Asperger's syndrome

When it comes to Asperger's syndrome, I believe many friends don't know much about it. In fact, Asperger's syndrome is a cardiogenic cerebral ischemia syndrome. In addition, this disease not only causes heart rhythm disorders, but also causes severe brain ischemia, and even loss of consciousness or fainting. Therefore, Asperger's syndrome requires timely medical attention and treatment. So what is the treatment for Asperger's syndrome?

In fact, the main purpose of treating Asperger's syndrome is to use some drugs to speed up our heart rate, or to implant an artificial pacemaker in the human body. When the heartbeat stops, the pacemaker can immediately restore the heartbeat. The following is a detailed introduction to Asperger's syndrome.

Asperger's syndrome

Ass syndrome, also known as cardiogenic cerebral ischemic syndrome, refers to the sudden onset of severe, fatal slow or fast arrhythmias, which causes a sharp drop in cardiac output in a short period of time, resulting in symptoms such as severe cerebral ischemia, loss of consciousness and syncope. Adams-Stokes syndrome is a clinical syndrome characterized by acute cerebral ischemic attack caused by sudden changes in heart rate. This syndrome is not related to changes in body position and is often caused by syncope due to a sudden and severe tachycardia or bradycardia.

treat

For those with a slow heart rate, the heart rate should be accelerated, and atropine and isoproterenol are often used. If the cause is complete or high-degree atrioventricular block, bifascicular block, or sick sinus syndrome, an artificial pacemaker should be implanted. For those with a fast heart rate, electrical cardioversion may be performed. For patients with supraventricular or wide QRS complex that cannot be distinguished as ventricular or supraventricular, amiodarone or propafenone should be used. For patients with ventricular tachycardia, lidocaine is the first choice except for torsades de pointes.

1. When a fainting patient is found: (1) Immediately place the patient in a head-down, feet-up position to ensure adequate blood supply to the brain. Unbutton the patient's clothes and turn the head to one side to prevent the tongue from falling back and blocking the airway. (2) Do not feed or drink water during a syncope. Do not let the patient stand up immediately after he regains consciousness. Wait until the patient's general weakness improves before letting him stand and walk gradually under careful care.

2. Syncope caused by bradycardia: Use drugs that increase heart rate or implant an artificial pacemaker.

3. Syncope caused by tachycardia: antiarrhythmic drugs can be used. For ventricular arrhythmias including frequent or multi-source ventricular premature contractions, ventricular tachycardia, ventricular flutter, ventricular fibrillation, etc., lidocaine is usually the first choice, followed by propafenone, amiodarone, etc. In units with conditions, electrical cardioversion can be the first choice.

4. Syncope caused by polymorphic ventricular tachycardia (torsades de pointes) caused by QT interval prolongation: In addition to lidocaine, the use of antiarrhythmic drugs that prolong repolarization is contraindicated, including all class Ia and class III antiarrhythmic drugs. Usually, drugs that increase the heart rate, such as isoproterenol or atropine, should be given; if this is ineffective, artificial cardiac pacing can be used to ensure a ventricular rate of 100 to 120 beats per minute. For syncope caused by polymorphic ventricular tachycardia with normal QT interval due to myocardial ischemia, in addition to treating the cause, routine treatment for ventricular tachycardia can be used. For polymorphic ventricular tachycardia with extremely short coupling intervals, intravenous verapamil (Isopamil) is effective.

5. Syncope caused by acute obstruction of cardiac blood discharge: Advise the patient to avoid strenuous exercise to prevent syncope; if there are surgical indications, surgical treatment should be performed as soon as possible.

6. Etiological treatment: After the cause of cardiogenic syncope is determined, treatment should be targeted at the cause, such as correcting water, electrolyte and acid-base imbalances and improving myocardial ischemia. In addition, attention should be paid to certain diseases that require urgent rescue, such as cerebral hemorrhage, myocardial infarction, arrhythmia and aortic dissection.

prevention

1. Vasovagal syncope: Patients should avoid triggering factors such as emotional excitement, fatigue, hunger, and panic.

2. Vasovagal syncope: Patients should pay attention to their body position when urinating, defecating, coughing, and swallowing.

3. Postural hypotension: Patients should avoid standing up suddenly from a lying position. Before getting up, they should move their legs first, then slowly sit on the edge of the bed to observe whether they feel dizzy or vertigo, and then they can walk. Elastic stockings or abdominal bands can be used. Ephedrine can increase blood pressure; salt can increase the extracellular volume.

I believe everyone already has a general understanding of Asperger's syndrome. In fact, this type of disease can be prevented through certain measures. In addition to avoiding excessive emotional fluctuations, patients should also avoid fatigue and hunger. In addition, patients should also pay attention to body position when urinating and defecating. In short, Asperger's syndrome requires timely medical treatment and treatment, otherwise it can easily lead to life-threatening situations.