Tachycardia Paroxysmal Ventricular

Paroxysmal ventricular tachycardia: diagnosis, symptoms and treatment

Paroxysmal ventricular tachycardia (p.p. ventricular tachycardia) is a cardiac disorder characterized by sudden episodes of rapid heart rate caused by abnormal activation and contraction of the heart's ventricles. This is a serious condition that requires medical attention and monitoring.

Causes and risk factors
Paroxysmal ventricular tachycardia can be caused by various factors. One of the main causes is abnormal electrical activity of the heart, which may be due to the presence of structural abnormalities, arrhythmogenic genetic mutations, or other heart diseases. Other possible causes include increased stress levels, poor diet, and use of certain medications or drugs.

Symptoms
Symptoms of paroxysmal ventricular tachycardia can be diverse and vary depending on the individual characteristics of the patient. However, the most common symptoms are:

1. Palpitations: The patient may experience strong and rapid heartbeats that can last from a few seconds to several hours.
2. Feeling of heart irregularities: The heart may temporarily skip beats or “start and stop.”
3. Dizziness and fainting: Insufficient blood supply to the brain can cause dizziness and loss of consciousness.
4. Feeling of difficulty breathing: The patient may experience difficulty breathing or a feeling of suffocation.

Diagnostics
Diagnosis of paroxysmal ventricular tachycardia includes various methods and studies. Your doctor may do a physical examination, including auscultation of your heart and taking your pulse. Additionally, the following procedures may be prescribed:

1. Electrocardiogram (ECG): This is a non-invasive method that records the electrical activity of the heart and detects the presence of arrhythmia.
2. Golter monitoring: The patient wears a portable device that records the ECG over an extended period of time (usually 24-48 hours). This helps to identify episodes of tachycardia and evaluate their characteristics.
3. Echocardiography: This is an ultrasound examination of the heart that helps determine the structure and function of the heart and identify possible abnormalities.

Treatment
Treatment of paroxysmal ventricular tachycardia depends on the severity of symptoms, the frequency and duration of attacks, as well as the general condition of the patient. Basic treatment approaches may include the following:

1. Pharmacotherapy: Your doctor may prescribe antiarrhythmic drugs to control your heart rhythm and prevent attacks of tachycardia. The choice of a specific drug depends on the individual characteristics of the patient and the presence of concomitant diseases.
2. Catheter ablation: This is an invasive procedure that uses a catheter to deliver high-frequency electrical pulses to destroy or block abnormal electrical activity in the heart.
3. Implantation of a cardioverter-defibrillator (ICD): in cases where paroxysmal ventricular tachycardia poses a serious threat to the patient's life, implantation of an ICD may be required. This device is able to recognize arrhythmias and automatically restore normal heart rhythm using an electrical shock.

In addition, it is important to take measures to improve your lifestyle and reduce the risk of tachycardia attacks. This may include the following recommendations:

1. Avoid factors that may trigger attacks, such as stress, poor diet, alcohol or certain medications.
2. Maintain a healthy lifestyle that includes regular physical activity, a healthy diet and adequate rest.
3. Follow your doctor's recommendations regarding taking medications and follow your dosage schedule.

In conclusion, paroxysmal ventricular tachycardia is a serious cardiac disorder that requires careful diagnosis and a comprehensive approach to treatment. Early referral, adherence, and treatment can help control symptoms and improve a patient's quality of life.

Tachycardia is a pathological condition during which the heartbeat accelerates and the rhythm becomes chaotic. In this condition, the heart rate exceeds 120 per minute in patients under 50 years of age and 130–150 in older people. Paroxysmal tachycardia is a type of arrhythmias in which the heart rate increases greatly - up to 230 beats per minute or more. Moreover, excitation of the heart muscle occurs without rapid breathing of patients, movement of blood in the heart, and is not even accompanied by the appearance of noise over the chest during a pause. Most often, such an attack occurs at rest and it can last from several minutes to days and even weeks.

Tachycardia can be caused by various reasons - both physiological and pathological. For example, in the case of tachycardia (excessive heartbeat), the cause may be overwork, stress, intense exercise, or taking certain medications. However, if the tachycardia becomes chronic and the patient experiences a constant feeling of discomfort and anxiety, it is necessary to consult a doctor for diagnosis and treatment.