Medical history (history of illness) represents an important component in the diagnosis of sinus arrhythmia. Family history Do you have relatives who suffer from cardiac arrhythmias? Social history Current medical history/systemic history (somatic and psychological complaints). When did an irregular pulse first occur? When did this last occur? How often does an irregular pulse occur … Sinus Arrhythmia: Medical History
Cardiovascular System (I00-I99). Atrioventricular block Extrasystoles Intraventricular block Sick sinus syndrome Sinus bradycardia Sinuatrial block
Sinus arrhythmia is usually physiologic and does not lead to secondary diseases. However, in very rare cases, the following diseases or complications may occur due to the cause of sinus arrhythmia. Cardiovascular System (I00-I99). Myocardial infarction (heart attack). Sudden cardiac death (PHT) Jumping to a different heart rhythm Psyche – nervous system (F00-F99; G00-G99) Anxiety
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart [irregular pulse]. Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial … Sinus Arrhythmia: Examination
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) – to … Sinus Arrhythmia: Test and Diagnosis
Therapy recommendations Sinus arrhythmia does not require drug therapy.
Obligatory medical device diagnostics. Electrocardiogram (ECG; recording of the electrical activity of the heart muscle). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Exercise ECG (electrocardiogram during exercise, that is, under physical activity/exercise ergometry) – detection of … Sinus Arrhythmia: Diagnostic Tests
The following symptoms and complaints may indicate sinus arrhythmia: Leading symptom Irregular pulse (possibly atemsynchronous fluctuation in heart rate).
Pathogenesis (development of disease) Respiratory sinus arrhythmia is a cardiac arrhythmia that is triggered by respiratory activity (an atemsynchronous variation in heart rate). During inspiration (inhalation), the heart rate becomes faster; during expiration (exhalation; esp. in younger, “vegetative” individuals), it becomes slower.Respiratory arrhythmia is a normal finding that is most pronounced in children and adolescents.In … Sinus Arrhythmia: Causes
General measures Review of permanent medication due topossible effect on existing disease. Vaccinations The following vaccinations are advised: Flu vaccination Pneumococcal vaccination Regular checkups Regular medical checkups
