心律不整英文

Q: 心律不整是什么？

心律不整指的是控制心跳的電流訊號延遲或遭阻擋、竇房結不能正常運作，或電流訊號無法正常傳遞至心臟，便可能發生心律不整。 此外，若心臟不該產生信號的部位產生了電流訊號，打亂了特殊神經細胞的信號傳遞，破壞正常的心跳頻率，也可能引發心律不整。 常見心律不整的原因如下： 基因

Q: 心律失常严重吗？

心律失常的病情进一步发展恶化，严重者甚至会猝死，尤其是冠心病患者猝死率会更高。 对于心肌炎后遗症患者而言，出现心律失常的几率也是很大的，且轻重程度不一，常见的有：早搏、心动过速、传导阻滞等，缠绵难愈的各种心律失常对他们的心脏功能有一定的影响，需要积极治疗。

Q: 心律不正怎么办？

这可能包括综合以下方式的治疗：.

Cardiac arrhythmias can be classified by site of origin:
- Sinus rhythms originate from the sinoatrial node, or SA node
- Atrial rhythms originate from the atria - Ventricular rhythms originate from the ventricles.
Sinus rhythm is the normal rhythm of the heart set by its natural pacemaker in the SA node.
In a healthy heart, the SA node fires 60 to 100 times per minute resulting in the normal
heart rate of 60 to 100 beats per minute.
The most common variations of sinus rhythm include:
- Sinus bradycardia: when the SA node fires less than 60 times per minute resulting in
a slower heart rate of less than 60 beats per minute.
and - Sinus tachycardia: when the SA node fires
more than 100 times per minute generating a faster heart rate of greater than 100 beats
per minute.
Sinus bradycardia and sinus tachycardia may be normal or clinical depending on the underlying
cause.
For example, sinus bradycardia is considered normal during sleep and sinus tachycardia
may be normal during physical exercises.
Cardiac arrhythmias that originate from other parts of the atria are always clinical.
The most common include: atrial flutter, atrial fibrillation and AV nodal re-entrant tachycardia.
These are forms of supraventricular tachycardia or SVT.
Atrial flutter or A-flutter is caused by an electrical impulse that travels around in
a localized self-perpetuating loop, most commonly located in the right atrium.
This is called a re-entrant pathway.
For each cycle around the loop, there is one contraction of the atria.
The atrial rate is regular and rapid - between 250 and 400 beats per minute.
Ventricular rate, or heart rate, however, is slower, thanks to the refractory properties
of the AV node.
The AV node blocks part of atrial impulses from reaching the ventricles.
In this example, only one out of every three atrial impulses makes its way to the ventricles.
The ventricular rate is therefore 3 times slower than the atrial rate.
This is an example of a “3 to 1 heart block”.
Ventricular rate in A-flutter is usually regular, but it can also be irregular.
On an ECG atrial flutter is characterized by absence of normal P wave.
Instead, flutter waves, or f-waves are present in saw-tooth patterns.
Atrial fibrillation is caused by multiple electrical impulses that are initiated randomly
from many ectopic sites in and around the atria, commonly near the roots of pulmonary
veins.
These un-synchronized, chaotic electrical signals cause the atria to quiver or fibrillate
rather than contract.
The atrial rate during atrial fibrillation can be extremely high, but most of the electrical
impulses do not pass through the AV node to the ventricles, again, thanks to the refractory
properties of the cells of the AV node.
Those do come through are irregular.
Ventricular rate or heart rate is therefore irregular and can range from slow - less than
60 - to rapid -more than 100 - beats per minute.
On an ECG, atrial fibrillation is characterized by absence of P-waves and irregular narrow
QRS complexes.
The baseline may appear undulating or totally flat depending on the number of ectopic sites
in the atria.
In general, larger number of ectopic sites results in flatter baseline.
AV nodal re-entrant tachycardia or AVNRT is caused by a small re-entrant pathway that
involves directly the AV node.
Every time the impulse passes through the AV node, it is transmitted down to the ventricles.
The atrial rate and ventricular rate are therefore identical.
Heart rate is regular and fast, ranging from 150 to 250 beats per minute.
Ventricular rhythms are the most dangerous.
In fact, they are called lethal rhythms.
Ventricular tachycardia or V-tach is most commonly caused by a single strong firing
site or circuit in one of the ventricles.
It usually occurs in people with structural heart problems such as scarring from a previous
heart attack or abnormalities in heart muscles.
Impulses starting in the ventricles produce ventricular premature beats that are regular
and fast, ranging from 100 to 250 beats per minute.
On an ECG V-tach is characterized by wide and bizarre looking QRS complexes.
P wave is absent.
V-tach may occur in short episodes of less than 30 seconds and cause no or few symptoms.
Sustained v-tach lasting for more than 30 seconds requires immediate treatment to prevent
cardiac arrest.
Ventricular tachycardia may also progress into ventricular fibrillation.
Ventricular fibrillation or v-fib is caused by multiple weak ectopic sites in the ventricles.
These un-synchronized, chaotic electrical signals cause the ventricles to quiver or
fibrillate rather than contract.
The heart pumps little or no blood.
V-fib can quickly lead to cardiac arrest.
V-fib ECG is characterized by irregular random waveforms of varying amplitude, with no identifiable
P wave, QRS complex or T wave.
Amplitude decreases with time, from initial coarse v-fib to fine v-fib and ultimately
to flatline.

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心律失常 (Cardiac Arrhythmias)

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alex 發佈於 2021 年 01 月 14 日
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心律不整是什么？

心律不整指的是控制心跳的電流訊號延遲或遭阻擋、竇房結不能正常運作，或電流訊號無法正常傳遞至心臟，便可能發生心律不整。此外，若心臟不該產生信號的部位產生了電流訊號，打亂了特殊神經細胞的信號傳遞，破壞正常的心跳頻率，也可能引發心律不整。常見心律不整的原因如下：基因

心跳不规律是什么原因？

心脏原因：心脏的传导系统病变是导致心律失常最常见原因；心律失常还可以继发于各种器质性心脏病，如：高血压、冠心病、急性心肌梗塞、心肌病、心肌炎、风湿性心脏病、心力衰竭等；其他原因：水、电解质及酸碱平衡紊乱，全身性或其他系统疾病，如内分泌疾病，神经系统疾病，代谢性疾病及创伤等。

心律失常严重吗？

心律失常的病情进一步发展恶化，严重者甚至会猝死，尤其是冠心病患者猝死率会更高。对于心肌炎后遗症患者而言，出现心律失常的几率也是很大的，且轻重程度不一，常见的有：早搏、心动过速、传导阻滞等，缠绵难愈的各种心律失常对他们的心脏功能有一定的影响，需要积极治疗。

心律不正怎么办？

这可能包括综合以下方式的治疗：.

改变生活方式：戒烟避免从事会引发心跳不规律的活动 ... .

药物：用于控制心率的抗心律失常药物 ... .

为尝试控制心律失常及恢复正常心率而进行的手术：起搏器、除颤器和心脏植入物。 ... .

导管消融手术通常可治愈心律失常，主要在完成电生理检查之后以及当用药无效或不方便时执行。手术的进行方式如下：.

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心律不整英文