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    Deceleration of intraventricular conduction



    Deceleration of intraventricular conduction: what is it and how does the disease manifest itself? Everyone should know the answer to the question, because heart disease can overtake anyone.

    Patients often ask doctors about a rhythm disorder, and also about what it is - a slowdown in conduction inside the ventricles? These are absolute and incomplete blockades of the legs of the bundle of His.

    At the same time, stages 1 and 2 of the disease may not be expressed on the ECG or not show symptoms if the pulse slows down to 50 beats / min. When a blockade of the 3rd degree occurs, bradycardia occurs (slow heart rate to 40 beats or less). The ECG shows loss of ventricular function. This condition requires an ambulance, otherwise the patient may die due to cardiac arrest.

    Reasons for development

    Among cardiovascular diseases, rhythm disturbance is quite common. The thing is that many patients do not treat chronic diseases of the heart and blood vessels, often have various bad habits. In addition, stress and tension wear out the nervous system, which leads to problems with nerve impulses, but there are a number of other reasons.

    There are three causes of pathology:

    1. Organic.
    2. Functional.
    3. Medicinal.

    With an organic one, the structure of the entire conducting cardiac system changes.

    The reason for this may be:

    • inflammation of the heart muscle;
    • heart attack;
    • pathological growths in the myocardium;
    • ischemic heart disease;
    • surgical interventions;
    • congenital heart defects.

    The functional cause does not cause disorders of the cardiovascular system. There is a failure of the sympathetic and parasympathetic systems.

    With a medicinal cause, rhythm changes occur due to the intake of certain types of drugs. Such blockades are difficult to treat and are particularly severe.

    The blockade can occur in a perfectly healthy person if, with a congenital pathology, the child has an open oval-shaped window in the heart.

    Absolute blockade can occur under the following conditions:

    • enlargement of the heart muscle;
    • valve defects;
    • ischemic heart disease;
    • acute heart attack;
    • inflammation of the heart;
    • obstructive bronchitis;
    • cardiosclerosis;
    • cardiomyopathy.

    There are three types of blockades - one-, two- and three-beam, saying that a conduction disturbance caused a blockage of the heart.

    Often, violation of intraventricular conduction is visible on the electrocardiogram.

    Differences between absolute and partial change in conductivity

    If a partial conduction disorder is not expressed in clinical symptoms, then the absolute blockade manifests itself:

    • weak, slow heartbeat;
    • soreness in the chest area;
    • fainting.

    Sharp weakness, pressing pain in the chest, weak pulse and increased sweating, as well as ECG manifestations in the form of a complete blockade, indicate an acute stage infarction and the need to immediately hospitalize the patient in a hospital. It is very important to read the electrocardiogram correctly in order to understand what pathology is currently bothering the patient.

    If the heart often worries, then after passing a full range of examinations, then make an appointment with a cardiologist.

    Sometimes the ECG shows scars of microinfarctions that have already taken place, which people learn about late.

    With the pathology of blood vessels and the heart, it is important to constantly monitor your condition in order to avoid complications that can lead to irreversible consequences. Since heart attacks and strokes, according to statistics, affect more and more young patients, it is very important to pay attention to symptoms and examinations for those who are at risk.

    The diagnosis that there is a violation of any intraventricular conduction is made by a cardiologist.

    He appoints:

    • Holter ECG, which will be carried out several times a day;
    • ECG with physical activity;
    • bicycle ergometry.

    Walking on a treadmill with ECG electrodes will give the doctor information about whether there is a violation or failure of intraventricular conduction. An ultrasound of the heart can also be prescribed, which will not only tell about the structure of the organ, but also give an assessment of myocardial contractility that is not displayed on the ECG. If there is no cardiologist, then the examination and treatment can be prescribed by the local therapist.

    Treatment and prevention of intraventricular conduction disorders

    As a rule, the disease is accompanied by the following symptoms:

    • violation of the pulse;
    • slowing or increased heart rate;
    • dyspnea;
    • heart pain;
    • cold sweat.

    It is best to see a doctor for a diagnosis. Or do an ECG, which will show a violation of intraventricular conduction. Do not miss a minute, otherwise the development of myocardial infarction can be taken by surprise.

    Usually, such treatment is prescribed by a cardiologist, who helps to eliminate the cause of intraventricular conduction. Therapy of heart diseases or respiratory organs is prescribed.

    If heart disease is not detected, then vitamins and medications are prescribed that improve the functioning of the heart muscle:

    1. ATP.
    2. Preductal.
    3. Antisten and others.

    When the violation of intraventricular conduction is complete, then such a question as the installation of a pacemaker may arise.

    The prognosis, if there is a partial violation, is favorable, when the blockade is absolute, then various complications can occur:

    • asymmetric contraction of the ventricles;
    • sudden cardiac arrest;
    • ischemic stroke;
    • acute blockage of the pulmonary artery.

    The main prevention of the disease can be called:

    • treatment of concomitant diseases;
    • healthy eating and elimination of bad habits;
    • moderate loads;
    • lack of stress.

    In addition, it is necessary to undergo, if possible, sanatorium treatment and eat right. Since most often a heart attack develops from existing pathologies of the heart and blood vessels, seasonal prevention of diseases is definitely needed.

    Article author: Ekaterina Filatova
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    Deceleration of intraventricular conduction