One of the simplest types of diagnostics, allowing to obtain information about the state of the system of blood vessels and the heart, is the measurement of the human pulse. In this case, the frequency, as well as the degree of filling of the arteries, is estimated. This is directly related to the work cycle of the heart muscle. With a decrease in heart rate to values less than 55-60 beats per minute in adults, as well as 70-80 in children under the age of sixteen, and 100 in newborn babies, a pathology called bradycardia is likely.
Why does a person’s heart begin to beat not very evenly, and sometimes frighteningly slowly, and how to eliminate such a phenomenon? Let's try to figure this out.
A bit about pathology
Bradycardia is a significant decrease in heart rate, which reaches 40-55 beats in one minute. However, it should be borne in mind that such a state does not carry any life threat in itself. Emergency assistance to the patient will be needed with the number of heart beats within 35-40. A similar symptom is already considered extremely dangerous.
There are two types of bradycardia:
The first type of pathology is considered a variant of the norm and is not dangerous to human health. Physiological bradycardia occurs when:
- moderate hypothermia or being in conditions of elevated temperature and humidity, which requires the body to save its energy resources;
- age-related changes, accompanied by a decrease in speed during metabolism, due to which the heart no longer needs intensive pumping of blood;
- stimulation of reflex zones, when the artificial slowdown of the pulse is caused by exposure to the vagus nerve (with pressure on the eyeball or on the carotid arteries);
- a person’s training when the left ventricle of his heart increases in size and provides blood to the body with fewer contractions;
As for sinus bradycardia, it does not at all serve as a variant of the norm and adversely affects people's health. In this case, this type of ailment can occur due to:
- heart pathology, such as heart attack, ischemia, diffuse, as well as focal cardiosclerosis, various inflammatory diseases, etc.
- the use of a certain type of medication, especially cardiac glycosides, beta-blockers, as well as calcium channel blockers;
- poisoning with toxic substances, including compounds of nicotinic acid and nicotine, lead, organophosphorus and narcotic substances that reduce the tone of the nervous system and affect various organs;
- some infectious diseases, as well as diseases of the nervous system;
- hypothyroidism, which reduces the level of triiodothyronine and thyroxine, which are thyroid hormones.
Sinus bradycardia is dangerous to health. After all, pathological changes in the pulse reduce the supply of blood to the cells of the brain, as well as other organs. In this case, bradycardia is one of the symptoms of a particular pathology and needs to eliminate the causes of the underlying disease.
Symptoms
How to determine that a person has bradycardia? Treatment of a pathology should be started after the appearance of its symptoms, such as:
- Dizziness. With a significant slowdown in heart rate, the heart becomes unable to maintain normal blood pressure. A decrease in the values of this indicator leads to a violation of the blood circulation of many organs and systems. Oxygen starvation and ischemia primarily begins to feel the brain. This leads to one of the very first signs of bradycardia - dizziness.
- Fainting. This symptom is able to indicate the need for treatment of bradycardia. Moreover, the appearance of fainting in a patient is caused by the same reasons as dizziness. The severity of this symptom directly depends on how much the decrease in blood pressure occurred.
- Increased and frequently occurring fatigue and weakness. Such symptoms are caused by a deterioration in the supply of blood to skeletal muscles. Their cause is also low blood pressure.
- Pallor of the skin. With a decrease in pressure in the body, insufficient blood volume begins to flow to the skin. This leads to pallor of the integument.
- Dyspnea. Bradycardia, accompanied by slow pumping of blood in the body, contributes to its congestion in the lungs. This leads to the fact that with an increase in physical exertion, a person begins to suffer from shortness of breath. Indeed, in this case, the vessels included in the pulmonary circulation are not able to provide full gas exchange in the body.
- Pain symptoms in the chest area. These symptoms are also often a sign that a person needs to take measures aimed at treating bradycardia. The fact is that this pathology leads to a disruption in the work of the heart muscle and worsens the blood supply to the myocardium. A noticeable slowing of the pulse contributes to the development of angina pectoris. It causes chest pain after psycho-emotional and physical exertion. Similar symptoms occur with a pulse of less than forty beats per minute.
Possible complications
If bradycardia manifests its symptoms, and the treatment of the underlying disease is not done on time, then the patient is more likely to:
- blood clots leading to heart attacks, strokes and thromboembolism;
- the occurrence of heart failure, significantly increasing the risk of ischemia and heart attack;
- frequent manifestations of chronic bouts of bradycardia, causing dizziness and weakness, impairing thinking and concentration.
Almost all the symptoms of the pathology are caused by oxygen starvation of the tissues of the body and its organs.
As a rule, their manifestation is episodic, but nevertheless it certainly affects the quality of life. That is why with bradycardia of the heart, treatment of the disease that caused it is mandatory.
Therapy
Treatment of sinus bradycardia is aimed at eliminating the underlying pathology, which is the main reason for the slowdown of the pulse.
In this case, conservative and surgical techniques can be applied. Patients with acute forms of bradycardia should be treated in a hospital.
Conservative therapy
Treatment of sinus bradycardia caused by an overdose and prolonged use of drugs is usually not required. In this case, it is quite simple to cancel the administration of a certain drug or to recommend to the patient to reduce its initially prescribed dosage. Judging by the reviews of people suffering from a slowdown in heart rate for this reason, such actions are quite effective.
If there are other factors that caused bradycardia, treatment in this case should be directed to the underlying disease. The necessary course of therapy will directly depend on the severity of the clinic of the main pathology.
What pills are prescribed for the treatment of heart bradycardia caused by autonomic changes? In this case, drugs that increase vascular tone are needed. One of them is Toginal.
Bradycardia that occurs after any intoxication requires the use of antibacterial and antiviral drugs.
Disorders of a hemodynamic nature, for example, fainting conditions, which are accompanied by weakness, dizziness and excessive sweating, are eliminated by certain drugs. Among them are “Ginseng Root”, “Eleutherococcus”, “Ephedrine”, “Caffeine”, “Isadrin” and some others. Treatment of bradycardia with medication requires the advice of a doctor. The necessary drugs are selected after the diagnosis of pathology.
In those cases when a person complains of serious violations in his health, which are associated with a decrease in heart rate in the form of fainting, arrhythmias, angina attacks and arterial hypotension, he should urgently visit a doctor to prescribe an emergency treatment for bradycardia of the heart.
With a pulse whose value does not exceed 40 per minute, as well as with the occurrence of frequent fainting, one of the following pharmacological agents is used:
- Atropine, which is used every 3 hours as an intravenous or subcutaneous injection (2 mg or 0.5 to 1.00 mg, respectively).
- Isadrin. It is dripped intravenously in a glucose solution (5%) in a volume of 2 ml per ½ liter.
- "Alupent" in a volume of 10 mg, dissolved in 500 ml of isotonic solution of sodium chloride, administered by drip intravenously or taken orally (8 times 20 mg).
With the existing symptoms of bradycardia for treatment, which tablets are prescribed for implicit signs of pathology? It can be belladonna preparations. In cases where the patient has individual intolerance or there are contraindications to the use of drugs such as Atropine or Isadrin, he is prescribed ipratropium tablets or ethhedrine hydrochloride.
It should be borne in mind that self-medication with the drugs described above is unacceptable. Indeed, in such cases, in the treatment of bradycardia, arrhythmia is able to take its most severe form.
In addition to the above medications, the doctor prescribes to the patient means aimed at eliminating the underlying disease. In infections, they are antibiotics, in hypothyroidism - hormones, etc. Treatment of the cause of bradycardia leads to the effective elimination of the symptom itself and the unpleasant phenomena that accompany it.
Hypertension Treatment
The main goal of bradycardia therapy with high blood pressure is to bring it to standard indicators, which will normalize the heart rhythm. Much attention should be paid to the root causes of pathology, as well as the accompanying chronic ailments.
As a rule, the treatment of bradycardia with hypertension is carried out with the use of medicines belonging to the selective group of alpha-blockers. Judging by the reviews of experts, this allows you to expand the lumen of blood vessels and reduce pressure indicators. At the same time, similar drugs in the treatment of bradycardia contribute to a decrease in heart rate. In this case, the greatest effect is brought by such medicines as Terazosin and Prazolin, Artesin and Khaytrin. ATP allows inhibitors to lower their blood pressure. These are pills for the treatment of bradycardia, such as Captopril, Enap and Capoten. Judging by the reviews of patients, after the use of such drugs, heart rate also increases. However, the effect obtained from them is slightly lower than with the appointment of alpha-blockers.
Simultaneously with these medications, the patient is recommended to take medications that are part of the classic bradycardia therapy regimen. It:
- diuretics (for example, Indapamide);
- angiotensin receptor blockers (eg, “losartan”);
- analgesics (in case of pain symptoms).
Additional recommendations
So, the symptoms are revealed, and the treatment of bradycardia is started in a timely manner. Simultaneously with the therapy, the patient will need to abandon his bad habits. To eliminate the pathology, it becomes especially important to stop smoking. After all, it is nicotine that has a significant effect on the rhythm of the human heart.
Pathological bradycardia will require a restriction of physical activity that increases the work of the myocardial muscle. The permissible amount of load is determined for each patient individually.
In addition, for heart rate disorders, it is important for a person to follow a certain diet. When compiling a daily menu for himself, the patient will need to be guided by the following rules:
- restrict foods that contain animal fats;
- exclude alcoholic beverages;
- introduce nuts and vegetable oils containing fatty acids into the diet;
- maintain a balance of calorie content of food and energy consumption;
- reduce the amount of salt used and the volume of fluid (according to the recommendation of the attending physician).
Traditional Medicine Tips
Bradycardia can also be treated at home. For this, it is important to choose the right folk method for yourself. It should be borne in mind that drinking infusions and decoctions is unreasonable and without pauses is prohibited. After all, even natural ingredients have contraindications and can cause negative side effects.

For example, in the treatment of bradycardia with folk remedies at home using lemon and sour berries, such products can cause an increase in the acidity of the stomach. This, in turn, will cause inflammation of its walls. And with long-term courses of treatment with decoctions of medicinal herbs, the development of other pathologies is likely. This can be, for example, an allergy or a rash on the body, pain symptoms in the abdomen and various organs, etc. If such phenomena occur, alternative treatment of the heart with bradycardia should be stopped, replacing the drugs used with others. After normalization of the heartbeat, an additional diagnosis will be required from a specialist to determine the need for continued therapy.
Consider some of the most popular and effective recipes for treating bradycardia at home.
- Yarrow infusion. This plant is often used in the treatment of bradycardia with folk remedies, while receiving many positive reviews. Yarrow allows you to increase the pulse due to the normalization of liver activity. At the same time, the patient's appetite increases. The ingredients for preparing the medicine are grass and water. 1 tbsp. l in this case, the herbs are poured with a glass of boiling water, after which they insist 20 minutes. It is recommended that the patient take this infusion 10 minutes before a meal, 1 tbsp. l Use the drug per day is allowed no more than 3 times. When undergoing treatment using yarrow, you should adhere to a proper diet, enriching your diet with products containing large amounts of carbohydrates. After normalization of the heart rhythm, medication should be discontinued. Continuation of such therapy will be required only in the event of a newly occurring pulse reduction.
- Herbal harvest. The combination of medicinal plants is also often used for the appearance of symptoms of bradycardia and treatment with folk remedies. To do this, prepare nettle, currant leaves, walnut, triad, rosehip, dandelion root, hawthorn and yarrow. All components are taken in the amount of 3 tbsp. l Moreover, 1.5 tbsp. l prepared collection pour 250 ml of boiling water, and then insist for at least 3 hours. Next, the drug is filtered and consumed inside before breakfast, lunch, and dinner. Judging by the reviews of patients, the regular use of this tool allows you to completely get rid of bradycardia after two months.
- Dill seeds with Cahors. A drink made from these ingredients dilates blood vessels and increases blood pressure. For him, take 0.5 liters of wine, along with 5 tbsp. l crushed dill seeds. Cahors is cooked on fire for 10 minutes. Thermal exposure promotes the release of alcohol from wine. After that, dill powder is added to the liquid, and the mixture is cooked for another 10 minutes. The prepared drug is infused and consumed before meals, 1 tbsp. l two or three times a day. You need to store it in the refrigerator. The course of therapy is 2 weeks. After the same time interval, his reception can be continued.
- A mixture rich in essential oils. Such a drug strengthens the heart, improves appetite, normalizes blood pressure and strengthens the immune system. To prepare it, cut 4 lemon fruits and pour them with a liter volume of boiling water. After 0.5 hours, the mixture is ground with water in a blender. After that, a pound of walnuts is added to it, which must first be chopped, as well as 1 cup of sesame seed oil and 250 g of sugar. Use a mixture of 1 tbsp. l 30 minutes before meals The course of therapy is a month. After the same break, the treatment is repeated.
- A mixture of honey with lemon and garlic. For a similar drug, five citrus fruits are taken from bradycardia. They are poured with boiling water, and then squeezed juice. To the resulting ingredient, add 5 garlic heads with 0.5 kg of bee product. The mixture is insisted for 2 days. It should be used 1 time per day at lunchtime for 4 tablespoons, dissolving in the mouth for about a minute. The course is no more than 2 months. Judging by the reviews of experts, such a tool tones the vascular system, and also strengthens the heart muscle.
- Massage. Normalize the patient's condition will allow a calming procedure performed in the evening hours before bedtime. The left arm is subject to massage. For this, circular motions are performed. In this case, it is desirable to lubricate the skin with an oil extract of olive or nuts. It takes only 15 minutes to complete the manipulations. , , , , .
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- Drops of Zelenin. This medicine is also used in the treatment of bradycardia. Judging by the reviews of patients, it very quickly exerts its effect. Take Zelenin drops of 20 cap. 0.5 hours before meals three times a day. Start therapy with a low dose. It can be 1-5 drops. A similar dosage is adhered to in the first three days. Next, the number of droplets is increased according to the instructions attached to the medicine. It is necessary to wash the product with water. During the reception, it is important to avoid overdoses. Otherwise, the head will begin to feel dizzy and the heart beating violently. Negative symptoms are eliminated after stopping the medication. Long-term use of Zelenin drops is also not recommended. A long course of admission often causes a person to be drowsy and apathy, loss of appetite and lethargy, as well as nausea.
Surgery
In the case when conservative methods of treating bradycardia were ineffective, and the ailment continues to be accompanied by pronounced hemodynamic disorders, then surgical intervention will be necessary.
A particular technique is used based on an individual clinical case:
- In the case of congenital malformations of the heart muscle, corrective cardiac interventions are performed to eliminate abnormalities.
- With tumors found in the mediastinum, surgical intervention is necessary to eliminate neoplasms.
- In the case of a pronounced degree of bradycardia and not receiving the proper effect of drug therapy, there is a need for implantation of a pacemaker. This electronic tool initiates heart contraction. Its design provides a generator that generates electronic pulses, as well as electrodes that transmit them to a microcomputer, which is freely programmable with a selection of individual settings for each patient. Implantation of a pacemaker requires local anesthesia. An electrode during this procedure is injected into the patient’s body through a vein, tracking its progress using an X-ray machine. This element should enter the right ventricle or the atrium. The stimulator itself is implanted under the skin under the collarbone.
Children's bradycardia
Sometimes doctors observe a decrease in heart rate in young patients. Bradycardia in childhood is provoked by various circumstances that take place in the life of a child. The most common causes are:
- disruptions in the functioning of the nervous and endocrine systems, which is especially common in adolescents;
- increased intracranial pressure;
- diagnosis of hypoxia at birth;
- infectious diseases suffered by a small patient;
- general and at the same time severe hypothermia of the body;
- long-term use of pharmaceuticals or their use in large doses;
- poisoning with substances such as nicotine or lead;
- rapid growth of the heart muscle;
- hypothyroidism;
- cerebrovascular accident.
The cause of bradycardia in childhood can be a strong fright or prolonged holding of breath. Sometimes, heart rate decreases in babies before going to bed against the background of emotions and events experienced during the day. However, such a phenomenon, as a rule, is temporary and passes on its own.
Parents need to take their child to a specialist if they observe such symptoms of bradycardia as:
- dizziness;
- lethargy and weakness;
- shortness of breath and shortness of breath;
- poor appetite;
- loss of consciousness;
- profuse and at the same time cold sweat;
- jumps in blood pressure;
- decreased attention span;
- distraction;
- slow heart rate;
- pain in the chest area.
Explaining these symptoms is fairly simple. All of them indicate malfunctions in the functioning of the heart, which becomes unable to supply the body with blood in the volume necessary for it. A similar phenomenon leads to cell death.
With the manifestation of the symptoms described above, it is necessary to immediately begin treatment of bradycardia in children. If the disease has a moderate or severe form that does not allow the child to live normally, then the doctor prescribes a drug course, which includes antiarrhythmic drugs. What drugs and pills are used in the treatment of bradycardia in young patients? Their list includes:
- belladonna;
- ginseng root;
- eleutherococcus extract;
- caffeine;
- belladonna;
- Isadrin
- "Ephedrine";
- "Atropine".
The doctor selects the drugs listed above individually for small patients. What pills and treatment for symptoms of bradycardia will be prescribed? Everything will depend on the main disease, which has become the main reason for the decrease in heart rate in a child.
If the pathology proceeds in a mild form, then in this case it is possible to use the methods recommended by alternative medicine. But here you will also need to obtain the permission of the attending physician. Only in this way can parents be absolutely sure that their child will soon be cured of this disease, and the course of therapy will not do him any harm.
Treatment of bradycardia with folk remedies can be carried out using the following drugs:
- a mixture prepared from sesame oil, chopped walnuts and sugar, poured with a lemon solution brought to a boil;
- strong tea;
- seaweed and other seafood;
- infusion based on pine branches.
In this case, parents should remember that the child’s body that has not yet become stronger will most likely respond to individual intolerance or allergy to many of the folk remedies. In this regard, using natural preparations, you will need to constantly monitor the condition of the baby.
A more rational and most often more successful treatment option for mild forms of bradycardia is sports. You can normalize the heart activity of a child by starting to take him from childhood to any training. The sport at the same time should be chosen the most calm. In this case, there should not be exhausting training, accompanied by significant physical exertion. In addition, it is recommended that the child walk from 3 to 4 hours a day in the fresh air. Significant benefits for the normalization of cardiac activity will bring:
- gentle pouring;
- sun baths;
- pool;
- morning exercises, which include exercises with turning the torso.
With pronounced symptoms of sinus bradycardia in a child, his urgent and mandatory hospitalization will be required. Sometimes the pathology takes a chronic form, in which you have to implant a pacemaker.
It is worth noting that today's development of medical technologies, including in cardiology, allows doctors to perform real miracles, saving patients from bradycardia and giving them the joy of a comfortable life.