Ventricular early repolarization syndrome

With a diagnosis of Syndrome of early repolarization of the ventricles, the heart should be fully examined: an ultrasound scan (ultrasound) and Holter monitoring during the day should be made to exclude the asymptomatic development of tachycardia. And, of course, come to an appointment with an arrhythmologist or cardiologist, taking with him that electrocardiogram, on which the detected deviations are clearly visible. It is possible that such a change is associated with age-related hormonal changes in the body.

For a long time , early ventricular repolarization syndrome (ATS) was considered a variant of the norm, in which treatment is not required. But today it is increasingly being identified in young people, as well as in athletes. Such a completely innocuous syndrome of early repolarization leads to the occurrence of certain types of arrhythmias, connective tissue dysplasia , etc.

If a person has revealed this syndrome during an electrocardiogram, doctors advise to undergo the following types of additional examinations: rest echocardiography, transesophageal ECG, stress echocardiography (if indicated by indications), Holter monitoring of an electrocardiogram, electrophysiological examination, or transesophageal electrostimulation of heart data, etc. Examinations need to go to a cardiologist. Only he can tell if there are any pathologies from the side of the heart. If the diagnosis is not confirmed, then there is no cause for concern, and no treatment is required. Syndrome of early repolarization of the ventricles can sometimes be a consequence of embryonic cardiac disturbance. In this case, only the supervision of a specialist is necessary. In order not to provoke an attack of tachycardia with such a violation in the heart, you should abandon alcohol and avoid strong physical exertion.

They treat the syndrome of early repolarization of the ventricles by the invasive method of radiofrequency ablation of an additional bundle. With this highly effective (90% or more) examination method, a catheter is carried out to the site of this bundle and destroys it. Premature (early) repolarization of the ventricles can lead to the development of acute coronary syndrome. Therefore, it is so important to find out in time the cause of this disruption of the heart and its valves. After all, coronary syndrome in its acute form can lead to sudden death.

It is not for nothing that recently the health of athletes is under close control and attention, both from doctors and the press. After all, it is in this category of young people that the syndrome of early ventricular repolarization can suddenly come to light. Therefore, athletes in the early morning and late evening, and even at night began to do an electrocardiogram in order to detect heart rhythm disturbances and conduction at an early stage. Such violations even caused changes in the schedules of the training process.

So, we found that the syndrome of early repolarization is a phenomenon of electrocardiography, which indicates the characteristic transformation of the graphic recording of cardiac activity on the ECG. Such a syndrome is attributed to a relatively rare variant of a normal electrocardiogram, which, nevertheless, can affect the occurrence of malignant arrhythmias: bradycardia and sinus tachycardia, atrial fibrillation, extrasystoles, heart block, paroxysmal tachycardia, etc., as well as coronary heart disease. The presence of ventricular early repolarization syndrome increases the risk of death from a heart cause by twenty-eight percent. This is usually associated with the occurrence of serious cardiac arrhythmias (ventricular) disturbances - tachyarrhythmia, early and polytopic extrasystole, ventricular fibrillation, etc.

In the absence of special treatment for arrhythmias, and therefore violations of repolarization, conduction and rhythm of the heart, can be fatal. Therefore, in the specific treatment of the syndrome, antiarrhythmic drugs are prescribed, for example, amiodarone, and they also use energy-stimulating therapy using organic phosphates, membrane protectors and magnesium preparations. All of these treatment methods normalize the activity of the ion transport system of the body.


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