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

The sinus room of the morbid state forms ABC _ general knowledge of syndrome
About disease
Abbreviated as disease, sinus syndrome, it is not complete to also call the sinus room and form the function. Fight the function from the time when the sinus room forms and near organizing pathological change an d causes the sinus room and forms and (or conduct the obstacle in the sinus room, thus produced many kinds of arrhythmia and clinical symptom. Mostly present symptom over 40. According to some materials of hospital of Zhongshan of Shanghai, are the clear symptom patient's age 40- 50 and 60- 70 years old and see at most.
Sinus that room form and near, organize pathological change cause the intersection of sinus and room form, blow, fight function and (or) The sinus room forms and conducts the obstacle, thus produce many kinds of arrhythmia and clinical symptom. The cause of disease has coronary heart disease, rheumatic heart disease, hypertension and heart disease, etc., may form and near organize with the intersection of sinus and room person who send fiber take change the sex most common specially. Rely mainly on the fact that it is especially not ample symptom of blood supply of the brain that blo od supply of internal organs such as the brain, heart, kidney of slow heart rate are insufficient, if palpitation, weak, dizzy, symptom of almost fainting even fainting etc.. Called slow - fast syndrome while amalgamating fast arrhythmia. The treatment should be directed against the cause of disease, the person who doesn't have symptom can be examined fixedly at the same time, showing insufficient symptom of blood supply of the brain such as persons who almost faint or faint s ometimes should be placed and pressed the taking artificial pacemaker, in addition control the fast arrhythmia with the medicine if necessary.
Symptom
Symptom is described in detail
The weight of clinical manifestation differs, it is the intermittence. Blood supply insufficient, especially brain blood support enough symptom for main fact with the intersection of heart rate and g etting slow brain, heart, kidney internal organs more. The lighter is weak, giddy, having dim eyesight, insomnia, memory are bad, slow in reaction or emotional, etc, easy to be misdiagnosed as neurosis, it is easy to be misdiagnosed as the brain blood vessel accident or old and feeble syndrome for the e lderly. Can cause transient to cover with, faint, faint almost while being black while being getting serious or syndrome of Sri Lankan of A break out. Some patients amalgamate on the short burst of rooms the fast arrhythmia of the sex break out, is also called slow - fast syndrome. When fast arrhythmia break out, heart rate can accelerate the intersection of Damien and 100 more than min suddenly, duration different in size, suspend tachycardia suddenly, there can be hearts to suspend companions or not accompany fainting to break out. Slow or tachycardia aroused in interest can also aggravate original heart disease and symptom besides causing palpitation seriously, cause heart failure or angina pectoris. Heart person who discharge cross low to influence kidney,etc. seriously internal organs pour into can cause the intersection of urine and little, indigestion also. Nearly slow syndrome may also cause vascular thromboembolism symptom.
Cause of disease and having illness coming on in the mechanism
The common cause of disease is myocardium disease, coronary heart disease, myocarditis, are also seen at desmosis, supersession or soaking illness, the cause of disease of many cases is not clear. The materials of medical university Zhongshan hospital of Shanghai, the unidentified one of SSS cause of disease accounts for 37.9%. Literature become celestial materials indicate heart conduct systematic the intersection of reason an d unidentified the intersection of regression and turn the intersection of SSS and most common cause of disease into. Except that the sinus room forms and near organizing, the heart conducts other parts of the system, also may be given much trouble, cause many places to get up to fight and conduct the function obstacle potentially. Amalgamate the intersection of room and the intersection of room and junction, get up, fight or conduct function to be complete, also call pair marry pathological change; Involve one bunch of one that propped ups in Left deviation, right to call and conducting systematic pathological change completely at the same time.
SSS course of disease develop, mostly slowly, can as long as 5- 10 years or not longer while being serious from symptom appearsing to symptom. Minority are acute to break out, is seen at acute myocardial infarction and acute myocarditis.
Diagnosis
Mainly the electric chart of heart based on that the sinus room forms the function obstacle should ge t 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 functio n 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 with different third Epinephrine ' The vein injects or instils 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 a result ' The heart rate is increased and got 90 times min or the above) quickly after the 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 r ange, 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.
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