B - anterior tachycardia with blockade of AV-conduction 2: 1, not tied with digitalis preparations; intervals P-P permanent(380 ms). The characteristic of atrial activation is cranio-caudal. Between the last teeth of the P izoelectric line.

B - medial tachycardia with AV block performed 2: 1 in a patient with COPD and intoxication with digitalis preparations. Activation of the atrium - craniocaudal (positive P waves in connections II and III), and central ventriculophase atrial tachycardia (P-P intervals, which include the QRS complex, 40 ms shorter, lower, did not include P-P intervals) This phenomenon can be promoted with atrial tachycardia, not associated with digoxin.

Small. 2. Linkage between teeth P and slurry complex pid hour NZhT with high QRS complexes and AV-conduction 1: 1.

Liva column: EKG in the lower entries; right column: EKG at introduced V1.

Right: typi NZhT, which can give an ear of skin from EKG-characteristics (worm-name in the font saw the most types of them). AAP - antiarrhythmic drugs; AVRT - AV reciprocal tachycardia; AVURT - AV-university of reciprocal tachycardia; DP - completion of the route; PT - anterior tachycardia.

The presence of AV block before the hour of NZHT is used to indicate about atrial tachyarrhythmia. If you are sparing the AV-ratio 2: 1, then the identification of two last P teeth in the boundaries cycle R-R to be used as diagnostic for anterior tachycardia (Fig. 1, В-С, 3 and 4). Intervals of R-R with roztasvannyi between them QRS complexes can be 20-40 ms shorter, lower R-R cycles, but not to take advantage of the activation of shlunochkіv. The whole phenomenon, vidomy as ventriculophase P-P-alternation, in the last time involved in association with the intoxication of heart glucosides, but it can be spontaneous in case of anterior tachycardia 2 with 1 AV block.

Small. 3. Paroxysmal tachycardia, sensitive to verapamil, in the area of ​​the right upper legacy in the 80-year-old woman.

A - EKG in 12 introductions before an hour of paroxysmal tachycardia with tachycardic teeth of a larger form in introduced as examples (lower inserted fragments). Dovzhin cycle of paroxysmal tachycardia postin (260 ms). P waves in case of paroxysmal tachycardia positive in introductions I, II, III and AVF; negative, two-phase and low amplitude in AVL and positive from V1 to V6. Such a configuration of the R teeth indicates about the walking from the right upper legacy. Dovzhina teeth P for tachycardia hour to become 120 ms at input II, a little less in I, III and AVF. Paroxysmal tachycardia of the localization of the mother of the P teeth<120 мс. Ця пароксизмальнатахікардія, в повному обсязі переважна флекаїнідом, повністю припиняється після введення верапамілу (Б).

Small. 4. A - phase resistance without interruption of focal paroxysmal cardiac arrest, as it is seen from the place near the left upper leg vein. Paroxysmal heartbeat automatically followed the character and was repaired from atrial extrasystolic depolarization (green arrow) with more frequent damage (the average frequency of the anterior rhythm is 240 beats / hv).

B - kartuvannya catheter-electrodes for an hour sinus rhythm (evil) and for an hour one z Extrasystolic fast, when paroxysmal tachycardia (right-handed) was triggered. From top to bottom, the designated hour (Tm), introduction I, II, III, AVL and V1, bipolar internal heart reconstruction from top views PP (HRA), coronary sinus (CS) and quadri-polar pre-electrode (PE). In the distal pair of electrodes (PE 2-1), the electrogram in front of the heart is recorded before the ear of the extrasystolic tooth P at the introductions on the surface of the ECG (dashed line). The application of a radio-frequency struma in the center of the mice caused a paroxysmal tachycardia (not shown) to be asserted.

V - cycles P-P, SHO include the QRS complex, 20 ms shorter, below the P-R intervals, not to ave the ventricular depolarization (ventriculophase atrial arrhythmia). Extrasystolic P waves with a width of 120 ms, jagged teeth in the lower leads, positive in II, III and AVF, negative in AVL and positive in V1.

Proximity of the focal anterior tachycardia can be allowed during the implantation of the P wave on the EKG in 12 entries. Organ ailments of the heart, dilatation of the anterior and internal anterior to the heart of the destruction of the conduction, including the injection of drugs, can overshadow the correct setting of the movement of the anterior tachycardia of the superficial In general, there are some basic rules.

• Teeth P per hour of the anterior tachycardia are similar for the configuration of the P waves of the sinus rhythm, to indicate the sinus vnodal reciprocal tachycardia, or the anterior tachycardia from the upper edge of the anterior ridge, In case of anterior tachycardia, which comes out of the upper empty vein, the tooth P is NOT biphasic, ale positive. P teeth in sinus nodules of reciprocal tachycardia often do not appear as sinus R teeth in P teeth in anterior tachycardia from the upper half of the near-cord ridge, there may be triplets.
• Focal anterior tachycardia, which is seen from the right and left upper leg veins, to restore positive P waves in I, II, III and AVF; negative in AVR і AVL і positive і monophasic in V1; Prong P of little amplitude or smoothing at introduced I is formed with anterior tachycardia from the left upper leg vein (div. fig. 28.2). Prong P trivial less than 120 msec can be restructuring with anterior tachycardia from the right upper leg vein (div. Fig. 3).
• A deeply negative P wave in introductions II, III and AVF with a positive P in V1 indicate a progression from the proximal part of the coronary sinus; a similar configuration, even with the negative P wave in V1, to indicate the appearance of the caronary sinus; if the P wave is biphasic, negative-positive in the lower leads and positive in V1, then the anterior tachycardia can appear from the area above the coronary sinus arm in the lower part of the anterior septum) (Div. Fig. 1).
• P waves in case of anterior tachycardia, which go from the lower part of the near-cord ridge, negative in leads III, AVF and V1 and positive in I and AVL.
• Focal anterior tachycardia from the area of ​​the tricuspid abnormal mitral ring should be brought to the lower forms of the V wave. Localization in the upper and anterior-upper parts of the tricuspid ring should be brought to negative P waves in V1 and to the versatile characteristics of the polarity and the P waves in the frontal area, not very positive in I, II and III. Focal anterior tachycardia, which occurs from the posterior (previously called lateral) areas of the AV furrow, there are few positive P waves in III and AVF, negative in I and AVL and negatively-positive in V1.

In case of multifocal atrial tachycardia of the P teeth, there are three or more morphologies, the Isoelectric line between the last P teeth, and P-P cycle irregular with a frequency of 150-220 per gillet, and the P-R intervals are not valid. Dovzhina cycle R-R is also unstable.

EKG of anterior tachycardia with the mechanism of macro-re-entry can have two main manifestations: teeth P bigsh-mens are similar in shape to those in TP with CT (with caudocranial or craniocaudal activation of the atrium); For the P-waves are even of low voltage in the given values. Between the last teeth P may be represented by an izo-electric line, or a picture may also be supported, similar to the correct trip.

Electrophysiological dosage

Electrophysical studies give the opportunity to differentiate:

• atrial tachycardia from other forms of IVT;
• automatic form of anterior tachycardia from non-automatic;
• focal atrial tachycardia from the atrial tachycardia with the mechanism of macro-re-entry;
• atrial tachycardia with the mechanism of macro-re-entry, not tied to the CTI, as a form of the prostate TP.

Jerónimo Farré, Hein J.J. Wellens, José M. Rubio and Juan Benezet

nadshlunochkova tachycardia

Anterior tachycardia with blockade is one of serious illnesses. Vona is one of the types of arrhythmia, localized viklyuchno in the anterior region. Such a pathology may not manifest itself by stretching out life, but rather it manifests itself in a terrible stability. Moreover, a sickness can be brought to a mittvoy death, or a syncope (a short-hour uncomfortable stan). For an hour, the attack of the heart grows up to 140 blows to the hilin, and for chronic ailments you can reach 190.

The anterior tachycardia on the EKG can be seen every hour before the attack. There are a lot of additional foldability when it appears. Only the report of the situation allows to see the correct symptoms and to put the correct diagnosis. In іnshikh vypadki fakhіvtsі often try to grab a pardon. Why grow ill?

• myocarditis;
• Nadliskova vag;
• hypertension;
• Blood circulation disorders;
• Sertseva lack of;
• Destruction of the exchange of speech;
• Heart defect;
• Zakvoryuvannya thyroid zalozi;
• Prompt involvement;
• Chronic legends of ill health;
• Intoxication to the body.

Atrioventricular blockade is infused in small drops. For reasons of likari talk about those who need to gradually go into the ages preventive activities... It allows you to take care of your problems in advance. It is practically ill-advised to cleanse oneself from ailments, a little more than a few points, for example, drug addiction and alcoholism of a person's skin.

Anterior tachycardia from the reception

Likuvannya of the anterior tachycardia should be used by different methods, but some people should be given a report on the basis for the joke of the reasons for their determination. One of the most common types of development is through the intake of new drugs. Such a pardon is allowed by people who do not assess the counter-indications specified in the instructions.

Iakshcho ailment of the myocardium was established through the infusion of that chi іnshy drug, the folding method of treatment was brought to shukati. In such situations, the body's renewal needs to be asked for additional assistance in the selection of promotional procedures and a trivial rehabilitation period.

Classification of types of anterior tachycardia

The anterior tachycardia with AV blockade extends to a few small species. Їх describe yesє korisnu information, Yaku will have a chance to look. Varto mean the main type, when the patient self-selected in a foldable diagnostics.

• reciprocal;
• automatic;
• trigger;
• Polytopna.

It is not possible to admit the potty on the date to such a serious illness. Often, it is a good idea to bring up to jahlivy inheritance, if people are brought up to turn into a lick for renewal of a powerful organism. Korishly detailed vivchit is a skin type of tachycardia, which is good for the nobility, who is characterized by wine.

reciprocal

Anterior reciprocal tachycardia induce the winy through the heart disease. Vona є їх inheritance, to that it is not possible to magatize independently. Such patches appear as a result of a gracious choice of preparations and procedures, so that the likarska can help to become lost in a single cinnamon mobility.

Zagvoryuvannya is characterized by frequent attacks from sertsebitty, 90-120 blows into hilin. This is a terrible look, as you will need a special walk. With the help of rice є without interruption, it seems that the AV-blockade will become ineffective. Name your drugs for the better version of beta-blockers, up to the other methods of abuse.

automatic

Automatic view - at the same time the problem of the ninth century is broadened. Young people are most likely to stick with her. Moreover, the stench will increase in vlast health, so when the ailments are inflamed to fahivtsi, you will already be in a chronic form.

Name the view of the vine physical options... Інші reasons not to produce until yogo approval, the reason is awkward to shukati. Lіkuvannya live in a traditional way, which doesn’t happen until the next meal. If we want a child to experience a lifeless, serious attack, we will hurry up the super-juveniles and bring them to the shock of shock.

triggerna

What is the trigger atrial tachycardia? Tse vid, scho vinikє call on the people of the kidnapped vіku. Vignettes for the rules are in vinyakh vypadkah, to that about them you can not forget. The kidnapped vice with her has to get stuck practically permanently, so it’s amazing and if you don’t see it.

Today's ailment is easy to catch, but it is not easy to pass. often the reason Viniknennya є With the use of glycoside preparations, few people still stick with him for physical navantages. It’s not free to talk about those who need to know about the health of the rock, and who are quickly passing through and through before the new procedures.

polytopna

Polytopnaya tachycardia of winy for serious Legeny sickness and heart failure. Try to change your mind and greatly cover the symptoms, as it is awkward to get lost. The tradition of cardiogram and ultrasound of the heart does not give an accurate diagnosis, but it can be recognized as a Holter supplement.

In some cases, it’s impossible to go over to a flashy arrhythmia, although it’s not so scary. Just for 100-130 blows, people do not react to snakes for an hour. For further information, tell us at once that there are traces of the origin of other visits, it is not seen as a result of serious abuse.

Methods for the treatment of anterior tachycardia

Tachycardia of both the front of the heart is rarely manifested for an hour by electrocardiograms. Most often, physicians are allowed to spend more time on their patients. In order to be given the necessary information and to provide an accurate diagnosis. It’s the same for me, which is the way to do it in vigidnishe vibrati. Have the techniques become popular?

• Beta adenoblockers;
• Radio frequency catheter destruction.

Likarskiy practice stagnates offending methods, ale the stench of unreasonable. Fakhіvtsі namagayutsya get around with medications, if you don't want to. If a patient has a vipad, he will have a strong vibe, and even if he doesn’t get sick, he will not be lethal.

Beta adenoblockators

Beta-adenoblockers - the most extended lіkuvalny drugs, Vikoristovuvanі pіd hour of the AV blockade. The stench permits a sharp decrease in the heart rate, renewing it to the middle indicators. For a rakhunok tsiy in critical situations, paramedics will be given the life of the children, having cleaned more views... If you want a course of treatment, you will be able to get an effect, allowing you to use a trivial term in order to show you an illness.

Radio frequency catheter destruction

Radio frequency catheter destruction - operable involvement. Yogo lіkariyut in the quality of treatment in the presence of the other ways of improving the health of the patient. Moreover, a lot of people independently see themselves from the operation, as they see it by the fold. To ensure the necessary results, a catheter is inserted into the anterior, and not all surgeons are located at the center. In lykarskiy practice, a variety of vypads are developed rather seldom, to which it is impossible to call it a wider practice. Nawpaks, fakhivtsi are able to adapt to patients, and even fatal drops also store the smallest drop of vapors.

Anterior tachycardia - seriozne heartbroken, Yake can end with a mortal result. Ї sickly visionsі we advise sertsebitam, ale danі problems can be thrown off from rakhunіv. The stench is not so critical as you can get up. I would like to be confused about them, then go outside the system in the lіkarnі, and then learn the power diagnosis. It is not possible to correct the recognition on the reception of the singing preparations, or it is surgical involved, as if it were a fakhivets vvazhaє for a more beautiful bypass, in any accessible way.

Olena Petrivna () Shchoino

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Evgeniya Karimova() 2nd volume

Help !! 1 Yak pozbutisya vіd hіpertonії? can I say people zasobiє good, if nothing else, will you please from the drugstores?

Darina () 13 days ago

Well, I don’t know, as I have a lot of drugs - more figna, a waste of pennies. They knew that I had already tried everything .. Normally, add only NORMIO. Saw yogo 4 tyzhnі, already pislya first tyzhnya received self-respect. The last three months passed already 4 months, a vice in the norm, about hypertension and I will not guess! I will take 2-3 days, just for prophylaxis. And I learned about the new vipadkovo, from the statistics ..

P.S. Only the axis I didn’t know for sale myself, I bought it through the Internet.

Evgeniya Karimova() 13 days ago

Darina () 13 days ago

Eugenia Karimova, it is also indicated there in the statti), duplicate for every type - official site NORMIO.

Ivan 13 days ago

Tse is far from new. I know everything about the drugs. But hto do not know, quiet, mabut the grip not to torment.

Sonya 12 days ago

And the tse is not separated? What to sell on the Internet?

Yulek36 (Tver) 12 days ago

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Reviewed by the Editorial Board 11 days ago

Sonia, hello. Due to the hypertension of NORMIO, it is not practical to be realized through the pharmacy chain and the distribution of stores of goods with an endowed value. On this day original drug you can substitute only for special site... Good luck!

Sonya 11 days ago

A part of the breakdown of the rhythm of the fast heart meat, when the localization of the arrhythmogenic heart is located in the myocardium at the front, it is called the atrium tachycardia. I call it the same. Such arrhythmia can be found in people with pathologies of the heart-vascular system and without them. If the attack of a frequent sertsebit is trivial, then it is possible not to get it, but every hour - it is necessary to turn into a lykarnya for help, so it’s like to make such a camp to hang up the heart’s meat.

See the anterior tachycardia

You see these things:

Introduce your vise

collapse povzunki

1. Monofocal. It characterizes the acceleration of the heart rate (from 100 to 250 beats per chilin), the ale rhythm is regular.
2. Multifocal. The rhythm is irregular, the heart rate is higher, P waves in 3 forms.

Classification behind the rosetting process

Classification behind the mechanism of diagnosis of pathological impulse

Classification for the character of the interruption

causes of pathology

Signs of anterior tachycardia

• showing strong anxiety and fear;
• stronger nezuzhannya;
• the appearance of stained and darkening in the eyes;
• pain behind the sternum;
• Seeing inconsistencies;
• attack of frequent sercebitty.

specialties of diagnostics

1. When the first signs of an attack appear, they will obey to the therapist and cardiologist. Stink take a look around differential diagnosticsі put a diagnosis.
2. Zagalny blood analysis.
3. Zagalny analysis of the sech.
4. Biochemical analysis of blood.
5. Electrocardiography for the Holter method.
6. EhoKG.
7. Ultrasound heart.
8. Hormone analysis.

Differential diagnosis

Anterior tachycardia on the EKG is characterized by the following signs:

1. The correct rhythm is determined and the heart rate is set from 150 to 250 beats per chilin.
2. The appearance of a stepwise increase in frequency and rhythm and visibility of PQ.
3. The triviality of the P-P intervals is not the same.
4. The P wave is negative or is located on the pivn with the T wave.

Before the signs of treatment, carry out diagnostics of the anterior and atrial tachycardia. where is the frequency hearty fast food For older adults, more than 220 strokes for sickness, and for children, more than 250 strokes for sickness, the diagnosis is "Trypotinnya in front of the heart". If the iso-electric line is restored between the P waves in II, III and aVF, to set atrial tachycardia.

It is necessary to carry out a differential diagnosis of atrial tachycardia from sinus tachycardia and sinus-atrial paroxysmal tachycardia. With a sinus shape, the frequency of the heart is very quickly reaching 160 blows into the chilin. Also, there is a step-by-step nature of development and so it goes. With sinus-atrial paroxysmal tachycardia on the EKG, a normal configuration of the P wave is observed, there is more slight interruption, it is bought for additional vagal tests and antiarrhythmic problems.