What are the treatment and nursing methods for bradycardia

Bradycardia is a type of heart disease and is usually detected during an electrocardiogram. Because a normal person's heart beats 60 times per minute, but people with bradycardia have less than 60 beats per minute. People who experience bradycardia are generally athletes and the elderly. When the heart rate is less than 60 beats per minute, but not less than 50 beats per minute, and no symptoms appear, no treatment is needed. If it is not within this range, treatment is necessary. Now let's talk about the treatment and care methods for bradycardia.

Patients with symptomatic bradycardia, especially those that affect their quality of life, or whose heart stops beating for more than 3 seconds, or who have transient blackouts or syncope, should receive active treatment.

In the event of an acute attack of bradycardia, in addition to treating the primary cause and stopping medications that can slow the heart rate, atropine or isoproterenol can be used to increase the heart rate. For those with a heart rate of 40 beats per minute or slower, drugs are not effective in raising the heart rate, especially in patients with recurrent syncope or presyncope, in whom a temporary pacemaker should be implanted.

After actively correcting the reversible primary cause and excluding the influence of drugs, if the patient's bradycardia symptoms cannot be reversed, a pacemaker needs to be implanted. A pacemaker is the size of a matchbox and weighs between 25 and 50 grams. The pulse generator is implanted under the skin in the upper chest, and the pacing wire is delivered to the heart through the veins. The pacemaker stimulates the heart with a certain form of artificial pulse current, causing the heart to contract effectively, thereby increasing the heart rate, relieving or eliminating the patient's symptoms and saving lives.

Therefore, people who often suffer from fatigue, heart discomfort, dizziness, transient blackouts or fainting should pay attention to counting their pulse when they are calm and when they have discomfort. If you are not a person who likes to exercise regularly, and your heart rate is always slow during the day, especially less than 50 beats per minute, or your pulse slows down significantly when discomfort symptoms appear, or there is a long period of cardiac arrest, you should pay attention and go to the arrhythmia clinic of the hospital's cardiology department for a detailed examination.

Treatment principles:

1. Sinus bradycardia: If the heart rate is not less than 50 beats per minute and there are no symptoms, no treatment is required.

2. If the heart rate is less than 40 beats per minute and symptoms occur, drugs that increase the heart rate (such as atropine, ephedrine or isoproterenol) can be used.

3. Patients with significant sinus bradycardia accompanied by sinus arrest and syncope may consider installing an artificial pacemaker.

4. Treatment of primary disease.

5. Symptomatic and supportive treatment.