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心脏早搏的原因有哪些?

发布时间:2016-08-16   问大夫  责任编辑:红豆

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心脏早搏是老年人中最常见的心律失常之一,过早搏动并没有症状,会有心悸或心跳暂停感。频发的过早搏会有很大的危害。会引起乏力、头晕等症状,原有心脏病者会因此诱发或加重心绞痛或心力衰竭。了解到心脏早搏的原因有哪些,才能更好的做到治疗和预防。那么,心脏早搏的原因有哪些呢?心脏早搏又该如何预防呢?下面小编给大家介绍一下。

 

心脉早搏
早搏是指异位起搏点发出的过早冲动引起的心脏搏动,为最常见的心律失常。根据早搏起源部位的不同将其分为房性、室性和结性。其中以室性早搏最常见,其次是房性,结性较少见。早搏可见于正常人,或见于器质性心脏病患者,常见于冠心病、风湿性心脏病、高血压性心脏病、心肌病等。早搏亦可见于奎尼丁、普鲁卡因酰胺、洋地黄或锑剂中毒;血钾过低;心脏手术或心导管检查时对心脏的机械刺激等。
心脉早搏的原因有哪些
1、异常自律性所致冲动形成异常
①、魏登斯基现象:在某些条件下,如窦性冲动到达异位起搏点处时由于魏登斯基现象,使该处阈电位降低及舒张期除极坡度改变而引起过早搏动。
②、病变心房、心室或浦顷野纤维细胞膜对不同离子通透性改变:病变心房、心室或浦顷野纤维细胞膜对不同离子通透性改变,使快反应纤维转变为慢反应纤维,舒张期自动除极因而加速,自律性增强,而产生过早搏动。窦性冲动到达异位起搏点,使该处阈电位水平下移,因而异位起搏点舒张期除极在基本节律起搏点之前达到阈电位而引起早搏
2、折返现象枣环行折返:折返现象枣环行折返或局灶性微折返如折返途径相同则过早搏动形态一致;如折返中传导速度一致,则过早搏动与前一搏动的配对时间固定。
3、平行收缩
4、触发激动
5、各种对心脏的刺激性因素:如心导管检查,可以查出房性或室性早搏;在心导管检查过程中过度用力,或过快地抽取血液标本,或加压快速向心脏腔内注射造影剂等,都可以发生早搏。
6、生活因素:过劳、情绪激动、精神紧张、过多吸烟或饮酒、浓茶和咖啡等,亦可无明显诱因。
7、心脏疾病:心脏神经官能症患者,各种器质性心脏病常发生早搏,合并心衰时更易发生,如冠心病、风湿性心脏病、高血压性心脏病、心肌病等。
8、药物导致:某些药物毒性作用、电解质紊乱、内分泌失调、慢性病灶(如扁桃体炎、胆囊炎等)等心外因素也是引起早搏的常见病因。

心脉早搏怎么办
1、出现这样的情况要及时去医院进行一个检查。然后让医生开些药物来进行调理治疗。也可以开些去烧药来吃。平时都要注意休息好不要过多的劳累,要选择去正规的医院进行治疗因为那里的医疗条件比较好。
2、可以去找中医开些中药来进行调理治疗。一定要按时的服用药物,不要私自停药,头疼的时候可以采取中医针灸疗法来进行治疗,也可以用手按摩太阳穴进行换届,不要有太大的心理压力保持充足的睡眠。
3、平时饮食上注意清淡,不要吃辛辣上火的食物,可以多吃些新鲜的蔬菜水果,因为里面含丰富的维生素,可以供身体所吸收,饮食上要注意多吃些好消化的,适当增加些身体的锻炼,来提高免疫力。

心脉早搏怎么预防
在正常情况下,心脏跳动时,自己是感觉不到的。发生早搏时,由于心室强力收缩,可以感到心脏跳动;再由于早搏后有一段停顿间隙,故又可有心跳停顿的感觉。各人感觉不一致,有的说是心脏荡了一下,有的感觉心脏欲从喉咙里跳出来,有的为明显心慌不适。此外,还可伴有胸闷、恶心、咳嗽、头昏等不适。也有的人甚至发生频繁的早搏,可毫无感觉和症状,仅在医生听诊或心电图检查时才被发现。
值得注意的是,虽然功能性早搏一般对身体无明显危害,但器质性早搏提示有器质性病因的存在。房性早搏对心脏排血功能的影响较小,而室早、特别是频发室早则对心脏排血影响较大,患者可有头晕、胸闷及血压降低等表现。
所以说,偶发性早搏或发生多年而无其它体征,亦无明显症状者,一般无危害。若频发早搏或呈多源性者,常是病理性的表现。见于动脉硬化、冠心病、风湿病、病毒性心肌炎以及某些药物的影响。急性心肌梗死病人出现室性早搏,可发展成室性心动过速或室颤,应作紧急处理。二尖瓣病变出现房性早搏,易发展成房颤。另外,早搏合并有其它心脏异常体征或心电图有其他异常变化者,多属病理性,需尽快治疗。那么在生活中我们就应该注意预防此类疾病,所以要做到以下几点。
1、注意休息
晚上宜早睡,不要熬夜,有失眠者,在心脏早搏护理时应额外在医生指导下适当服些镇静剂或安眠药,以保证大脑皮层能得到充分休息,否则可造成中枢神经功能紊乱,使心肌兴奋增高而诱发早搏。
2、适当文娱活动
活动后早搏不增多的慢性病人应适当参加文体活动。但是要注意适当,千万不能因为太兴奋等导致病情受到影响。
3、稳定情绪
早搏本身并非严重疾病,所以病员应消除思想顾虑,保持情绪稳定,应经常保持心情开朗,这是心脏早搏的护理重要的一点。避免过度兴奋或忧伤。情绪波动容易诱发早搏的发生。
4、服用药物
伴有严重心脏病或有明显症状者须服用抗心律失常药物。此类药物应按医嘱服药,在服药期间应注意有无药物不良反应。这是在心脏早搏护理特别需注意的一点。
5、饮食上
在饮食上对心脏早搏护理应注意:不吸烟,不饮酒,饮食不过饱,少吃刺激性食物如酸、辣等调味品,少喝浓茶或咖啡,因为这些食物都可使心肌兴奋性增高,诱发早搏。
早搏是非常麻烦的,不仅会因为提早的异位心律等早搏的症状影响患者的身心健康,而且如果处理不当,还会导致早搏的并发症,如室性心动过速等。
最后小编提醒大家,患者一定要注意休息好,不要过多的劳累,平时要注意按时的服用药物,不要私自停药,适当增加些身体的锻炼来提高身体的免疫力,饮食上要清淡不要上火。

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