Tachycardia during pregnancy

Sinus rhythm and sinus tachycardia

Normally, the heart rhythm is set from the sinus node, so the sinus rhythm of the heart is the norm. Sinus tachycardia is a rapid heart rate (more than 90 beats per minute), set, as expected, from the sinus node. Sinus tachycardia in children is determined by other indicators of heart rate - according to the age norm, since the normal heart rate in children is higher than in adults.

Palpitations - a feeling of rapid or increased heartbeat. Often combined with tachycardia. Palpitations are a subjective symptom. Some people periodically feel even normal heartbeats, while others may not feel serious rhythm disturbances. Therefore, the feeling of heartbeat itself is not a sign of heart disease.

Increased heart rate is a normal reaction of the body to physical activity and stress, which is felt as palpitations and tachycardia. As a rule, this is sinus tachycardia, which occurs as a result of complex regulatory mechanisms of the cardiovascular system and, above all, an increase in the sympathetic influence on the cardiac pacemaker - the sinus node. The increased sinus rhythm of the heart allows the tissues to be supplied with oxygen and nutrients more actively, since during physical activity energy needs increase significantly. Sinus tachycardia of the heart after rest goes away on its own and does not cause discomfort.

Only in combination with other symptoms can a heartbeat indicate deviations from the norm. The symptoms that accompany palpitations depend on the disease of which they are a manifestation.

girls, I have a big story. Listen here.

At age 7 I was diagnosed with WPW Syndrome. All my adult life, there was liberation from physical training. Time passed, the body grew. I grew up to 21 years old, my illness made itself felt (there were attacks before, but literally a couple of minutes and they passed). I work as a nurse, at that moment we had a schedule - every other day. I passed my shift and I felt my heart beating very fast. We are on the 6th floor. After thinking about it, I decided to go to therapy. My head was a little dizzy, my heart was racing. I went on foot to the 4th floor to therapy. There was no doctor on site. I went to the reception center on foot (I was afraid to get into the elevator in case I fainted). I went up to the nurse, told her the problem, and she told me, take valerian. I felt funny, I said, where is the doctor? Look there, I heard in response. I went to the doctor. She told me everything. He started listening to me. I saw his face changed, his eyes became big. Scream, urgent gurney and ECG. They took an ECG and called a resuscitator. A huge guy came and tried to relieve my arrhythmia using various techniques, but it didn’t work. Verdict. Go to intensive care. For me it was just a nightmare, since I’m a doctor and I represent everything.

They put me in a room while I was alone. I connected it to the machine, I looked at my heartbeat, and there the frequency was 350-380. I didn't wet myself and I'm not lying. My eyes popped out of my head. It all started at 8.45. morning. They started dripping, Sibazon - they put it on so that I could sleep, but for some reason he didn’t take me. Maybe she was afraid to fall asleep. One wonderful, and for some, terrible moment, a guy was brought in after an accident. I just looked at him and my rhythm immediately returned to normal. She lay down for a little while. Okay, my husband came and brought me things. I wrote a receipt and left. I am confident in my health.

When the cardiogram was deciphered, the following was written: WPW syndrome, paroxysmal tachycardia, atrial fibrillation, with ventricular fibrillation. Then I went to a special center in another city. The doctor looked at me and said, Are you still alive? With such an ECG, in his opinion, a person is not a jerk. I told him that I went down to the first floor myself.

With such an attack, I was naturally not allowed to get pregnant. I completely agreed with the doctors. They offered surgery, at first she refused, but she wanted children and agreed. They performed radiofrequency ablation. Without anesthesia, through blood vessels. It doesn't hurt. This problem was removed, but A, B tachycardia appeared a month later, it was hammering every day. I was only on pills. I had to do it again. The first time it didn’t turn out right or wrong. There were 4 of them in total. Strangely enough, I endured everything. When the last one was done, the doctor said you can get pregnant now.

I am a reasonable person, I allowed my body to survive stress for 6 months. And at one fine moment, life began in my tummy. Now I’m 25 and I’m happy that I plucked up the courage and had the operation.

At the moment, I am suffering from shortness of breath and a rapid heart rate of 90 - 100. The doctor said that this is due to pregnancy and is nothing to worry about. He said that I would give birth myself. And I’m very happy about it. The birth will take place in a specialized maternity hospital.

CAUSES OF PALACE AND TACHYCARDIA

Palpitations and tachycardia occur with the following diseases:

arrhythmias (disturbances in cardiac rhythm),
endocarditis, myocarditis,
myocardial dystrophy, cardiosclerosis,
arterial hypertension,
heart defects,
anemia,
neurosis,
vegetative-vascular dystonia,
endocrine diseases (thyrotoxicosis, pheochromocytoma, hypoglycemic conditions in diabetes mellitus),
feverish conditions,
menopause

Causes of tachycardia:

Heart diseases

Diseases of the heart and blood vessels that can provoke tachycardia include:

heart failure;
coronary heart disease, myocardial infarction;
aortic insufficiency;
abnormalities of the cardiac conduction pathways;
heart rhythm disturbances;
arterial hypertension.

Other (non-cardiac) causes of tachycardia
:

respiratory failure, emphysema;
obesity;
binge eating;
alcohol abuse;
excessive consumption of strong coffee, tea;
use of narcotic and psychotropic drugs;
diabetes;
increased thyroid function;
pheochromocytoma;
vegetative-vascular dystonia;
panic attacks.

Associated symptoms

Tachycardia may be accompanied by:

nausea;
cold sweat;
dizziness;
shortness of breath;
pain in the chest, a feeling of squeezing;
weakness;
loss of consciousness;
frequent yawning;
anxiety, etc.

Tachycardia in heart disease

described in the sections on heart failure, myocardial infarction, aortic insufficiency, cardiac rhythm and conduction disorders, and arterial hypertension.

Other causes of tachycardia are briefly listed below.

Tachycardia and diabetes mellitus

Tachycardia is one of the manifestations of decompensation of diabetes mellitus. Disturbances in the nervous regulation of the heart often lead to increased heart rate, which is difficult to treat.

Tachycardia in diseases of the stomach

In some cases, tachycardia after eating is caused by the so-called gastrocardial syndrome. It is characterized by the fact that spicy or fatty foods lead to exacerbation of stomach pathologies, manifested by pain in the abdominal cavity, combined with an increase in heart rate.

But in itself, an increase in heart rate after eating is not a heart disease, but a symptom that should alert the patient and force him to seek advice from a cardiologist and gastroenterologist.

Tachycardia, sweating and weakness - a triad characteristic of the so-called. dumping syndrome, a condition that occurs after gastric resection surgery. In this case, food from the reduced stomach quickly enters the small intestine and causes the above sensations.

Tachycardia after eating

In overweight people, fat deposits appear not only in the subcutaneous layer, but also on the membranes of internal organs, over time increasingly limiting their natural mobility. In such situations, after a heavy meal, a full stomach puts pressure on the diaphragm, which provokes increased breathing and, as a result, an increase in heart rate.

We must not forget that the processes of digestion and assimilation of eaten food are a serious burden for the body, which requires increased energy consumption. To do this, the heart is forced to increase its contraction rate to ensure sufficient blood flow to the stomach, intestines and digestive glands. And if you are overweight, this task is complicated by large amounts of adipose tissue.

Tachycardia in pathology of the nervous system

An increase in heart rate is also typical for people with psycho-emotional disorders, which can serve as one of the manifestations of a neurotic state. In this situation, the patient just needs to calm down - and then the heart rate will quickly return to normal.

Tachycardia in diseases of the thyroid gland

Increased activity of the thyroid gland (thyrotoxicosis) leads to sustained tachycardia. This occurs with inflammatory diseases of this endocrine organ, as well as the appearance of hormonally active formations (nodes).

Sinus tachycardia - treatment

Sometimes, a sudden palpitation frightens a person, causing excitement, and accordingly increasing palpitations and tachycardia. This creates a vicious circle that can greatly worsen the quality of life.

In some cases, a combination of palpitations and tachycardia with high anxiety, additional autonomic reactions (sweating, a feeling of lack of air, tremors of the limbs, lightheadedness) cause the patient to fear death and falsely believe that he has a serious, life-threatening disease. In such cases, treatment of sinus tachycardia is carried out with the participation of a psychotherapist.

An objective picture of the state of the cardiovascular system will be provided by studies such as daily Holter ECG monitoring and stress tests (treadmill, bicycle ergometry - ECG with stress).

If there is severe sinus tachycardia, symptoms of any cardiovascular or other disease, then treatment of the underlying pathology is necessary to eliminate it.

If palpitations and tachycardia are repeated quite often or simply cause you severe anxiety, see a cardiologist.

sinus tachycardia during pregnancy

I allocated 2 days for this and signed up in advance. Yesterday I had an ecg and an endocrinologist. They wrote - sinus tachycardia. I persuaded the endocrinologist to put a stamp just like that.

Today I saw an ophthalmologist, - she still couldn’t determine whether I have ICP or not, in general, everything she said was with inserts “probably”, “maybe”, “and before, what did they write?”

Next on the list is a dentist who prescribed me Paradontax and said that she wouldn’t do anything during pregnancy because... does not burn. But I am threatened with gingivitis during pregnancy. I read that periodontax will only relieve the symptoms, but first you need to go to a periodontist and have your teeth cleaned. If I have time and money, I’ll run away. There is no tartar, there is plaque. But it’s impossible to do anything in the mouth—it bleeds right away.

Well, in the end, the whole picture was spoiled by a smelly therapist. I don’t understand how a man can go to work in a state clinic and see grannies from morning to evening. I can understand narrow specialists - but these are - wow, not a man. A young and meticulous dumbass, with the imprint of the village on his face...

For 30 minutes of my time from the moment of recording, he chatted with the women from the next office, conversations throughout the entire corridor, conversation about nothing!!! Then he returned, I went in, there was another nurse sitting in this tiny room, no more than 40 years old. And they’re like, let’s interrogate me about who lives where (about my whole family!!!). About the old registration address - they’re meticulous about everyone. And ask the same thing 5 times (REALLY 5 times!!!!) Why on earth should I even report data to them? Everyone who lives there does not go to this clinic at all!

As a result, he told me that first let my husband take a fluorography, and then he will give an extract and put a stamp!!! Yeah, wait a minute, I don’t understand, where do we live anyway? As far as I remember, fluorography in our country, like vaccinations, is a voluntary matter for everyone. Personally, I only need it for the partner birth option, otherwise I wouldn’t even bother. He gave directions. I had 2 days in which I could leave the child, I’m not going to waste any more of my time. The recording is not a recording, it’s just bullshit - you sit in line and smell nasty coughs and listen to smacks and sniffles...

I ask: “What extract won’t you give me? Actually, I don’t have any statement, I’ve never been served by you.” And he told me: “Well, that means I won’t put a stamp!”

Well... with her. I passed the specialists.

I’ll have to ask about the pediatrician at the appointment, maybe I don’t want to be pushed around like the last time after I was discharged. All these walks, and even in the summer, I have to watch over them...

Yes, I remember, I was discharged from the maternity hospital on Friday, the doctor came on Saturday... ENT!!! I know that she is an ENT specialist, but it turns out that maybe there are not enough staff, she works as a nurse on duty and comes on Saturdays. The doorbell rings in the morning, the baby is sleeping, I’m sleeping - the first night at home after giving birth! She flies in while she is fussing in the corridor, I jump up, and then blood starts pouring out of me onto the floor... Ew, I’m ashamed, I’m at a loss, my husband is running for a rag, the pastel is not tucked in, I’m in shorts and a shirt. She comes in, looks at her son, well, what can you find there - yesterday at discharge we were plump and healthy... But no, I see, she says, there’s a tiny blister somewhere in the mouth (I looked a lot later and couldn’t find it), he prescribes it right away geneferon... The child is screaming because he was woken up. Naturally, I didn’t go for any geneferon...

And so I think, maybe we don’t have to attach ourselves, we won’t go there anyway. A pediatrician at a paid office can now write to me. I don’t want to drag myself to the nursery yet.

That's it, I exhaled. Now I'm calm and happy.