Palpitations - is an individual sense of the accelerated rhythm of the heart, the cause of which may be the appearance of premature, and sometimes additional contractile pulses infarction.A notable fact is, that even severe sinus tachycardia is not always a reflection of the health of a person can completely ignore changes in health.And at the same time a feeling of palpitations may be concerned about a person, even a moderate increase in heart rate.
Causes of palpitations
Among the causes of the sensation of palpitations are the various pathological conditions that are not necessarily associated with organic heart disease.For example, persons with increased excitability of the nervous system, even against the background of well-being may mark the emergence of the feeling of palpitations, which in most cases, terminated on their own or after taking sedatives.
Figuring provoking factor with a strong heartbeat is the main task of the physician, as in most cases, the levelin
Many patients equate the concept of "palpitations" and "Tachycardia," but these two terms there is a significant difference, since the tachycardia observed objective evidence of increased frequency of myocardial contractility, as opposed to the "heart palpitations", which is a purely subjective feeling of the patient.
great importance in regard to the effect on myocardial contractility has a balance of minerals in the body, as even the banal shortage of potassium or magnesium can cause the development of a strong heartbeat.The stimulating effect on myocardial contractility has the temperature of the human body as well as an increase even by one degree is accompanied by increased work of the heart and the emergence of the feeling of strong heart patient during hyperthermia.
Why palpitations in some situations it may be dangerous to life and health of the patient?The fact that the feeling of palpitations very often acts as the only clinical sign of life-threatening conditions that require urgent medical measures, including common syndrome cardiac hyperkinetic, tetany, hyperthyroidism, and severe arrhythmias.In these cases, greatly increased heart rate may occur at any time of the day against the backdrop of well-being and be highly aggressive.
extremely rare palpitations at normal pressure, since there is a clear pathogenetic relationship between heart palpitations and increased blood pressure, and increase the pressure gradient in the arterial vessels is secondary, then there is a compensatory response to the intense work of the myocardium, and not vice versa.However, it should be noted that hypertension can significantly worsen the condition of the patient, so during the therapeutic measures aimed at eliminating palpitations, necessarily need to use tools that correcting blood pressure.
If an anaphylactic reaction or shock of different nature can also be observed palpitations, despite a sharp drop in blood pressure.In this situation, on the contrary increased heart acts as a compensatory mechanism aimed at increasing the pressure gradient in the arteries of large caliber.
In the case of acute occurrence of palpitations patients describe it as "open chest, some jerks or pops in the neck and chest."Patients with persistent atrial arrhythmia cardiac gradually get used to this state, but with a very strong heartbeat have witnessed an increase in psychological and emotional component, which consists in irritability, fatigue.
Usually, very strong palpitations accompanied by the appearance of other clinical manifestations in the form of dizziness, shortness of breath, headache, pulsating nature, excessive sweating and pallor.The appearance of clinical criteria is also the basis for immediate treatment for medical assistance at the nearest medical institution.In the morning palpitations often a sign of any arrhythmia, so the person suffering from this disease need doobsledovanii.
On examination, the patient noted the presence of episodes of palpitations, there should be a full range of survey, as of this clinical symptom may hide severe cardiac disease such as paroxysmal tachycardia.With this disease, patients usually mark the appearance of attack at night and equally describe his condition as "I wake up from a strong heart."The appearance of such complaints in the patient requires careful attention by the attending physician.
Palpitations during pregnancy
Pregnancy is stressful for the woman's body condition, during which all vital functions are in a heightened pace, reinforced the work of the heart is no exception, so the "feeling of palpitations" is the most common complaint of pregnant women.Symptoms associated palpitations are similar to those observed in violation of cardiac rhythm (breathing disorder, discomfort in the heart, dizziness).
risk for the emergence of heart palpitations up pregnant women suffering from anemia, so this category of attacks palpitations are often accompanied by transient episodes of loss of consciousness.Among the causes of palpitations should first consider the hormonal changes a woman during pregnancy, as well as psycho-emotional instability and poor exercise tolerance.Some women during pregnancy take a large number of fortified products, but it should be borne in mind that hypervitaminosis extremely negative impact on the functioning of the heart and can cause the development of a strong heartbeat.
Despite the fact that the majority of obstetricians said tachycardia during pregnancy normal reaction of the female body, yet this condition requires a dynamic monitoring and the need for timely medical treatment.Why palpitations, a benign course, is normal during pregnancy?The fact that this state is a compensatory response of the female body, thus ensuring a sufficient blood supply of uterus, through which to enrich fetal necessary amount of nutrients.
most critical period for the occurrence of palpitations is the first trimester of pregnancy, because in this time period there is a maximum activation of the hormonal status of the woman and the acceleration of metabolic processes in the body.Contributing factors to the development of this condition is the lack of vitamins and magnesium, as well as a provocateur palpitations often appears excessive physical or psycho-emotional activity.
In the second trimester of pregnancy begins the active set of weight pregnant women that provokes the strengthening of the load on the cardiovascular system, so in this period, expectant mother is increasingly complained of heart palpitations, accompanied by nonspecific pain in the heart.
If we consider the recommendations for the correction of eating behavior to obviate the fact of a strong heart, they are limited except caffeinated drinks and normalization of drinking regime.
Palpitations a child
emergence of a strong or rapid heartbeat in a child at any age period is an unfavorable sign, so this category of children in need of doobsledovanii to ascertain the root causes of this condition.Please note that minor changes in heart rate in patients of child categories are not considered as a disease, and is a compensatory mechanism in response to the increase of the body associated with increased growth and development of all organs and systems.In the process of accelerating or slowing heart rate affects both the health of the body of the child (physical activity, body temperature) and the environment (indicators of temperature, humidity, time of year).
installing conclusion "palpitations" the child is necessary, first of all, take into account the statutory parameters of heart rate for each age category.For example, for newborn heart rate of 180 beats per minute is normal, whereas for children over one year, this indicator is unfavorable.
most common pathogenic version of a strong heartbeat in a child is a sinus tachycardia, the cause of which is not necessarily any serious cardiac pathology.Short episode of palpitations during sinus tachycardia may be triggered even hyperthermia or excessive physical activity of the child.The presence of the child's tendency to develop sinus tachycardia is not an indication for medical treatment, but this category of children is subject to compulsory dynamic observation pediatrician cardiologist.
heavier on the impact on the health of the child's condition is heart palpitations due to the occurrence of an attack of paroxysmal tachycardia.As the name suggests, this form of violation of the heart is severe and needs immediate medical intervention.A feature of palpitations in paroxysmal tachycardia is a sudden debut of the clinical manifestations and related breathing disorder that significantly aggravate the course of the disease state.
When available any congenital malformations of the heart in a child may experience chronic tachycardia, which is less intensity of clinical manifestations, and treatment of this condition involves the removal of the main congenital disorders.
What if palpitations
There is a whole spectrum of clinical criteria, each of which is an absolute indication for treatment to a cardiologist for the purpose of proper verification of diagnosis and the most appropriate and adequate therapies.In the role of such criteria appears too intense and prolonged heart, the occurrence of seizures tachycardia with minimal impact provoking factor, or at rest, irregular or impulsive nature of the flow of the syndrome.
If we consider the non-emergency assistance and long-term relief from palpitations, it is first necessary to modify the patient's lifestyle, which implies limiting harmful habits as smoking and alcohol consumption, normalization of psycho-emotional status and to ensure a good rest and a night's sleep.
In the event of an attack of palpitations priority measures is to adopt a comfortable position the patient, as well as psycho-emotional relaxation, which you can use different methods of psychological correction (respiratory movements, self-hypnosis).Most patients suffering from palpitations, use the technique of breath on stage a deep breath and say a good effect on the elimination of violations of cardiac rhythm after a few minutes.In a situation where such methods do not bring the desired effect, it should adopt a sedative made of plant-based (tincture Valerian - 20 drops).
Among the means medical series which are used in the treatment of palpitations, isolated antiarrhythmic drugs and means of sedation, both vegetable and synthetic origin (Sedasen 1 capsule 2 times a day, Adaptol 500 mg 2 times a day).Antiarrhythmic agents used for the purpose of relief or long-term treatment of palpitations, very diverse, and the choice of a group of drugs depends on the pathogenic form of arrhythmia.For example, if ventricular tachycardia drug of choice is obzidan in a daily dose of 60 mg.
There are also a number of diseases, one of the clinical symptoms are palpitations, requiring the use of only a surgical treatment (surgery cardiac surgery profile, removing the bulk formation of thyroid or pheochromocytoma).
Palpitations - a doctor will help ?If you have or suspect a development palpitations should immediately seek the advice of such physicians as a cardiologist and a neurologist.