What is it about the sinus room of the morbid state form syndrome? 's general knowledge

What is it about the sinus room of the morbid state form syndrome? 's general knowledge
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 and 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 the subsidiary materials of hospital of Zhongshan of medical university of Shanghai, are the clear symptom patient's age 40- 50 and 60- 70 years old and see at most.
The cause of disease is studied
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%. The literature becomes celestial the materials indicate the heart conducts the unidentified regression of the systematic reason to turn into SSS most common cause of disease. 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.
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.
Clinical manifestation
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 getting 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 elderly. 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.
Diagnose differentiation
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 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 ,Disease the intersection of sinus and syndrome SNRT and SACT of patient often apparent to exceed the normal high limit. 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 is apparent to exceed the normal high limit (such as SNRT exceeds 2000ms) Have reference value. Many people think he diagnoses value is not so good as the dynamic electrocardiogram.
The treatment is prevented
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 apparent 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. Scan the slow fast syndrome of treatment of the law replying device automatically while being programme-controlled while being useful still recently ' See the artificial pacemaker chapter) ,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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