Extrasystole is a cardiac pathology associated with cardiac arrhythmias and characterized by extraordinary contractions of the whole heart or some of its parts. Such extraordinary cardiac impulses are called extrasystoles – they violate the correct sequence of heart contractions.
Single episodic extrasystoles sometimes occur even in healthy people and do not pose any danger. However, if extrasystoles are constantly observed, then you should undergo a full examination by a cardiologist.
Extrasystoles are found at any age, but are still more often found in patients older than 50-55 years. In childhood, such a pathology is relatively rare. With age, the frequency of extrasystole increases.
With certain factors, foci of increased excitability (increased activity) occur in the heart apparatus, which contribute to the occurrence of additional cardiac contractions – extrasystoles. Such foci of increased activity, as a rule, are localized in the atria, ventricles, or atrioventricular node.
Extraordinary impulses arising in the foci spread along the heart muscle and cause premature heart contractions. Moreover, during extrasystolic contractions, a smaller volume of blood is ejected than with normal contractions of the heart.
As a result, with frequent extrasystoles (more than 7-8 contractions per minute), the minute volume of ejected blood can significantly decrease, which contributes to the deterioration of coronary and cerebral blood flow, the development of angina pectoris, and various disorders of cerebral circulation.
In addition, the risk of developing atrial fibrillation (promiscuous atrial and ventricular contraction) and sudden death is increased. Extrasystole is one of the varieties of arrhythmia, which can manifest itself even in an absolutely healthy body.
It is not difficult to determine the presence of a pathological process, since it is accompanied by an unexpected “sinking of the heart” against the background of certain provoking factors that noticeably violate the quality of life.
At first, this condition does not cause anxiety on the part of the patient, but over time it becomes a real problem and has a basis for the further course of more serious heart diseases.
The etiology of extrasystole is very diverse, but it is important to know reliably what is the cause of this pathological process. Such information can not only reduce the number of seizures, but also completely prevent the development of a characteristic ailment.
In most clinical pictures, this pathology is the result of progression in the body of such cardiovascular diseases as:
- myocardial infarction
- mitral heart defects,
- Ischemic heart disease,
- myocarditis and others.
Such an extrasystole of an organic nature can significantly worsen the general condition and provoke heart failure, or even worse, an unexpected death.
In addition, neuropsychiatric disturbances, that is, instability of the emotional sphere, can become the main cause of extrasystole. First of all, this is excessive mental stress, regular stress and deep feelings, as well as increased emotionality and professional sports.
This heart disease is also preceded by bad habits that prevail in the human body. This is smoking, alcoholism, unlimited consumption of spicy food. In the latter case, it is important to control the indicator of salt in the body and glucose in the blood in order to avoid this disease in the future.
Diverticulums of the esophagus, lesions of the gallbladder, uterine fibroids, as well as other digestive disorders also significantly increase the risk of extrasystole.
If we talk about the pathogenesis of this heart disease, it usually progresses at a deep retirement age, and is explained by the formation of overactive ectopic foci located outside the sinus node. The predominant abnormal impulses spread throughout the myocardium, prematurely contracting the heart muscle.
The volume of extrasystolic ejection of blood is represented by a reduced indicator that is different from the norm, so frequent extrasystoles entail a marked decrease in the minute volume of blood circulation.
Such instability negatively affects coronary blood flow and significantly complicates the course of heart disease prevailing in the body.
In modern cardiology, there are several official types of extrasystoles, however, the most dangerous are ventricular extrasystoles, which progresses as a result of organic damage to the heart. Also, the development of atrial fibrillation is not ruled out.
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.
Extrasystole – a mechanism of development
Extrasystoles are provoked by heterotopic excitation of the myocardium, that is, the source of impulses is not the physiological pacemaker, which is the sinus-atrial node, but additional sources – ectopic (heteropotent) areas of increased activity, for example, in the ventricles, atrioventricular node, atria.
Extraordinary pulses emanating from them and spreading along the myocardium cause unplanned heart contractions (extrasystoles) in the diastole phase. The volume of blood ejected during an extrasystole is less than with a normal heart contraction, therefore, in the presence of diffuse or large focal lesions of the heart muscle, frequent unplanned contractions lead to a decrease in the IOC – minute volume of blood circulation.
The earlier a contraction occurs from the previous one, the less blood ejection it causes. This, affecting the coronary circulation, complicates the course of existing heart disease.
In the absence of cardiac pathology, even frequent extrasystoles do not affect hemodynamics or affect, but slightly. This is due to compensatory mechanisms: an increase in the force of contraction following an unscheduled, as well as a complete compensatory pause, due to which the end-diastolic volume of the ventricles increases.
Such mechanisms for heart diseases do not work, which leads to a decrease in cardiac output and the development of heart failure. The significance of clinical manifestations and prognosis depend on the type of arrhythmia. Ventricular extrasystole, developing as a result of organic damage to heart tissue, is considered the most dangerous.
Graduation of rhythm pathology depending on the localization of the focus of excitation:
The most commonly diagnosed type of arrhythmia. Impulses propagating only to the ventricles, in this case, can arise on any segment of the legs of the bundle of His or in the place of branching.
The rhythm of atrial contractions is not disturbed.
Atrioventricular, or atrioventricular extrasystole.
It is less common. Extraordinary impulses originate from the lower, middle or upper part of the Aschoff-Tawar node (atrioventricular node) located at the border of the atria with the ventricles.
Then they spread up to the sinus node and atria, and also down to the ventricles, provoking extrasystoles.
Atrial, or supraventricular extrasystole.
The ectopic focus of excitation is localized in the atria, from where the impulses spread first to the atria, then to the ventricles. The increase in episodes of such extrasystole can cause paroxysmal or atrial fibrillation.
There are also options for their combinations. A parasystole is a violation of the heart rhythm with two simultaneous sources of rhythm – sinus and extrasystolic.
Sinus extrasystole is rarely diagnosed, in which pathological impulses are produced in the physiological pacemaker – the sinus-atrial node. Regarding the causes of occurrence:
Regarding the number of pathological pacemakers:
- Monotopic (one outbreak) extrasystole with monomorphic or polymorphic extrasystoles.
- Polytopic (several ectopic foci).
Regarding the sequence of normal and additional abbreviations:
- Bigemia is the rhythm of the heart with the appearance of an “extra” contraction of the heart after each physiologically correct one.
- Trigeminia – the appearance of extrasystoles every two systoles.
- Quadrigimenia – following one extraordinary cardiac contraction through every third systole.
- Alorrhythmia is a regular alternation of one of the above options with a normal rhythm.
Regarding the time of occurrence of the additional impulse:
- Early An electrical pulse is recorded on the ECG tape no later than 0,5 s. after the end of the previous cycle or simultaneously with h. T.
- Medium. An impulse is recorded no later than after 0,5 s. after registration of a tooth of T.
- Late. It is fixed on an ECG directly in front of tooth R.
Gradation of extrasystoles depending on the number of consecutive contractions:
- Paired – extraordinary cuts follow in a row in pairs.
- Group, or volley – the occurrence of several consecutive contractions. In the modern classification, this option is called unstable paroxysmal tachycardia.
Depending on the frequency of occurrence:
- Rare (do not exceed 5 cuts per min.)
- Medium (5 to 16 per min.)
- Frequent (more than 15 cuts per min.)
Causes of extrasystole
In a healthy person, the presence of up to 200 extrasystoles per day is considered the norm, but, as a rule, there are even more of them. Etiological factors of functional arrhythmias of a neurogenic (psychogenic) nature are:
- alcohol and alcohol-containing drinks;
- neurosis and neurosis-like states;
- drinking large quantities of coffee and strong tea.
Neurogenic extrasystole of the heart is observed in healthy, trained people involved in sports, in women during menstruation. Extrasystoles of a functional nature arise against the background of osteochondrosis of the spine, vegetovascular dystonia, etc.
The causes of chaotic contractions of the heart of an organic nature are any damage to the myocardium:
- heart defects;
- heart failure;
- inflammation of the membranes of the heart – endocarditis, pericarditis, myocarditis;
- myocardial infarction;
- dystrophy of the heart muscle;
- pulmonary heart;
- mitral valve prolapse;
- coronary heart disease;
- heart damage with hemochromatosis, sarcoidosis and other diseases;
- damage to organ structures during cardiac surgery.
The development of toxic rhythm disturbances contributes to thyrotoxicosis, fever, intoxication with poisoning and acute infections, allergies.
They can also occur as a side effect of certain medications (digitalis preparations, diuretics, aminophylline, ephedrine, sympatholytics, antidepressants, and others).
The cause of extrasystole may be a violation of the balance of calcium, magnesium, potassium, sodium ions in cardiomyocytes. Functional extraordinary cardiac contractions that appear in healthy people in the absence of apparent causes are called idiopathic extrasystoles.
The most dangerous are those rhythm disturbances that are not felt by a person and are detected only with a cardiogram. If the symptoms of extrasystole are felt, then it is described by patients as follows:
strong push of the heart from the ins >
Subjective sensations are different for different types of extrasystole and for different people. Those who suffer from organic lesions of the heart do not feel “extra” contractions at all.
Functional extrasystole, the symptoms of which are more severely tolerated by patients with vegetative-vascular dystonia, are manifested by strong tremors of the heart or its strokes into the chest from the inside, interruptions with fading and subsequent increased rhythm.
Functional extrasystoles are accompanied by symptoms of neurosis or malfunction of the autonomic nervous system:
- fear of death
- a feeling of hot flush or lack of air.
Patients feel that the heart “rolls over or tumbles, freezes,” and then can “gallop.” Short-term sinking of the heart resembles a feeling of a rapid fall from a height or a rapid descent on a high-speed elevator.
Sometimes shortness of breath and acute pain in the projection of the apex of the heart, lasting 1-2 seconds, are attached to the above manifestations. Atrial extrasystole, like most functional, often occurs at rest when a person is lying or sitting. Extrasystoles of an organic nature appear after physical activity and are rarely at rest.
In patients with vascular and heart diseases, unplanned frequent contractions of salvo or early nature reduce renal, cerebral and coronary blood flow by 8–25%. This is due to a decrease in cardiac output.
In patients with atherosclerotic changes in the vessels of the brain, extrasystole is accompanied by dizziness, tinnitus and transient disturbances in cerebral circulation in the form of temporary speech loss (aphasia), fainting, and various paresis. Often in people with coronary artery disease, extrasystoles provoke an angina attack.
If the patient has problems with the heart rhythm, then extrasystole only aggravates the condition, causing more serious forms of arrhythmia. Extraordinary contractions of the heart muscle are diagnosed in children of any age, even during their intrauterine development. They have such a rhythm disturbance can be congenital or acquired.
The causes of the appearance of the pathology are cardiac, extracardiac, combined factors, as well as determined genetic changes. The clinical manifestations of extrasystole in children are similar to complaints made by adults.
But as a rule, in babies this arrhythmia is asymptomatic and is detected in 70% of cases only with a general examination.
Extrasystole in children
It was previously believed that the more common form of extrasystole in children is ventricular. But now all types of extrasystoles are found with almost the same frequency. This is due to the fact that the child’s body grows rapidly, and the heart, unable to cope with such a load, “includes” compensatory functions due to all the same extraordinary contractions.
Usually, as soon as the child’s growth slows down, the disease disappears by itself. But it is impossible to ignore extrasystole: it can be a sign of a serious disease of the heart, lungs, or thyroid gland. Children usually present the same complaints as adults, that is, they complain of “interruptions” in the work of the heart, dizziness, weakness.
Therefore, when such symptoms occur, the child must be carefully examined. If a child had ventricular extrasystole, then it is quite possible that treatment will not be required here.
The child must be put on a dispensary account and examined once a year. This is necessary in order not to miss the deterioration of his condition and the appearance of complications.
Drug treatment of extrasystoles in children is prescribed only if the amount of extrasystoles per day reaches 15000. Then metabolic and antiarrhythmic therapy are prescribed.
Diagnosis of the disease
You can suspect the presence of extrasystoles after collecting patient complaints and physical examination. Here it is necessary to find out constantly or periodically a person feels interruptions in the work of the heart, the time of their appearance (during sleep, in the morning hours, etc.), circumstances provoking extrasystoles (experiences, physical activity, or, conversely, a state of rest).
When collecting an anamnesis, the presence of a patient with heart and vascular diseases or past diseases that give heart complications is important. All this information allows you to pre-determine the form of extrasystole, frequency, time of occurrence of unplanned “strokes”, as well as the sequence of extrasystoles relative to normal heart contractions.
- Clinical and biochemical blood tests.
- Analysis of thyroid hormone levels.
According to the results of laboratory diagnostics, it is possible to identify an extracardial (not associated with cardiac pathology) cause of extrasystole.
Electrocardiography (ECG) is a non-invasive method for examining the heart, which consists in graphically reproducing the recorded bioelectric potentials of an organ using several cutaneous electrodes.
By studying the electrocardiographic curve, one can understand the nature of extrasystoles, frequency, etc. Since extrasystoles can occur only under load, an ECG conducted at rest will not fix them in all cases.
The advantage of this technique is that the electrocardiographic curve is recorded and stored in the device’s memory under everyday physical exertion of the patient.
During the daily examination, the patient compiles a list of recorded time periods of physical activity (climbing stairs, walking), as well as the time of taking medication and the appearance of pain or other sensations in the heart.
To detect extrasystoles, full-scale Holter monitoring is used more often, conducted continuously for 1-3 days, but mostly no more than 24 hours.
Another type – fragmented – is assigned for registration of irregular and rare extrasystoles. The study is conducted either continuously or intermittently for a longer time than full-scale monitoring.
The last two studies help to identify extrasystole, which occurs only with active physical activity, which may not be recorded with a normal ECG and Holter monitoring. For the diagnosis of concomitant pathology of the heart, standard echocardiography (echocardiography) and transesophageal, as well as MRI or stress echocardiography are performed.
Help with extrasystole
With functional rhythm disturbances, such an exercise will help to improve the condition: it is necessary to inflate the stomach and hold your breath. Or massage the eyeball (the half that is closer to the inside of the eye). Massage of the carotid artery (on the neck) also helps. Doctors recommend taking sedatives (on herbs).
But in older people, as a rule, organic extrasystole appears. This happens against the background of certain myocardial diseases, for example, after myocardial infarction, with heart defects, cardiosclerosis, hypertension, angina pectoris.
This problem may be related to nutrition. Quite often, a functional extrasystole appears after eating – if a person has eaten and decided to lie down.
Against the background of increased gastric secretion, the parasympathetic nervous system is activated, and as a result, the heart rate decreases. Then the body charges compensatory extrasystoles to even out the heart rhythm. In general, if a person has a functional extrasystole, then in the supine position the patient feels worse, and with physical activity – better.
Whereas with organic extrasystole – the opposite is true, problems begin as a result of motor activity. It must be borne in mind that the heart consists of two parts, the atria and ventricles.
So, extrasystoles can be atrial or ventricular, depending on where the focus of the disease is. The most dangerous ventricular extrasystoles – they can be harbingers of sudden death as a result of a heart attack.
Ventricular extrasystoles are divided into five additional functional classes. The lower the class, the less likely it is to develop dangerous complications (speech about cardiac arrest).
So, the minimum functional class is when extrasystoles are rare and they are single. The second class is frequent ventricular extrasystoles. The third is the presence of polytopic extrasystole (extrasystoles come from different parts of the myocardium). Fourth – early ventricular extrasystoles.
But the fifth functional class is “jogging” paired (or ventricular tachycardia), when extrasystoles are “gulped” without interruption with high frequency. For comparison, in a healthy person, when measuring a pulse, there are 70 beats per minute, and in a patient, in the described situation, there may be 160 or more.
A person suffers due to a heartbeat, shortness of breath, may lose consciousness, there is a risk of developing arrhythmic cardiogenic shock. This can lead to pulmonary edema or cardiac arrest. Therefore, this is a separate arrhythmia.
Treatment of pathology
The treatment tactics is selected based on the cause, the form of pathological heart contractions and the localization of the ectopic focus of excitement. Single asymptomatic extrasystoles of a physiological nature do not require treatment.
Extrasystole, which appeared on the background of an endocrine, nervous, digestive system disease, is eliminated by timely treatment of this underlying disease. If the reason was taking medication, then their cancellation is required. Treatment of extrasystoles of a neurogenic nature is carried out by prescribing sedatives, tranquilizers and avoiding stressful situations.
The purpose of specific antiarrhythmic drugs is indicated for pronounced subjective sensations, group polyotopic extrasystoles, extrasystolic allorhythmia, ventricular extrasystoles III – V degrees, organic myocardial damage, and other indications.
The choice of the drug and its dosage are selected in each case individually. A good effect is given by novocainamide, cordaron, amiodarone, lidocaine and other drugs. Typically, the drug is first prescribed in a daily dose, which is then adjusted, switching to a maintenance dose.
Some drugs from the group of antiarrhythmics are prescribed according to the scheme. In case of inefficiency, the drug is changed to another. The duration of treatment for chronic extrasystole ranges from several months to several years, antiarrhythmics with malignant ventricular form are taken for life.
The ventricular form with an unscheduled heart rate of up to 20-30 thousand a day, in the absence of a positive effect or the development of complications from antiarrhythmic therapy, is treated with the surgical method of radiofrequency ablation.
Another method of surgical treatment is an open heart operation with excision of a heterotopic focus of excitation of cardiac impulses. It is performed during another heart intervention, for example, a prosthetic valve.
- Patients with no signs of cardiovascular disease, but with ZhE, which is not accompanied by clinical manifestations, should be under dynamic observation and do not need to take antiarrhythmic drugs.
- Patients who have single monofocus ZhE, but without hemodynamic impairment, need auto-training, psychotherapy, the use of psychotropic drugs, as well as adequate treatment of the underlying disease.
- Persons suffering from high gradation ZhE (steam room, frequent), need individual AAT for the prevention of malignant ventricular arrhythmias.
- Patients who have a high grade graduated ventricular extrasystole due to the proarrhythmic effect of antiarrhythmic drugs, cardiac glycoside intoxication, or other means should immediately stop taking the provocative drug.
- Patients who have prognostically “unfavorable” arrhythmias (VF and VT), refractory to AAT, accompanied by impaired coronary blood flow and hemodynamics, require surgical intervention (to perform r / h ablation of the ectopic focus or implantation of a cardioverter-defibrillator).
Often in clinical practice, treatment of ventricular extrasystole causes certain difficulties, which is explained by the individual sensitivity of patients to different drugs, insufficient severity of the antiarrhythmic effect and the occurrence of side effects of drugs.
If we talk about antiarrhythmic drugs of the IC class with proven effectiveness, administered orally to restore the correct heart rate, then a special place among them is propafenone.
Clinical studies have shown that propafenone is highly effective and well tolerated with ventricular extrasystole, therefore, it belongs to the first-line drugs in the treatment of these arrhythmias (an efficiency indicator of more than 1%).
Achieving this result is possible due to the direct effect of this drug on the flow of sodium and potassium ions into the cardiomyocyte, which leads to a decrease in myocardial excitability. Propafenone is able to block adrenergic receptors and has a good safety profile.
So, in comparison with class IA antiarrhythmics (disopyramide, procainamide, quinidine) and some class IC drugs (lorkainide, flecainide), taking propafenone usually does not worsen the function of the left ventricle. According to experimental and clinical data, propafenone has a less pronounced arrhythmogenic effect than encainide or flecainide.
The effectiveness of propafenone in the treatment of ZhE was studied in the work of Professor V. L. Doshchitsyn. The study included 43 patients who had ventricular extrasystole, while 33 of them suffered from chronic forms of ischemic heart disease.
In order to treat ZhE, patients took Propanorm® at a dose of 150 mg 2-3 times a day. After 12 months of treatment, patients underwent 70-hour ECG monitoring, the results of which showed a significant decrease in the number of ZhE (more than 67%) in XNUMX% of patients. At the same time, there were no serious side effects from taking Propanorm.
After a year of treatment with Propanorm, an improvement in the quality of life of patients with ventricular extrasystole was noted. Favorable changes on the background of antiarrhythmic therapy were observed in patients who initially complained of discomfort provoked by arrhythmia.
So, patients have decreased pain, increased physical activity, improved social activity, vitality, mental well-being. In general, patients began to evaluate their overall health better.
Thus, Propanorm is a safe and effective drug for the treatment of ZhE and can be prescribed to patients with coronary heart disease who have no signs of decompensated heart failure and acute coronary syndrome.
In the treatment of ZhE, the dose of Propanorm is 450-900 mg per day. Since ventricular extrasystole needs to be controlled, two modes of taking Propanorm are used:
- short courses of 4-8 weeks with breaks;
- continuous use.
The use of medications should be carried out only in consultation with the doctor. It is highly recommended not to use antiarrhythmic drugs: at the end of their intake, extrasystole will resume, and the risk of death will increase.
Before starting treatment, the cause of the arrhythmia should be eliminated. For example, if extrasystoles are associated with psycho-vegetative disorders, sedatives are used.
In the case when a violation of the heart rhythm is observed against the background of vagotonia, then treatment is carried out with the help of such medicines as Atropine, Belloid or Belladonna.
In most cases, a patient suffering from extrasystoles is prescribed one of the following drugs:
Available in the form of tablets, and in the form of ampoules containing a solution for injection. Since the drug is poorly absorbed in the digestive tract, it is preferable to take it intramuscularly.
Side effects include nausea, low blood pressure, and fever.
Not recommended for use during lactation. As a result of taking the drug, general weakness, headaches, visual impairment are possible.
The drug can not be used for people with severe forms of atherosclerosis, renal and liver failure. The medicine can provoke depression, headaches, hallucinations, cramps, allergic rashes.
A very strong drug with a pronounced effect, but in many cases its administration is accompanied by side effects – nausea, diarrhea, vomiting.
It is forbidden to take medication during pregnancy.
Vitamin B15 is a good antiarrhythmic property. Sometimes potassium and magnesium preparations are used, but their effectiveness in extrasystoles has not been fully proven. Medicines against extrasystole and hypertension do not have an irritating effect on the digestive system.
But it must be borne in mind that each drug has its own special pharmacogenetics, for example, there are drugs that should be taken only after dinner, some drugs (against pressure) should be taken on an empty stomach, beta-blockers (they are prescribed for extrasystole) – after meals .
Therefore, if you follow the instructions, the stomach will not suffer. But if there are already problems in the digestive system, then a group of drugs is prescribed that reduce irritation.
There is one more nuance. Often with hypertension, acetylsalicylic acid is used for treatment (protects against blood clots). So, it is this drug that can provoke pain in the stomach. But in such cases, the patient should take medications that reduce the secretion of gastric juice (for example, omeprazole, ranitidine).
It happens that while taking diuretics through a massive loss of electrolytes (potassium, magnesium), tachycardia, extrasystole develops. In such cases, a potassium diet is needed (if there is no kidney damage, then potassium is not excreted from the body).
Therefore, the diet should have persimmons, bananas, beets, pumpkin, raisins, all dried fruits (dried apricots should be brownish, not bright orange, because then it may have been treated with sulfur), chocolate.
Treatment with folk remedies
Rare extrasystoles do not require treatment at all, alternative medicine will help to cope with the rest. It is necessary to drink decoctions and infusions prepared on the basis of such medicinal plants before meals:
Pour 1 tsp. flowers boiling water, insist for several hours and strain. Consume 0,25 cups;
There is an even simpler folk recipe: you just need to mix honey with radish juice in equal proportions. The resulting mixture should be consumed in 1 tbsp. l before breakfast and before bedtime.
Such treatment normalizes the functioning of the heart and relieves extrasystoles. Useful products for extrasystole:
- vegetables (tomatoes, bell peppers, cucumbers, turnips, radishes, beets, corn, potatoes, cabbage, pumpkin, broccoli);
- fruits (pear, plum, apricot, melon, apples, avocado, grapefruit, peach);
- berries (raspberries, currants, grapes, blackberries);
- dried fruits (raisins, dried apricots, dates, prunes), nuts;
- cereals and legumes;
- greens (rosemary, parsley, garlic, celery root);
- vegetable oils from flax seeds, wheat germ, pumpkin seeds, olives;
- fish dishes;
- honey and its offal;
- drinks (freshly squeezed juices, green tea, tea from sprigs of currants, raspberries, linden flowers, lemon balm).
Every patient prone to cardiovascular disease should know all preventive measures in order to timely stop or avoid the course of the pathological process. It is not difficult to do this, but it is required to observe all preventive measures, which include proper nutrition and lifestyle, emotional stability.
In addition, it is extremely important to control the underlying heart disease, which occurs in the body in a chronic form. If you reduce the number of its relapses, then extrasystole can also not be afraid.
If you start the present pathology, then it only exacerbates the course of the pathological process in the body, which has been prevailing for more than a year.
You should also be extremely careful when taking certain medications, and if side effects occur, immediately contact a qualified specialist to change the prescribed treatment regimen.
This is very important, because many drugs among the side effects attack the instability of the heart rhythm.
”Alt =” ”>
Cardiline is the most modern medicine for the treatment of cardiovascular diseases. The composition of these capsules is not only able to cope with high blood pressure, but also has an anti-inflammatory effect, which can fight fever and pain.This latest development has become a direct competitor to such well-known drugs as: Recardio, Detonic, Cardio NRJ, Heart Tonic. Take the opportunity to buy Cardiline with 50% discount now!