzes are necessary:
- electrocardiogram – at rest and at the time of a rapid heartbeat;
- Ultrasound of the heart – data on the structural structure and valve apparatus;
- daily monitoring of ECG;
- transesophageal EFI (PEFEI);
- general blood test – will give information about the presence of anemia and / or inflammation;
- blood test for thyroid hormones and TSH;
- consultation with an ENT doctor (if history of frequent sore throat) and a dentist (caries) to identify and treat foci of chronic infection.
This is the minimum of research that will help establish the cause of tachycardia, its nature and type, or will allow you to choose a further diagnostic direction. Often, a doctor needs to seek help from fellow arrhythmologists who are able to determine the area with pathological impulses using modern instrumental methods. After its localization becomes known, it is possible to solve the problem of minimally invasive destruction of the focus.
If heart palpitations are the result of the course of chronic tonsillitis, then, eliminating the cause (by performing surgical removal of the tonsils), you can forget about the heart problem. Similar patients have complaints of pain in the heart. Why with sore throat there is discomfort in the chest and how to act – read here.
If during the study, a change in the levels of thyroid hormones is detected, or pheochromocytoma is suspected, then the endocrinologist will deal with the treatment of such a patient. It is worth noting that in clinical practice, the first symptom of thyrotoxicosis is paroxysm of atrial fibrillation. Therefore, all patients with the first occurrence of atrial fibrillation must determine the concentration of thyroid hormones in the blood.
Observation of a person with tachycardia primarily involves monitoring by a specialist who treats the underlying disease. It is a competent approach to the pathology-cause of arrhythmia that will help get rid of unpleasant symptoms and minimize the consumption of drugs.
How to relieve a tachycardia attack: first aid
- Before his arrival, the patient should be laid on the bed in a comfortable position. Heart preparations like Validol or Corvalol can alleviate his condition.
- Breathing exercises will also help calm the heart: the patient needs to take a deep breath and try to hold his breath.
- It is also useful to close your eyes and press on the eyeballs, then weaken the pressure. Repeat this alternation of actions several times.
- To normalize the pulse, you can also immerse your face in a basin of cold water.
- Relief brings cough. If you feel nauseous, you can cause vomiting – it will become easier.
When an attack occurs, it is necessary to undergo an examination in the clinic to understand the specific cause of this condition and take measures to eliminate it.
It should be borne in mind that the causes of tachycardia in women after 50 years can be both physiological and pathological. If the problem lies in physiology, the condition will not require special treatment with drugs. If the causes of tachycardia are some kind of pathology, then the treatment will depend directly on the type of disorder.
Treatment for tachycardia caused by heart disease can also vary depending on the specific type of disease. An ECG can help identify it.
- Sinus tachycardia of the heart. With this type of tachycardia, the heart rate can increase gradually, reaching the level of 120 beats per minute, and the rhythm of the sinus angle remains correct. This type of disorder is more common in young people, women older than 40 years, as a rule, the disease is not threatened. For the treatment of sinus tachycardia of the heart, cardiologists usually recommend adjusting the regimen of the day, sleep and nutrition, and also, if necessary, prescribe special medications.
- Supraventricular tachycardia. The disease tends to develop sharply: the number of heart contractions in a short time can reach the level of 150-250 beats per minute. Characteristic symptoms of supraventricular tachycardia are frequent dizziness and pain in the heart. An attack of tachycardia in this disease is dangerous if it is not stopped in time, it can lead to fainting, lowering blood pressure and the development of collapse, that is, acute vascular insufficiency. Therefore, it is very important to provide first aid for such an attack on time. Treatment of the disease can only be prescribed by a doctor. Cardiologists, as a rule, use cardiac glycosides, as well as anti-arrhythmia drugs, to treat a similar pathology.
- Ventricular tachycardia. The increased heart rate with this disease can begin suddenly, and then end abruptly as well. In addition to this symptom, with ventricular tachycardia, the following can be noted:
- Sensation of “coma” in the throat.
- Burning pain in the heart.
- Sharp weakness.
- Nausea and a feeling of fear.
- Blanching of the skin.
This form is often related to the causes of tachycardia in women after 50 years. This disease is very dangerous, because sometimes it leads to myocardial infarction.
During an attack, it is extremely important to give the patient first aid and call a doctor on time. Only a cardiologist can treat ventricular tachycardia, who must first conduct a series of studies to make an accurate diagnosis and determine the causes of the disease. In especially difficult cases, the patient is offered surgical treatment.
Thus, cardiac tachycardia is a very serious and dangerous disease. No matter how old you are, dear readers, do not ignore its symptoms. Be sure to systematically pass the ECG, try not to take life trifles too close to the heart, eat right, be healthy and live long.
As an emergency, vagal tests can be used. Their meaning is to irritate the receptors of the parasympathetic nervous system, as a result of which the vagus nerve is activated. Performing these techniques will help either interrupt paroxysm or reduce the heart rate and reduce symptoms.
- Sample Valsalva. While sitting or standing, take a deep breath, then pinch your nose, close your mouth and try to exhale, while tensing the front abdominal wall.
- The cough reflex is simple to perform: the patient needs to cough.
- Gag reflex – press on the root of the tongue.
- Squat squats with straining.
- Reflex of a diving dog: hold your breath, pinch your nose and lower your face into a vessel with cold water.
- Massage of the carot >
In addition to vagal tests, medicines are used for emergency care. Verapamil is widely used, but its use is possible only if it is reliably known that there are no additional pathways in the myocardium. If atrial fibrillation has developed, then “Propafenone”, the “tablet in your pocket” technique, can help. They take this drug only on condition of its previous successful use in a hospital under the control of an electrocardiogram.
In my practice, during transesophageal electrocardiostimulation, patients often developed an attack of reciprocal AV nodal tachycardia. The use of vagal samples (Valsalva and massage of the carotid sinus) allowed to stop paroxysm. The whole process is demonstrated on the ECG installation screen: against the background of an even sinus rhythm, a tachycardia attack with narrow QRS complexes suddenly occurs.
If tachycardia with wide complexes develops during PEEPI, then you can try to stop it with the help of several electrical stimuli. The cessation of paroxysm in this way is evidence in favor of the supraventricular nature of arrhythmia. If the source is located in the ventricles of the heart, then the stimulation will not affect the course of the attack.
In case of a tachycardia attack that occurs for no apparent reason and does not pass in the first 5-10 minutes, it is best to immediately call an ambulance. At home, it is impossible to independently determine the type of tachycardia, and therefore, to assess the degree of its danger to life. For this we need doctors who will have an ECG apparatus with them.
While waiting for an ambulance, you can follow these simple steps:
- Stop any physical or psycho-emotional stress (if any);
- Put the victim in a bed with a raised head end (for this purpose, for example, you can put several pillows under the head);
- In case of loss of consciousness, turn your head to the side so that the person does not choke on his tongue and is not choked with vomit;
- Provide access to fresh air (open windows in the room, free your neck from tight clothes or a tie);
- Give a glass of water to drink, after dropping there valerian or corvalol.
The main goal of these measures is to try to calm the victim, to stabilize his psycho-emotional state. It should be remembered that they are not aimed at eliminating the attack, but at the fact that they do not exacerbate arrhythmia once again.
If the ambulance does not travel for a long time, you can try to stop tachycardia on your own by using the so-called vagal tests that help fight the supraventricular variant of rhythm disturbance by activating the vagus nerve:
Massage of the sinuses of the carot >
Sometimes they can do more harm than good, so they can only be recommended in the “field” conditions, when it really is not possible to quickly get medical help.
Those people who have such attacks regularly and who have already been examined to determine the type and cause of tachycardia, can use the medications recommended by their doctor just for such cases. As a rule, they already know well how tachycardia specifically manifests in them, and what they need to do in such a situation.
What actions should not be taken
First of all, with the onset of a tachycardia attack, you should not panic at home or with someone from your near and dear ones. Yes, this condition can be very dangerous, and there really is cause for concern.
However, panic is the worst enemy. Psycho-emotional overstrain will only aggravate the patient’s condition, it can become much worse. In addition, amid stress, you can begin to take unreasonable actions that can also harm the victim. You need to try to calm down and act as calmly as possible.
It is also not recommended to delay with an ambulance call. With pathological paroxysmal tachycardia, especially the ventricular type, every minute can be counted.
You can not try to self-medicate and take any drugs to stop the attack, without a doctor’s prescription. This is a very common mistake. You cannot know what type of tachycardia arose in a person, and what is associated with his development.
Therefore, the reception of medicines will be carried out almost “blindly.” And they, on the contrary, are selected pointwise, taking into account the type of rhythm disturbance and its causes. At best, your attempt at self-medication will be futile, and at worst, harmful.
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