Extrasystole treatment
Extrasystole is a variant of cardiac arrhythmia, an additional contraction of the entire heart muscle. It is caused by a nerve impulse from the accumulated nervous tension. Extrasystole does not pass without a trace - since the heart muscle contracts weaker, then the volume of blood supply, cardiac output decreases. The heart suffers from this, the condition of the myocardium worsens. Treatment of extrasystole is carried out by a cardiologist after a thorough examination, finding out the type and causes of arrhythmia.
Content:
- Medicines for extrasystole
- 4 essential foods for the heart and blood vessels
- Potassium in the treatment of extrasystole
- Treatment of extrasystole with radiofrequency ablation
Medicines for extrasystole
In mild cases of idiopathic extrasystole, not accompanied by changes in the heart muscle and coronary vessels, drug therapy is not required. It is enough to explain to the patient that the reason for this condition is disturbances in the regime, increased physical and psychological stress. It is enough to streamline the daily routine, not overload yourself with excessive responsibilities, get rid of bad habits, and dangerous symptoms will no longer appear.
If the patient is too concerned about his condition, he is prescribed to take light sedatives (drugs from the root of valerian).
With extrasystole caused by functional disorders of organs and systems, you need to address the causes of its occurrence.
It can be such diseases and conditions:
- Disturbed water-salt balance;
- Neurosis;
- Toxic damage to the body;
- Alcohol intoxication;
- Cervical osteochondrosis.
Treatment of organic extrasystole is carried out with drugs from the pharmacological group of beta-blockers. The variety of drugs for the treatment of arrhythmias requires a specialist in-depth knowledge of pharmacy and cardiology. Not all drugs effectively restore the normal functioning of the heart muscle. We have to take into account the individual characteristics of the course of the disease, concomitant pathologies.
Medicines for the treatment of arrhythmias contain one or more active ingredients. Their combination complements each other's positive properties. Competent selection of medicines allows you to create an individual treatment plan.
Medicines for the treatment of extrasystole:
- Anaprilin,
- Etazicin,
- Kordaron,
- Amiodarone,
- Obsessed,
- Sotalex,
- Pranoldol,
- Propranolol,
- Sotagexal.
In most cases, you have to select the right drug, based on the patient's well-being, the data of the diagnostic examination.
4 essential foods for the heart and blood vessels
Medicines are not the only ones that can return the heart to its normal rhythm. It is of great importance to include certain foods and nutrients in your diet.
Selenium
The importance of selenium for maintaining the health of the heart muscle and the vascular system was first demonstrated by German and Finnish researchers. In Germany and Finland, not long ago there was an acute problem of the lack of selenium in food. To solve it, at the government level, it was decided to add this trace element to feed for farm animals.
The result of these measures has been a twofold decrease in the number of deaths from cardiac pathologies over the past two decades. Studies have substantiated the reason that selenium directly affects the prevention of heart disease. Certain enzymes in the human body contribute to redox reactions. They are represented by selenium-containing glycoproteins. Enzymes reduce lipid peroxides and are antioxidants. Lack of selenium leads to the transformation of myocardial cells, their degeneration.
The positive effect of glycoproteins on cardiac activity does not end there. During myocardial infarction, these enzymes protect the heart muscle, limit the area of necrosis. The less area of the myocardium is affected during a heart attack, the more chances of avoiding heart failure. ECG-controlled studies have shown that a lack of selenium lowers the heart index by 6 times, leading to the development of ischemia.
In contrast to these data, there are research results on the positive effect of selenium in combination with tocopherol on the recovery of patients after a heart attack. Lack of selenium leads to the development of myocardial infarction, stroke and a high risk of developing cancer.
Find out more: Selenium is an anti-cancer mineral!
Omega-3 polyunsaturated fatty acids
This compound is found in high amounts in oily sea fish and in plant foods such as soybean oil and flaxseed oil.
Benefits of Omega-3 Fatty Acids:
- Protect the vascular wall from the negative effects of oxidized LDL;
- Fight atherosclerosis;
- Prevents the formation of blood clots;
- Increase immunity;
- Normalize the condition of the mucous membranes;
- Prevent allergic manifestations;
- Accelerate the healing process in case of inflammation;
- They are used to prevent cancer of the prostate, breast, ovaries;
- Ensure the normal functioning of cell membranes responsible for the transmission of nerve impulses, for the storage of information by the cells of the myocardium, retina, and other organs;
- Helps to effectively fight diseases: diabetes mellitus, eczema, psoriasis, depression, Alzheimer's disease;
- Supports the performance of the reproductive, immune and cardiovascular systems.
For optimal effects on the human body, Omega-3 acids must be supplied in full. For an adult man, this figure is 2 g, for a woman - 1.6 g.
This amount is found in the following foods:
- 10 g ground flax seeds;
- 90 g canned sardines;
- 7-9 walnuts;
- 1 tbsp. l. rapeseed oil;
- 120 g canned tuna.
The required concentration of Omega-3 lipids will be achieved if fatty varieties of sea fish are included in the diet at least 2 times a week, seasoned salads with rapeseed, sesame, walnut, flaxseed oil, and 1 tsp daily. flaxseed oil on an empty stomach. If these conditions are not feasible, supplements containing polyunsaturated omega-3 fatty acids will come to the rescue.
Diseases, in the treatment and prevention of which the beneficial properties of Omega-3 lipids are used:
- Ischemia of the heart and blood vessels;
- Ischemic and hemorrhagic stroke;
- Atherosclerosis;
- Diseases of the joints;
- Allergic dermatitis and eczema;
- Type 2 diabetes mellitus;
- Obesity;
- Diseases of the veins (thrombophlebitis, varicose veins, phlebothrombosis).
Omega-3 polyunsaturated fatty acids are able to cross the placental barrier and penetrate into breast milk. This has a positive effect on the development of the fetus and infant.
Learn More: Interesting Experiments and Research on the Amazing Benefits of Omega 3
Ginkgo biloba
The fruits of this plant are extremely useful in the treatment of cardiac pathologies. Chemical compounds of the fruits of ginkgo biloba have a positive effect on the condition of the walls of blood vessels, normalization of blood pressure, prevention of blood clots.
Benefits of Ginkgo Biloba:
- Prevention of myocardial infarction, strokes, heart ischemia;
- Prevention of glaucoma;
- Stimulation of brain activity (memory, attention, concentration) due to the normalization of blood circulation;
- Impotence treatment;
- Prevention of age-related myopia;
- Use as an antioxidant for the prevention of oncological processes;
- Increased immunity;
- Improving the condition of hair, their growth and strengthening;
- Treatment of inflammatory processes.
The most valuable element of ginkgo biloba is quercitin, which accumulates in nerve fibers and cells of the endocrine glands. The positive effect of the drug has been proven by scientists from Europe, Japan, America.
Potassium for the heart
When treating diseases of the heart muscle, it is important that potassium is present in the body in sufficient quantities. Without it, as well as without sodium, the normal functioning of the heart is impossible.
The importance of potassium for optimal cardiac performance:
- Regulates blood pressure, bringing it to normal;
- Normalizes heart rate;
- Helps to get rid of the deposition of sodium salts on the walls of blood vessels;
- Effectively fights the manifestations of atherosclerosis;
- Potassium salts allow you to maintain the tone of blood vessels and capillaries in working condition.
Lack of potassium leads to arrhythmias, a pathological decrease in blood pressure, an increase in the heart muscle. An excess of this microelement also negatively affects the work of the heart. The norm of consumption of potassium in the body of an adult is 2500 mg per day.
Potassium content in food:
| % of RSP% | ||
| Candied fruit | 2043 | 81.7% |
| Dried potatoes | 1988 | 71.2% |
| Dried apricots | 1781 | 71.2% |
| Dried apricots | 1717 | 68.7% |
| Wheat bran | 1260 | 50.4% |
| Beans | 1100 | 44 %% |
| Chicken protein | 1067 | 42.7% |
| Seaweed | 970 | 38.8% |
| Tomato paste | 875 | 35% |
| Peas | 873 | 34.9% |
| Prunes | 864 | 34.6% |
| Raisins | 860 | 34.4% |
| Flax seed | 813 | 32.5% |
| Hazelnut | 717 | 28.7% |
| Dates | 696 | 27% |
| Lentils | 672 | 26.9% |
| Peanut | 658 | 26.3% |
| Dried apples | 580 | 23.2% |
| Dried bream | 536 | 21.4% |
| Champignons | 530 | 21.2% |
| Mackerel | 520 | 20.8% |
Potassium in the treatment of extrasystole
Potassium salts are used in the treatment of disturbed heart rhythms, including in the treatment of extrasystole. Types of arrhythmia respond ambiguously to drugs with potassium. Ventricular extrasystole responds best to treatment, the effect is weaker in the treatment of supraventricular types of this arrhythmia. No visible effect is achieved in the treatment of reflex and functional extrasystole.
The scheme of using potassium preparations (potassium chloride):
- On the first day of treatment - 6-14 g once;
- In the future - 1.5-2 g 3-4 times a day;
- Persistent positive effect - 1 g 3-4 times a day;
- In case of impaired absorption from the gastrointestinal tract - in / in the drip method as part of a polarizing mixture;
- When hypokalemia is combined with acidosis - in / in combination with potassium bicarbonate.
In addition to potassium chloride, Panangin (Asparkam) is used to saturate the body with this element. It is used according to the following scheme:
- Orally - 1-2 tablets 3 r. / Day;
- IV injection - slowly 10-20 ml of the drug per 20 ml of saline;
- Intravenous drip method - with 250 ml of glucose solution 5%.
The dosage of drugs decreases with the disappearance of extrasystoles or a decrease in their number. Treatment with potassium preparations is carried out under the control of an ECG, since it reduces the excitability of the myocardium and acts on conductivity.
Contraindications to the use of potassium preparations:
- Renal failure;
- Complete atrioventricular block.
Treatment of extrasystole with radiofrequency ablation
RFA (radiofrequency ablation) is used to treat ventricular premature beats that do not respond to conservative medication. This method is also prescribed for frequent atrial premature beats in combination with atrial fibrillation. The essence of the method lies in the directed effect of electromagnetic radiation on the foci of extrasystole in the myocardium.
Radiation destroys the foci of pathology. To clarify their localization, an electrophysiological study of the heart muscle (EPI) is performed. This study is similar to ECG, but unlike the latter, it has additional leads. EFI allows you to accurately determine the location of the focus of pathology.
The accuracy of the study directly affects the efficiency of ablation. The result of the operation is controlled by repeated EFI. The absence of foci of myocardial excitation indicates the success of the operation.
Video "Therapy of extrasystoles and supraventricular tachyarrhythmias"
Report of Doctor of Medical Sciences, Professor of the Department of Cardiology, FUV GBOU HPE "Pirogov Russian National Research Medical University" at the symposium "Treatment of arrhythmias: is there any reason for optimism".
The author of the article: Molchanov Sergey Nikolaevich | Cardiologist
Education: Diploma in "Cardiology" received at the PMGMU. I. M. Sechenov (2015). Here I completed my postgraduate studies and received a diploma "Cardiologist".
