Advice 1: ≠ heart arrhythmia.
Arrhythmias manifested as a sudden irregular or irregular heart palpitations, chest pain, dizziness, precordial discomfort, feel oppressed, shortness of breath, hands and feet numbness, and syncope, and even unconsciousness. Some patients may also be no symptoms, only the ECG was found. The cause of arrhythmia complexity of the following five kinds of common: ① organic heart disease, such as coronary heart disease, pulmonary heart disease, hypertension, heart disease, heart disease, rheumatic heart disease, etc.; ② a variety of adverse stimuli such as emotional excitement, fatigue, drinking, drinking tea and coffee so thick; ③ drug factors, such as the use of digitalis, quinidine, and certain anticancer drugs, etc.; ④ severe electrolyte and acid-base balance disorders; ⑤ metabolic diseases, such as hyperthyroidism. Thus, although the majority of cardiac arrhythmia caused by organic heart disease, but the arrhythmia does not necessarily suffering from a heart attack, arrhythmias can appear normal.
It is worth mentioning that the incidence of arrhythmias increased with age increases, the elderly prone to arrhythmia. Many elderly people believe that they have cardiac arrhythmia, is suffering from a "coronary heart disease," In fact, this is a misunderstanding. Coronary heart disease can cause arrhythmias, but the failure of coronary heart disease caused by cardiac arrhythmia. In addition to high blood pressure, heart disease, heart failure, myocardial fiber aging, sinus node dysfunction, such as organic factors, some non-organic factors, such as mood changes, infection, anemia, electrolyte disturbance, also can lead to arrhythmia occurred. Therefore, for elderly patients with cardiac arrhythmias in terms of, first of all should carefully look for the causes leading to arrhythmias and incentives, should not lightly use of anti-arrhythmia drugs. If the need medication, it must be reasonable under the guidance of doctors to use, close observation, safety first, because the elderly poor drug tolerance, high incidence of adverse reactions.
Advice 2: Only normal ECG, arrhythmia can not be completely ruled out.
Normal ECG arrhythmia most commonly used method of diagnosis, but some of the major manifestations of paroxysmal atrial arrhythmia episodes, a few minutes of normal ECG is often difficult to capture. In general, for a heart symptoms, but patients with normal ECG, the doctor will generally recommend his do a 24-hour ambulatory electrocardiogram (Holter) checks to improve the detection rate of arrhythmias. At present, the domestic part of the hospital also set up a telephone electrocardiographic monitoring, through the remote control device to record the electrocardiogram in patients with ECG changes daily.
Advice 3: Some patients with cardiac arrhythmias do not need medication.
Different types of arrhythmia, treatment varies. Arrhythmia is in need of treatment, how should the treatment should be cardiovascular specialists to decide. Doctors generally will give a comprehensive medical history, symptoms, physical examination and the necessary laboratory examinations, such as the 24-hour ambulatory ECG, echocardiography, etc. with reference to whether patients with organic heart disease, arrhythmia any effect on the heart pump function, and its development as a serious possibility of arrhythmia, etc., to determine the treatment strategy.
Because many anti-arrhythmic drugs themselves have the potential arrhythmogenic risk, and therefore should be used with caution. Generally speaking, the basis of non-organic heart disease does not affect cardiac function and there is a clear negative stimulus of the arrhythmia, is often regarded as functionality. Such patients without obvious symptoms, do not advocate for anti-arrhythmic drug treatment. Even if there are symptoms, also called for the first remove the adverse incentives to relieve concerns, stable emotions, to observe, if necessary, be given a short-term drug treatment. But for the basis of organic heart disease, with or without heart function associated with abnormal cardiac arrhythmia, mostly pathological, should be a high degree of vigilance, and timely and regular medication.
In addition, the anti-arrhythmia drugs in patients with security issues has been concerned about. Although in theory, the existence of anti-arrhythmic drugs or lead to deterioration of the original arrhythmia induced by a new potential risk of arrhythmias, but patients must not Yinyefeisi. Generally speaking, as long as reasonable application under the guidance of a doctor, you can minimize the incidence of adverse reactions.
Advice 4: treatment of cardiac arrhythmia, can not rely on drugs.
The purpose of anti-arrhythmia therapy is to maintain normal or near normal cardiac pump function, to reduce or eliminate the symptoms, prevention of sudden death. Arrhythmia treatment should be comprehensive and should be tackling the problem. Should first try to clear the causes leading to arrhythmia, to remove the adverse incentives and treatment of the basis of heart disease, this as a "cure." The anti-arrhythmic drugs are "symptoms" in nature, although they may be effective to relieve symptoms, but only as part of treatment of arrhythmia. In the course of treatment, the patient's attitude is extremely important to treat arrhythmias, avoid excessive anxiety, doctor when critically ill, the cure hopes in the medication, while ignoring the cause (such as hypertension, arteriosclerosis, etc.) and incentives (fatigue , etc.) prevention and treatment. In the rational use of antiarrhythmic drugs based on the active control of a good blood pressure, blood glucose, blood lipids, arrange work and rest periods, tobacco and alcohol, proper diet, adequate exercise, may be a multiplying effect.