At the present stage cardiology service has great potential for the treatment of diseases that can cause a variety of cardiac arrhythmias, heart rate. The treatment of bradycardia is determined primarily by the disease, which is triggered or caused the slowing down of the heart rate.

What are the main principles of therapy

Treating bradycardia should be to medication, which appoints cardiologist after the establishment of the exact cause of bradycardia. Self-medication often leads to serious complications, reflected negatively on the health status, so only an expert can determine the choice of treatment strategy. Preparations for bradycardia can have side effects, which even exceeds the negative effect on the body bradycardia.

When unexpressed forms of bradycardia may be limited by the means of traditional medicine, if it does not affect the state of human health and on the course of the underlying disease as a whole. About the possibilities that traditional medicine should obtain qualified professional advice. The more recipes of traditional medicine is a good preventive measure, can significantly reduce the risk of developing the disease. Treatment bradycardia heart is a complex approach, which depends not only on the underlying disease, as well as the severity of the person on the form in which the disease occurs.

If the patient is bradycardia or severe (heart rate is 40 beats per minute or less, observed episodes of transient cardiac arrest for two seconds or more), the effectiveness of drug therapy will be minimal. In this case, you must solve the problem of surgical treatment, which consists in the implantation of the pacemaker. This type of therapy is most warranted in patients older age group has a lasting therapeutic effect.

The choice of method of therapy, depending on the underlying cause

The question of how to treat bradycardia Bradycardia - when the heart stops It is a key to the prevention of dangerous complications. Often, a severe form of bradycardia is accompanied by the development of syncope, collaptoid conditions that may lead to an increased injury or death. Medications bradycardia help strengthen not only the work of the heart, as well as human health in general.

One reason for the deceleration in heart rate is a medication that can be regarded as a side effect of the drug. Doctor changes in the treatment dose of the drug or decides on its abolition. There are clinical situations where it is impossible to stop taking the drug, and it is one of the indications for surgical treatment.

Than to treat bradycardia, which is caused by a dysfunction of the thyroid gland The thyroid gland - is responsible for your hormones   (usually hypothyroidism), is determined by the severity of hormonal changes. Therapy should be aimed primarily at achieving compensation for thyroid function. Upon reaching the normal range of hormone levels and stabilize the observed clinical improvement indicators are aligned in heart rate.

Emergency care in the development of bradycardia

Often attack bradycardia developed in the early period of acute myocardial infarction Myocardial infarction - the most formidable diagnosis So if bradycardia requires urgent medical measures. Drugs bradycardia assigned in this situation only intravenously, which allows for a short period of time to obtain a therapeutic effect. The drug of choice is a solution of atropine. In the process of the urgent remedial measures should take into account the possible presence of individual intolerance or hypersensitivity, as well as to comply with strict dosing regimen of the drug.

In case of overdose of atropine, the patient may experience the following symptoms:

• dry mouth
• dizziness
• mydriasis
• violation of visual perception
• strangury

If the slowing of the heart rate is accompanied by rhythm disturbances, the effects of drugs should be aimed at improving the processes of conduction, excitability of the heart. The use of atropine helps normalize the disruptions that occur with bradycardia (bradyarrhythmia). Medicines bradycardia also have a therapeutic effect by inhibiting the effect of the vagus nerve on the heart.

If the emergency aid was provided not in a specialized medical institution, in the future the patient should be hospitalized. Treating bradycardia medication should be in the cardiology department because they do not in all forms of arrhythmia drugs can be used to normalize the rhythm. Antiarrhythmic drugs for bradycardia is forbidden to assign if the condition is caused by an acute syndrome of "sinus".

Development of the attack bradycardia is a consequence of a particular disease or condition. Talking about treatment is possible only in the case when the set the exact cause of the disease and adequate therapy. If bradycardia does not lead to a deterioration of the general state of health is not accompanied by attacks of vertigo Dizziness - if the ground is slipping from under his feet , Fainting or severe weakness, then the patient should be advised to undergo dynamic observation and examination. If in the process of a comprehensive survey will be identified causal factors for the development of bradycardia, then prescribe a course of strengthening therapy (taking drugs Eleutherococcus, ginseng and other drugs).

Marina Solovyov

Asparkam - a pharmaceutical composition comprising potassium and magnesium salts. It helps to improve metabolism in the heart muscle, treats cardiac arrhythmia, prevents complications of high doses of cardiac glycosides.

How "works" asparkam

The structure asparkama includes potassium aspartate and magnesium aspartate. Potassium is the principal intracellular ion while mainly extracellular ion is sodium. The interaction of these ions maintain the constancy of fluid and electrolyte balance. The cells of the heart muscle (myocardium) is particularly responsive to potassium deficiency or excess. Thus, elevated levels of potassium above normal they react decrease in excitability and conductivity, that is inhibited by the automatism and myocardial contractility. The increase in the blood levels of potassium in the four times (this is possible only by intravenous administration of the drug), can lead to cardiac arrest.

Reduction of potassium poses a threat to the development of arrhythmias. The risk increases when using large doses of digitalis drugs. When the concentration of potassium in the blood, this risk is reduced.

Potassium is involved in conducting nerve impulses and transfer them to the innervated organs. Overall asparkam helps to restore normal water-salt metabolism in the cells of the myocardium. Potassium restores normal heart rhythm, and magnesium is a member of the plurality of enzymatic reactions and promotes the penetration of potassium into cells (transports potassium into the cell). In addition, with the participation of magnesium supplied the energy needed for metabolism Metabolism: The basis of life of all living things   in cardiac muscle cells.

Asparkam produced tablets and as a solution for intravenous injectable ampoules. And if asparkama pills are a safe means and practically do not cause side effects and overdose, then the appointment asparkama intravenously should be approached with caution - overdose can cause severe condition.

Application

Asparkam often given together with diuretics that remove potassium from the body, such as furosemide. In this case, the amount of potassium in the blood is maintained at a normal level. But there are drugs that contribute to the accumulation of potassium in the body, such as potassium-sparing diuretics, some drugs (triamterene, veroshpiron). With these drugs asparkam not combined.

Apply asparkam and various heart diseases, especially those accompanied by cardiac arrhythmias. Active influence on the metabolic processes in the heart muscle allows the use of this drug in coronary heart disease (angina, myocardial infarction) and heart failure Heart failure - when the heart is unable to cope with the work   (when the heart muscle is unable to cope with their work on the pumping of blood). When potassium deficiency, which developed due to various reasons (such as loss of a large amount of fluid during diarrhea, vomiting, and so forth) is also assigned asparkam.

Highly recommended the appointment of asparkama at a constant high doses of cardiac glycosides (digitalis preparations). Large doses of cardiac glycosides can cause cardiac arrhythmia and asparkam prevent such complications.

Do not take asparkam when kidney function - in this case, the ions of potassium and magnesium will linger in the body and cause complications. The same thing will happen in the case if you apply asparkam with high content of potassium or magnesium in the blood, cardiac conduction disturbances (heart block), myasthenia gravis (muscle weakness). Do not use if you are hypersensitive asparkam components of this drug.

Side effects

Tablets asparkama well tolerated and usually do not cause serious side effects. In some cases, there may be nausea, vomiting, diarrhea, abdominal pain Abdominal pain: Types and Symptoms , Bloating, minor dry mouth, fatigue, and weakness. But such reactions are expressed slightly.

Danger asparkama intravenous administration, which may lead to overdose, especially with the rapid introduction. Therefore, this drug is intravenously administered only under medical supervision. In case of overdose can occur asparkama serious condition with severe dry mouth, flushing, reduction of blood pressure Blood pressure - dangerous if his swing? , Severe muscle weakness, convulsions, respiratory depression, cardiac arrhythmia (paradoxical reaction). In such a case will only intravenous antagonists potassium - sodium and magnesium.

Asparkam widely used in the treatment of heart disease.

Galina Romanenko