My experience as a pharmacist in a pharmacy gave me not only a strong hardening for nerves, but also a clear understanding that there is a way out of almost any situation.
I remember once a very annoyed elderly woman came to me: “The other day I bought an electronic blood pressure monitor from you, and so, the doctor told me. that they all lie! I can’t measure the pressure for them, because I have arrhythmia, and it constantly gives different results or shows nothing at all! And without a tonometer I can’t, I have crisis after crisis, so I need to monitor the pressure!
“I answer her:” Don’t worry so, now we’ll figure it out! We just change your electronic tonometer for a mechanical one and that’s all! ”But it turns out that due to arthrosis this woman barely moves her left hand and therefore it is difficult for her to fasten the cuff, in addition, she does not hear knocks due to deafness, and besides, she very poor eyesight, so she can’t use a mechanical tonometer. The challenge, however! “Well, what a doctor, didn’t he tell you what to do in such a situation?” I am interested. “No, I haven’t,” he replies.
Of course, criticizing is much easier than finding a constructive solution! In that situation, I found him, we picked up a suitable tonometer, and the woman was satisfied. So what if you have arrhythmia? How to choose a tonometer? Before dwelling on this in more detail, I recall that arrhythmia is a condition in which the frequency, rhythm and sequence of excitation and contraction of the heart are disturbed.
If you measure blood pressure using a mechanical tonometer and the method of listening to Korotkov tones using a stethophonendoscope, then if you have arrhythmia and you don’t know about it, then you won’t know! The mechanical tonometer is bashfully silent about this! It will just feel unwell, but I know firsthand how bad it is with arrhythmia.
Sometimes you get the feeling that you’re just about to die. Very unpleasant. Modern digital blood pressure monitors, as a rule, have an indication of arrhythmia, which will show you whether it is arrhythmia. Do not be alarmed if the indication heart appears on the screen once – this happens, and this is just an accident. If it appears with each measurement or every other time, this is an occasion to go to a cardiologist, most likely, there is still arrhythmia.
For the most part, tonometers, which have an indication of arrhythmia, correctly measure pressure even in the presence of this ailment. But there are types of arrhythmias in which measuring pressure is not so simple. What to do in such cases? Do not be nervous! Relax, sit back and take your first measurement.
Remember, the main thing is to remain calm and not to panic, arrhythmia is not a sentence. Modern digital blood pressure monitors will help you measure pressure in any situation and in almost any condition. Use them for the good, and hello for many years!
What is the advantage of combination drugs for the treatment of hypertension
The main objective of treating patients with hypertension is to lower blood pressure. In addition, it is necessary to eliminate the causes of the development of pathology.
Combined drugs are used for the treatment of hypertension (GB) for these purposes. All of them are prescribed by a doctor based on the results of a patient examination after determining the type and degree of the disease.
Modern medicines not only reduce high blood pressure, but also prevent irreversible damage to organs and prevent the development of complications.
When prescribing drugs, the doctor takes into account contraindications and possible side effects in order to reduce the possible risks to the patient’s health. Consider which drugs and their combinations are prescribed for the treatment of hypertension.
Combined treatment of hypertension makes it possible to control pressure without increasing doses of drugs with good tolerance to any of them. For comparison, with monotherapy (using 1 drug), the desired effect is achieved in no more than 50% of cases.
Lack of effectiveness increases the risk of formidable complications of hypertension. The reasons for the possible inefficiency of monotherapy:
- Incorrect selection of the drug and its therapeutic dose;
- The resistance of the body to the active substance;
- The presence of negative actions that reduce the quality of life;
- Lack of timely drug replacement.
Combination therapy involves the appointment of drugs from various groups. They affect different links in the mechanisms of development of hypertension and / or damage to target organs.
Comprehensive effects on the body can reduce the dose of drugs, reduce the likelihood of negative effects. In addition, the slip effect does not develop. As a result of taking several drugs, possible side effects are mutually balanced.
The main advantages of combination therapy:
- High performance;
- Strengthening the action of one active substance by another;
- The possibility of reducing therapeutic doses;
- Reducing the likelihood of side effects;
- No slip effect;
- Mutual balancing of the negative effects of drugs.
Medicines for combination therapy of GB are divided into several groups. Complex regimens are also included in therapeutic regimens. With hypertension, the following groups of drugs are used:
- ACE inhibitors (angiotensin-converting enzyme);
- Calcium antagonists;
- Angiotensin Antagonists 2.
All of them exhibit an antihypertensive effect. Diuretics have a diuretic effect, which leads to a decrease in blood pressure. Beta-blockers reduce heart rate, and the pressure returns to normal.
ACE inhibitors inhibit the secretion of angiotensin-converting enzyme, under the influence of which the vessels narrow. Calcium antagonists relax the walls of blood vessels, contributing to the normalization of pressure. Angiotensin-2 antagonists protect blood vessels from the effects of the hormone.
As an initial treatment for patients with hypertension, it is recommended to prescribe a combination of 2 drugs if a high initial level of blood pressure is observed. Another indication is the increased likelihood of damage to the cardiovascular system, including diabetes, kidney disease. There are basic requirements for drugs used in combination therapy:
- The effect on various mechanisms of increasing blood pressure.
- The ability to combine different dosages.
- Mutual enhancement of the therapeutic effect.
Medications should not aggravate risk factors that cause high blood pressure in hypertension. An important requirement is the convenience of taking pills.
My name is Sofia I am 19 years old. My story began with the fact that in September 2012 I came to visit my mother. Mom decided to measure my pressure (she has a tonometer). Blood pressure was 130/100, pulse – 120 beats per minute. In addition, the tonometer displayed an arrhythmia icon on the display. Mom began to panic, asking me how I feel. I felt normal, the most interesting thing was that I didn’t feel arrhythmia at that moment, although the tonometer gave it away.
Since September 2012, my VSD has worsened due to the fact that I saw the arrhythmia icon on the tonometer. It seems crazy to me.
Just a month ago there was a panic attack: tachycardia, high blood pressure, a strong rush of blood to the face, trembling limbs, lack of air (I want to yawn a lot). I called an ambulance. The doctor said that it looked like neurasthenia, she said to check the thyroid gland. Gave a phenazepam tablet. Having accepted it, I was immediately released and wanted to sleep.
I checked the thyroid gland – everything is normal. Did ECG – sinus tachycardia. Since then, I do not like to measure pressure, take a pulse, I’m afraid of an ECG! PAs start mostly when I’m alone. I do not have agoraphobia, on the contrary, when I am in company, I have no thoughts about fear.
I went to the therapist, the doctor prescribed me grandaxin. I did not drink it, having read all the side effects. I only take 10-15 drops of valoserdine when I feel PA and after 5-10 minutes the condition improves.
At the moment, I strongly feel systole, and only with nervousness does tachycardia appear. I’m very afraid of these symptoms, and suddenly I will have a cardiac arrest. I always carry valoserdin with me.
How can I overcome this feeling?
Please tell me, is systole dangerous? Can an ECG show organic heart damage? I only have sinus tachycardia.
Please tell me what you can drink, how to handle it?
Thank you very much in advance. Thank you :)))
The answer to the question.
It is not clear what kind of abnormalities in the heart you say when you call this condition systole. This term means normal contraction of the heart muscle.
According to the ECG results, only sinus tachycardia of the heart is mentioned. Simply put, this is an increase in contractions of the heart muscle or a rapid pulse at a normal rhythm. This condition occurs in a healthy body in the norm, with physical or emotional stress. The hormone adrenaline is released, which causes an increase in blood pressure and increased heart rate. With VVD, such a state is observed as a result of any terrible thought arising in the human mind.
You can overcome this condition only by accepting your fear of death. All soothing pills only temporarily cloud the mind.
Rapid pulse, sinus tachycardia are not dangerous. In some athletes, when performing physical exercises, the pulse reaches 200 beats per minute.
ECG is an examination method that allows you to determine the level and quality of the passage of electrical impulses in the heart muscle. Any organic disturbance in the heart causes a deviation from the norm on the ECG.
Valoserdin is an analogue of Corvalol under a different name. I do not advise taking this medicine often.
You need to regularly take a sedative drug for several weeks. Against this background, reassure yourself and come to terms with your fear of death.
VVD is a disease that cannot be eliminated by drinking some kind of pill or tincture from herbs. This is not flu. Here you need to change your lifestyle and your attitude to it. The sooner a person understands this, the faster he can win in the fight against the IRR.
Interpretation of tonometer readings during arrhythmia
For proper decryption of data, it is necessary to understand what is understood by a generally accepted and individual norm. Averaged indicators are established, but it is recommended to pay more attention to your own pressure. You can install it by monitoring and recording data for several days twice, in the morning and in the evening.
Relative data are usually considered as the concept of norm when measuring blood pressure, because the result is influenced by the time of the diagnosis, the psychological state of the patient, taking medications, physical loads. But medical research has established optimal values. They will depend on gender, age category, human genetics.
Systolic pressure indicates the cardiac effort exerted to expel blood at maximum contraction. Diastolic – intra-arterial pressure at the time of maximum relaxation of the heart. Atrial fibrillation, during which chaotic signals may appear in the atrium, will be considered a special case.
Detonic – a unique medicine that helps fight hypertension at all stages of its development.
The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.
Detonic not addictive and withdrawal syndrome, since all components of the product are natural.
Detailed information about Detonic is located on the manufacturer’s page.
Perhaps you want to know about the new medication - Cardiol, which perfectly normalizes blood pressure. Cardiol capsules are an excellent tool for the prevention of many heart diseases, because they contain unique components. This drug is superior in its therapeutic properties to such drugs: Detonic. If you want to know detailed information about Cardiol, go to the .There you will find answers to questions related to the use of this drug, customer reviews and doctors. You can also find out the Cardiol capsules in your country and the delivery conditions. Some people manage to get a 50% discount on the purchase of this drug (how to do this and buy pills for the treatment of hypertension for 39 euros is written on the official website of the manufacturer.), ,