The sinus room of the morbid state forms sinus syndrome _ general knowledge of syndrome

The sinus room of the morbid state forms sinus syndrome _ general knowledge of syndrome
Summary
The sinus room of the morbid state forms syndrome and is abbreviated as disease, sinus syndrome. Because sinus room form and their surrounding tissue original organic disease cause sinus room form e xcited to form obstacle, or the sinus room forms to the atrium excitedly and conducts the syndrome of many kinds of arrhythmia and many kinds of symptom due to the obstacles. The main characteristic is that a sinus is aroused in interest and too slow, it is aroused in interest and too slow to be called when amalgamating fast arrhythmia and breaking ou t repeatedly --Tachycardia syndrome.
Cause of disease
Person who send harden specially and regression become and coronary heart disease, myocardium disease, myocarditis, rheumatic heart disease, surgery damage, hypertension,etc.. Some are not clear for the family or reason. Pathology changes mainly for forming and fibrous hyperplasia of atrium of sinus room, can form and stop up partly in the knot of the artery with the sinus room, even can involve intersection and branch of room room.
Symptom
Get up disease to be latent to attack, make little progress, is found accidentally sometimes. Symptom is a main fact as internal organs such as the heart, brain, intestines and stomach and kidney,etc. are with insufficient blood supply, if weak, chest ache, palpitation, it is dizzy, insomnia, memory failing, emotional, slow in reaction, urine more, appetite is bad, etc. The very lasting or intermittence breaks out. Appear high sinus room block and sinus park fight, can break out short burst faint or dark and dim. Even angina pectoris, in heart failure or shock,etc. can take place. Acute to make the intersection of wall and myocardial infarction and myocarditis, can cause temporary sinus room marry function to be the whole, acute one disappear more after going over.
Check
First, electrocardiogram: The serious sinus is aroused in interest and too slow, every minute is less than 50 times. The sinus parks and fights sum ' Or) The sinus room is blocked. It is replaced with tachycardia, appeared that aroused in interest and slow. Aroused in interest and slow and aroused in interest and too slow for sinus, tachycardia is sex tachycardia on the room, the atrium is quivered or fluttered. The chronic atrium can't be transferred to quiver after replying law by cable to sinus rhythm of the heart. Fighting the rhythm in lasting slow room room juncture district ease, some patients can amalgamate atrio-ventricular block and bunch and prop up block.
Second, sinus room form the function to determine: Can be to doubting a patient can choose to employ the following methods.
(1) Movement and atropine are tested: The movement or quiet note atropine 1.5-2mg, inject, copy and write the electrocardiogram or show the wave to observe continuously respectively in 1, 2, 3, 5, 10, 15, 20 minutes, if sinus rhythm of the heart be got by 90 times divided quickly to be can't increased and (or) Appear sinus room block and the intersection of juncture and district rhythm of the heart, the intersection of sex and tachycardia for positive at the room. It increase fast if sinus rhythm of the heart> 90 times /divide for being negative, nervus vagus is hyperfunction in function, there is glaucoma or it is used that the loose patient of obvious prostate is careful.
(2) Adjust and fight and measure the sinus room to form the function through the gullet or direct atrium: This law is a disease and sinus syndromic more reliable diagnostic method, especially combine the influence that the medicine blocks the independent nervous system, can improve sensitiveness even more. It is bipolar to insert and get up and fight the conduit by the gullet, behind the electrode is put into the left room, then connect the artificial pacemaker, walk and get up fast and fight, the frequency increases every minute to 150 times gradually from 90 times, 100 times, 120 times of every minute, adjust, fight, last 1 minute each time, then stop, get up, fight, copy, write electrocardiogram, see sinus room form how long does it go through can warm to wake up and reply, beat, fight and form and resume time for the sinus room until the time to resume sinus P wave from stopping stimulating. Disease sinus syndrome inherent heart rate is at 80 times /divide following (give atropine 2mg to determine behind lasting propranolol 5mg notes quiet) ,Sinus room form, resume time> 1500m.s, sinus room conduct time> 180m.s.
(3) The dynamic electrocardiogram is monitored: Can know the quickest and slowest heart rate, sinus stop fighting, blocking in the sinus room,etc. the arrhythmia behaves.
(4) Sports are tested: At the time of the treadmill or dull and stereotyped sport test, if the heart rate can't obviously increase after sports, brief on the sinus room to form the function badly. But must guard and observe tightly, so as not to meet accident.
Treat
First, treatment of cause of disease: At first should define cause of disease as much as possible, such as coronary artery being obviously getting narrow to puncture the intersection of coronary arter y and shaping skill under by skin while being feasible, employ Nitroglycerin,etc. to improve the blood supply of coronary artery. Myocarditis can instil quiet note with mixture of energy, heavy dose of vitamin C vein.
Second, drug therapy: To accompany fast the intersection of and the intersection of rhythm of the heart and not normal pati ent, can try out atropine, ephedrine or in order to raise heart rate different third Epinephrine. The niacinamide 600- 1000mg is dissolved into 10% of the glucose liquid 250- 500ml quietly and drippe d 1 times a day, avoid using medicine such as receptor which slows down the heart rate to block pharmaceutical and calcium and resist pharmaceuticals etc. short of moneyly.
Chinese medicine treatment in order to invigorating vital energy, Wen Yang, blood circulation promoting as main fact, can if you can't choose the right person, participate in by moxibustion licorice root soup, activate pulse scatteredly and add by four and go against the soup.
Third, installation press the taking artificial pacemaker: You had better select the room to get up and fight (AAI) diligently Or frequency replying pace maker, control the fast arrhythmia by resisting arrhythmia medicine on this basis.
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