The sinus room of the morbid state forms the treatment of syndrome and _'s treatment of the diagnosis

The sinus room of the morbid state forms the treatment of syndrome and _'s treatment of the diagnosis
Mainly the electric chart of heart based on that the sinus room forms the function obstacle should get rid of the nervus vagus function the hyperfunction or medicine influence now. The sinus room of the early or not typical case may present intermittent outbreak to form the function obstacle, or regard the sinus aroused in interest and too slow as and mainly or only behave, often it is difficult to regard making a definite diagnosis of as this disease, check, contribute to, assess the sinus room, marry the function while being following. The dynamic electrocardiogram is probably recorded to many kinds of characteristic electric charts of heart of SSS now within 24 hours, can be checked repeatedly in a short time when the result is negative. In order to get rid of the influence that the tension of autonomic nerve changes, can do atropines to test (atropine 1- 2mg of intravenous injection) Test (vein with different third Epinephrine, inject or instil 1- 2 g) ,If the heart rate can't increase the persons who reach 90 times min quickly and brief on the sinus room to form the function low after the note. But negative result (the heart rate is increased and got 90 times min or the above quickly after note) Can't get rid of a evidence. Can also adjust and fight the method to determine the sinus room forms and resumes time (SNRI) in the room diligently Conduct time (SACT) with the sinus room ,The disease sinus syndrome patient's SNRT and SACT often exceed the normal high limit notably. The appraisal forming the function in assessing the sinus room with the physiological index of above-mentioned electricity differs, it is generally acknowledged that determines the result can not be denied to diagnose in the normal range, the result exceeds the normal high limit (such as SNRT exceeds 2000ms) notably Have reference value. Many people think he diagnoses value is not so good as the dynamic electrocardiogram.
[Electrocardiogram characteristic ]
It include not lasting functioning sinus room obstacle the electrocardiograms of the themselves and continue to if you can't take place, if you can't last function not normal ease, fight at sinus room and (or) Rhythm of the heart it fight ease,it erupt simultaneously bursts of arrhythmia fasts short with (or) The electrocardiogram given much trouble in other positions of conducting the system is silent to behave. Sinus room block and (or) Sinus resting sum (or) The prominent sinus is aroused in interest and too slow; Ease fight short burst or escape, fight rhythm of the heart continuously, ease fight, take, obtain, two unite law, visit, move rhythm of the heart; With room fast for arrhythmia,not frequently if you can't send by room, beat too early. Short burst of atrium quivering, atrium fluttering or room tachycardia that or break out repeatedly that burst is sent, form the so-called slow - fast syndrome (bradycardia-tachycardia syndrome) with the slow sinus rhythm of the heart . Fast rhythm of the heart, after the not normal automatic stop, sinus often on as long as, appear after the intermittence of the above 2 second rhythm of the heart; Room room last sum (or) Conduct the intersection of function and obstacle, show as the intersection of room and the intersection of room and the intersection of junction and ease appeared to delay fight, pass slow the intersection of room and the intersection of room and the intersection of junction and ease fight rhythm of the heart (ease fight the intersection of cycle and the intersection of and gt; 1.5s) Or atrio-ventricular block, amalgamate bunch, prop up block while being accidental.
Medical university Zhongshan hospital of Shanghai depends on the dynamic electrocardiogram (DCG) Behave, divide into 4 type: Type,it is serious but aroused in interest and getting slower too (21.1%) in lasting sinus ; 2Type,it is slow in sinus sinus park and fight of companion or block sinus room (30.5%) ; Type,it is slow syndromic (12.6%) ; Type,it form pair sick (35.8%) . Among them one pair of pathological changes forming type faints or is covered with the incidence (70.6%) black Obviously higher than other various. Clinical manifestation faint and wicked the intersection of DCG and interval on average of covering with etc. for 0.7 second such as 4.9 , good at person of symptom had notably. The persons who treat in fighting by getting up follow up a case by regular visits to 9 and a half years on average, showing has quite long natural medical history, there is not a person who dies of this syndrome while following up a case by regular visits to. But Sutton,etc. observe, one year 85%- 92% survival rate, over 7 o'clock.
Treat
The treatment should be directed against the cause of disease, the person who doesn't have symptom can follow up a case by regular visits to regularly, observe the condition closely. The heart rate is slow and prominent or companion's subjective symptoms person can try out atropine, breathe heavily easily fairy is taken orally. Pair forms pathological change, slow quick syndrome and has blood of obvious brain for the patient substantially as almost fainting or fainting of insufficient symptom to place and press the taking artificial pacemaker, the order of room room, according to needing pace maker to accord with the physiological requirement even more than VVI. Ones that amalgamate fast arrhythmia, install the pace maker, in addition control the fast arrhythmia to break out with the medicine. Have still scanned the slow quick syndrome (see the artificial pacemaker chapter) of treatment of the law replying device usefully and programme-controlledly automatically recently ,Get up, fight according to VVI when being aroused in interest and too slow, tachycardia transfer VVT to from VVI, release, scan, stimulate or short burst stimulate, suspend tachycardia break out fast break out. The disease sinus syndrome patient forbids medicine such as depressor that may slow down the heart rate, resist arrhythmia medicine, strong heart medicine, - Epinephrine can block pharmaceutical and calcium and resist pharmaceuticals etc. short of moneyly. The atrium quivers or when the atrium is fluttered and broken out, it is unsuitable to reply law by cable.
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