Which the sinus room of morbid state should be done to form syndrome to check _'s treatment

Which the sinus room of morbid state should be done to form syndrome to check _'s treatment
The inspection method of this disease mainly has the following aspects:
First, electrocardiogram
The serious sinus is aroused in interest and too slow, every minute is less than 50 times.
Dou be fought to be parked and (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, can't increase if sinus rhythm of the heart get by 90 times divide quickly 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. If sinus rhythm of the heart increases fast gt; 90 times /divide because for negative, mostly nervus vagus is hyperfunction in function, have glaucoma or prostate careful to spend patients looses obvious.
(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. It is at 80 times in heart rate in disease sinus syndrome inherent /divide following (give atropine 2mg to determine behind lasting propranolol 5mg notes quiet) ,The sinus room forms and resumes time gt; 1500m.s, the sinus room conducts time gt; 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.
[Electrocardiogram characteristic ]
It include last function obstacle the electrocardiograms of the themselves sinus room and continue to if you can't take place, if you can't last function not normal ease, fight at sinus room and (or) Fight ease by rhythm of the heart, it can erupt bursts of arrhythmia fasts short simultaneously with (or) The electrocardiogram given much trouble in other positions of conducting the system is silent to beh ave. 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,if 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-tachycardiasyndrome e) with the slow sinus rhythm of the heart (Fig. 1) . 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; Sum of fighting from room room junction (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 ea se 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.
Article 1 (aVF) Show the room and attack the simulation V5(a) of second The heart delays reaching the simulation V5(b) of third for 3.96 seconds to show the room quiverly after suspending Show it on the short burst of ro oms after sex tachycardia is suspended, the heart is suspended, thereafter fight the room ease
Medical university Zhongshan hospital of Shanghai depends on the dynamic electrocardiogram (DCG) Behave, divide into 4 type: Type,it is serious but is lasting sinus aroused in interest and getting slower too (21.1%) ; 2Type,it is slow in sinus it park and fight companion sinus or block sinus room (30.5%) ; Type,it is slow to be fast syndromic (12.6%) ; Type,there are sick without being formed (35.8%) on pair . Among them does one pair of pathological changes forming type faint or black? Incidence (70.6%) Obviously higher than other various. Does clinical manifestation faint or black? Person as second such as 0.7 of 4.9 , last person who has symptom DCG interval on average notably. The persons who treat in fighting by getting up follow up a case by regular visits to 9 and a half ye ars 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.
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