Author: Care Online
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Dr. Yuzhi: Hello everyone, I am Dr. Liu Yuzhi, and welcome Dr. Wu Shangru to the care line.
Dr. Wu Shang-ru: Hello everyone, I am Dr. Wu Shang-ru, Department of Cardiology, Taichung Wing General Hospital.
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Dr. Liu Yuzhi: What impact will a slow heartbeat have on the human body?
Dr. Wu Shangru: When the heartbeat cannot meet physiological needs, the first thing is that the perfusion of the brain will be insufficient, so sometimes there will be symptoms of dizziness. Because the perfusion of the chest is insufficient, there will be symptoms of chest tightness, which can be more serious. During this period, people may faint or even die suddenly. It depends on our heartbeat system. Which link has the problem? Is it a problem with the generator, a problem with the relay station, or a problem with the downstream? There are some different effects on the heartbeat.
Dr. Liu Yuzhi: How to treat slow heartbeat?
Dr. Wu Shangru: When a slow heartbeat causes symptoms, you actually have to deal with it at this time, otherwise you may faint or even risk sudden death. Traditionally, there are some drugs that can make the heartbeat speed slightly faster. Yes, but the effect of these drugs on heartbeat is usually not very clear. Especially when serious problems occur in the conduction system, it will be more difficult to be effective. Therefore, in fact, most doctors will not respond to patients with excessive heartbeat. When it is slow, we will install a rhythm regulator to artificially replace the normal conduction system so that the heartbeat can reach the normal speed it should be. Therefore, it is battery-driven so that the heartbeat can meet your physiological needs. Fainting or even sudden death may occur again.
Dr. Liu Yuzhi: Can the heart rate regulator adjust the heart rate in a timely manner?
Dr. Wu Shangru: Traditional heart rhythm regulators are not so smart or sensitive. Some are not equipped with an acceleration function. The generator starts to beat 70 times, and the ventricles follow 70 beats. This way, we later invented a method that relies on exercise. Accelerate, the heart rate regulator that regulates the heart rhythm. As long as you move, the heartbeat will speed up, and this heartbeat will meet your physiological needs. But in fact, our human heartbeat is not so simple. When you are not active, , the heart rhythm will also undergo some changes. For example, if you are anxious today, angry or happy today, the heartbeat will become faster. However, if the body is not active, the heartbeat at this time cannot actually meet physiological needs, so currently There is a relatively new one on the market called an intelligent rate regulator. This new equipment is actually very sensitive to detect the contraction function of the heart. When you are excited, happy, or happy, the contraction rate of the heart will With some changes, this machine will drive the acceleration function, making your heart speed faster and more in line with your physiological needs.
Dr. Liu Yuzhi: What should you pay attention to after installing a heart rhythm regulator?
Dr. Wu Shangru: For example, if you want to undergo magnetic resonance imaging, you must emphasize to the doctor that you have a heart rhythm regulator. At this time, you need to adjust the function of the regulator so that it will not have any adverse effects on the magnetic field. Others The impact on life is actually very minimal, including the process of going through customs and physical examination when we fly abroad. In fact, this examination will not affect the function of the regulator. With the regulator, our lives will not So it was greatly affected.
Dr. Liu Yuzhi: What effects may a heart rhythm regulator have on the heart?
Dr. Wu Shangru: Traditional heart rhythm regulators actually bury wires directly in the septum of the right ventricle. So when the heart is driving contraction, the wires passing through the right ventricle are driven first, and then through the right ventricle and left ventricle. , a bit like right, left, right, left, is an asynchronous contraction. This kind of contraction is not actually a very physiological contraction. In some patients, if the proportion of ventricular drive is too high, arrhythmia may occur. , heart failure caused by heart failure, in the past 5 to 10 years, we have developed physiological pacing, hoping to install this wire directly on our conduction system, including His bundle, left bundle branch, etc., so that the cardiac pacemaker can , more in line with people’s physiological needs, and can also reduce the occurrence of heart failure.
Dr. Wu Shangru: An 80-year-old grandma has had some dizziness in the past three years. The cause has not been found until he came to our hospital for treatment and found that he actually had some intermittent heartbeats. Too slow, and this heartbeat is too slow, seems to be caused by atrioventricular node blockage. In fact, I told the patient at that time that there are some dangers in atrioventricular node blockade. When this blockage occurs, if it is It happens during activity. At this time, you may faint, die suddenly, fall, or get injured. So we helped this patient install physiological pacing and put wires in the conduction system. Currently The more mainstream method is to place it on the left bundle branch. This kind of pacing can maintain a very good function. It has been tracked for about 5 to 10 years and is in a very good state. So we discussed with our patients at that time and decided to install left bundle branch. Bundle branch pacing, at the same time, the patient’s activity level is still quite high, even though he is quite old, so after discussing with the patient, we decided to install an intelligent rate regulator. The patient was very satisfied after the installation. Because of his activities, exercise, and even some emotional reactions, there will be some corresponding heartbeat acceleration function and physiological pacing, and he can also try to avoid heart failure caused by the heart rhythm regulator. So far, the patient has been using it for about a year. , are quite satisfied.
Dr. Wu Shangru: After installing a heart rhythm regulator, you need to return to the hospital regularly for follow-up visits to discuss the current situation with the doctor. But in fact, everyone knows that it is very hard to go to the hospital, especially for some patients who really need to stay. It is very far from the hospital. At this time, I can choose another home monitoring service function. This function is to equip a home monitoring machine at home, which can be placed next to the bed. When I am sleeping, this machine It can be connected to the heart rhythm regulator, and the remote information can be transmitted to the doctor. When the doctor sees some arrhythmia, he can contact the patient immediately, which can reduce the patient’s return visits. The number of times, if the patient has a problem, we can solve the problem immediately.
Dr. Liu Yuzhi: Thank you Dr. Wu for coming to the care line. See you next time. Goodbye.
Dr. Wu Shangru: Goodbye.
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(This article is reprinted with permission from “Care Online”, the original text is published here)
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2024-01-03 07:16:13
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