What are the treatments for bradycardia?

Heart problems have gradually become a serious social health issue. Although the material level of modern life is extremely abundant, people's basic exercise volume has been greatly reduced due to changes in work and environment. This has led to a serious decline in the physical functions of most people and has also led to the weakening of some organs. The weakening of heart capacity is a typical example. A weakened heart manifests itself as bradycardia, which has an adverse effect on the patient's body, causing weakness and so on. Let's take a look at some of the treatment methods for bradycardia.

A sinus rhythm slower than 60 beats per minute is called sinus bradycardia. It may occur in healthy adults, especially athletes, the elderly, and during sleep. Other causes include increased intracranial pressure, hyperkalemia, hypothyroidism, hypothermia, and the use of drugs such as digitalis, beta-blockers, reserpine, guanethidine, and methyldopa. In organic heart disease, sinus bradycardia may be seen.

(1) For patients with sinus bradycardia, the cause should be sought. Most cases of sinus bradycardia have no important clinical significance and do not require treatment.

(2) In patients with organic heart disease (especially acute myocardial infarction), a very slow heart rate can cause a significant decrease in cardiac output, affecting the blood supply to important organs such as the heart, brain, and kidneys. The symptoms are obvious. At this time, atropine (injection or oral) should be used, or even isoproterenol can be intravenously dripped to increase the heart rate. Aminophylline can also be taken orally.

(3) For patients with severe sinus bradycardia caused by impaired sinus node function, who have a very slow heart rate, obvious symptoms, or even syncope, and who have poor response to drug treatment, a permanent artificial pacemaker needs to be installed to prevent sudden sinus arrest.

(4) For patients with organic heart disease accompanied by sinus bradycardia and combined sinus arrest or persistent and recurrent sinoatrial block without escape rhythm, syncope or Adams-Stokes syndrome, and ineffective drug treatment, a permanent artificial pacemaker should be installed.

(5) For sinus bradycardia caused by increased intracranial pressure, drugs, bile duct obstruction, etc., the cause should be treated first, taking into account the degree of slowness of the heart rate and whether it causes a decrease in cardiac output. Appropriate use of drugs that increase heart rate.