A friend told Hanako that she has an early beat of the heart, and when she has a seizure, she will feel that her heart is beating wildly, and at the same time, there will be symptoms of fatigue and dizziness, is this situation life-threatening, and how to treat it?
Huazi said that premature heart beats are a very common arrhythmia. Almost 100% of people with heart disease will have premature beats, and healthy people without heart disease will also have early beats in 90%. The causes of premature beats are different, and the dangers are different.
First, why does the heart have early beats
Cardiomyocytes are autonomous and can send out pulsation signals on their own. Under normal circumstances, each beat of the heart is sent by the sinus node cells to first send a pulsation signal, and then transmitted to the entire heart, called sinus rhythm. If the heart muscle cells outside the sinoatrial node also send a pulsation signal, it will cause the heart to beat prematurely, called premature beats.
Premature beat signals may come from the ventricles, atrium, or atrioventricular node, with ventricular premature beats being the most common. Patients with coronary heart disease, hypertensive heart disease, rheumatic heart disease, cardiomyopathy and other organic lesions will almost always have premature beats; excessive drug or abnormal blood potassium levels will also cause premature beats; 90% of healthy people will also have premature beat symptoms.
Second, some premature beats are not very dangerous
Many people find that they have symptoms of premature beats and worry about their heart problems, but most of them do not affect the changes in hemodynamics, and only a very small number may induce malignant arrhythmias, which are life-threatening.
The main type of premature beats in young and middle-aged people is physiological premature beats, also known as functional premature beats, there are no specific pathological factors, often in the mental stress, overwork, smoking, heavy drinking, or after drinking strong tea, coffee caused by early beats, generally at rest, before going to bed, after exercise will not heal.
Functional premature beats will not affect the health of the body, usually pay attention to the combination of work and leisure, maintain an optimistic attitude, regular work and rest, carry out appropriate exercises, avoid drinking irritating drinks, you can control the occurrence of early beats.
Third, the pathological premature beat that requires vigilance
What needs to be vigilant is pathological premature beats, such as organic lesions such as various cardiovascular diseases, valvular diseases, cardiomyopathy, or premature beats caused by hyperthyroidism, drug poisoning and other reasons.
Most of the premature beats in the elderly are related to cardiovascular disease, and may be the "background premature beats" of the disease, which generally do not cause symptoms. However, those diagnosed with heart disease should be vigilant to avoid inducing arrhythmias.
If there are obvious symptoms such as palpitation and dizziness during the onset of premature beats, it is necessary to actively treat it. The number of premature beats is relatively large, more than 5,000 times a day, or even up to 10,000 to 20,000 times, and also needs active treatment, because too many premature beats will increase the burden on the heart, and there is a long-term possibility of heart failure.
Fourth, the diagnosis of premature beats can prevent heart disease
Premature beats are the precursor symptoms of many heart diseases, for the elderly population with "three highs", early diagnosis of early beats is of great significance for the prevention of heart disease, but many people can not find their own premature beat symptoms in time.
Some people may have symptoms of a heart "pounding" beating wildly when they have premature beats. However, many people have no symptoms when premature beats occur, and only when early beats affect the blood supply to the heart, symptoms of fatigue and dizziness, or induce or aggravate angina, heart failure, or even induce malignant arrhythmias and sudden death, they know that they have early beats.
Electrocardiogram is the main means of diagnosing premature beats, but most people do not have regular attacks. It is possible to occur every few days, weeks, or even months. If you go to the hospital for an ELECTROCARDI, if you don't happen to encounter an early beat attack, you will miss the diagnosis and leave hidden dangers for yourself.
It is recommended that the elderly with "three highs" such as hypertension, diabetes, and hyperlipidemia prepare an electrocardiometer that can be carried with them, and can conduct self-cardiac monitoring anytime and anywhere. You can "grasp" the early beat in time, record the ECG situation, and find the clues of heart disease in time.
Fifth, how to treat premature beats
Functional premature beats do not require treatment, only need to improve a healthy lifestyle, you can achieve "no medicine and cure". However, frequent premature beats that are difficult to control will damage the heart; there are also premature beats that occur on the basis of heart disease, which have the risk of inducing malignant arrhythmias and sudden death, and require active treatment.
On the basis of controlling the primary heart disease, drugs such as lore drugs, antiarrhythmic drugs, and calcium channel blockers can be used under the guidance of doctors to control premature beats. If the drug is ineffective or the adverse effects of the drug cannot be tolerated, catheter ablation may be considered, and most people can be cured.
To sum up, patients with premature beats should have a comprehensive understanding of their own diseases and usually conduct self-ECG monitoring. Visit the hospital regularly for re-examinations and communicate with the doctor about the condition. Reasonably arrange their rest and activities, use drugs under the guidance of doctors, control disease progression, and prevent risks. If you have any questions about medication, please consult a doctor or pharmacist, I am a pharmacist Huazi, welcome to follow me and share more health knowledge.