Extrasystoles

Extrasystoles: Diagnostic Tests

Obligatory medical device diagnostics. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle)-indicates the conduction of excitation in the heart (subsequent abbreviations: see resting ECG below) Supraventricular extrasystole (SVES); origin: atrial myocardium/atrial muscles; typical characteristics: Extrasystole occurs earlier than the QRS complex that should actually be expected P wave deformed or absent PQ … Extrasystoles: Diagnostic Tests

Extrasystoles: Micronutrient Therapy

In the context of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used to prevent (prevent) unspecified extrasystole. Potassium Magnesium In the context of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of atrial extrasystole. Magnesium In the context of micronutrient medicine (vital substances), the following vital … Extrasystoles: Micronutrient Therapy

Extrasystoles: Prevention

To prevent extrasystoles, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Alcohol – 6 drinks (70 g alcohol) daily: 200% increased risk of supraventricular arrhythmias. Coffee Tobacco (smoking) Psycho-social situation Stress

Extrasystoles: Causes

Pathogenesis (development of disease) Extrasystoles are premature contractions of the heart muscle between normal contractions due to autonomic excitation. Extrasystoles do not originate in the sinus node (which is the normal pacemaker center) but in ectopic (outside the normal pacemaker structures) excitation centers. Depending on the place of origin in the heart, a distinction is … Extrasystoles: Causes

Extrasystoles: Therapy

General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Avoidance of psychosocial stress: … Extrasystoles: Therapy

Extrasystoles: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Electrolytes – potassium, magnesium Thyroid parameters – TSH Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – for … Extrasystoles: Test and Diagnosis

Extrasystoles: Medical History

Medical history (history of illness) represents an important component in the diagnosis of extrasystoles. Family history Do you have relatives who suffer from cardiac strokes or other arrhythmias? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When did the … Extrasystoles: Medical History

Extrasystoles: Or something else? Differential Diagnosis

Cardiovascular System (I00-I99). Atrioventricular re-entrant tachycardia (AVRT) – belongs to paroxysmal supraventricular tachycardia; results in seizure-like episodes of tachycardia (heartbeat too fast: >100 beats per minute), dizziness, and possibly signs of acute heart failure (heart weakness Sinus arrhythmia – usually respiratory sinus arrhythmia (physiological fluctuation of the heart rate, due to respiration). Sinus tachycardia – … Extrasystoles: Or something else? Differential Diagnosis

Extrasystoles: Follow-up

Extrasystoles are usually harmless and do not cause secondary diseases. However, in individual cases, ventricular (occurring in the ventricle of the heart) extrasystoles can lead to the following diseases or complications: Cardiovascular disorders (I00-I99). Jumping to a different heart rhythm. Psyche – nervous system (F00-F99; G00-G99) Anxiety

Extrasystoles: Classification

Differentiation of ventricular extrasystoles on long-term ECG according to Lown classification. Simple ventricular extrasystoles (VES). Grade 0 No VES Grade I <30 monomorphic VES/h Grade II > 30 monomorphic VES/h Complex ventricular extrasystoles (VES). Grade IIIa Polymorphic VES Grade IIIb Bigeminus Grade IVa Couplets Grade IVb Volleys Grade V R-on T phenomenon

Extrasystoles: Examination

Acomprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination-including blood pressure, pulse, body weight,height; furthermore: Inspection (viewing)of the skin and mucous membranes. Auscultation(listening) of the heart Auscultation of the lungs