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ARRHYTHMIA IN PATIENTS WITH HYPERTENSION
Tog’aydullayeva Dildora Dilmurodovna
Assistant of the Department of Fundamental Medical Sciences
Asian International University, Bukhara, Uzbekistan.
https://doi.org/10.5281/zenodo.15070456
Abstract.
This article discusses the symptoms and causes of heart rhythm disturbances in
patients with hypertension, such as conduction disturbances, their clinical signs and treatment
tactics. As a rule, arrhythmia is detected by a doctor during a direct medical examination. There
are several signals that the div gives when the heart fails. A feeling of trembling in the chest.
Accelerated heartbeat. Slowing of the heart muscle. You can feel a missed heartbeat. Pressing
pain in the heart region. Shortness of breath. Frequent dizziness. Loss of consciousness or
regular fainting. Shock. Nausea accompanied by vomiting. This occurs with a sharp change in
heart rate.
Keywords:
Hypertension, arrhythmia, rhythm disturbance, conduction, risk factors,
ICH, age, gender.
АРИТМИЯ У БОЛЬНЫХ С ГИПЕРТОНИЕЙ
Аннотация.
В данной статье рассматриваются симптомы и причины нарушения
сердечного ритма у больных гипертонией, такие как нарушения проводимости, их
клинические признаки и тактика лечения. Как правило, аритмия выявляется врачом при
непосредственном медицинском осмотре. Существует несколько сигналов, которые
подает организм при сбое работы сердца. Ощущение дрожи в груди. Ускоренное
сердцебиение. Замедление работы сердечной мышцы. Вы можете почувствовать пропуск
удара сердца. Давящая боль в области сердца. Одышка. Частые головокружения. Потеря
сознания или регулярные обмороки. Шок. Тошнота, сопровождающаяся рвотой. Это
происходит при резком изменении частоты сердечных сокращений.
Ключевые слова:
Гипертония, аритмия, нарушение ритма, проводимость,
факторы риска, ВЧГ, возраст, пол.
Types of arrhythmia This is a very common disease that includes several subspecies. In
order to correctly prescribe a course of treatment, it is very important to determine what type of
arrhythmia the patient has. Sinusoidal tachycardia. The heartbeat increases, it can reach 100
beats per minute, the patient clearly feels it. A sharp contraction of the myocardial muscle. This
manifests itself in the form of a strong shock in the heart region, often referred to as a "heartbeat".
Such a deviation is provoked by long-term bad habits and acute heart rhythm
disturbances. Atrial arrhythmia.
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Its essence lies in the involuntary contraction of the heart fibers. This disease affects
people with heart disease and alcohol dependence. Heart block (complete or partial). It is
characterized by the loss of pulse and, as a result, loss of consciousness. Coronary heart disease
(CHD) is an acute or chronic damage to the heart, in which the myocardium does not receive
enough oxygen through the coronary arteries. One of the main causes is the formation of plaques
in the coronary arteries due to atherosclerosis and narrowing of the arterial orifices.
Objective:
To determine the prevalence and remodeling of cardiac rhythm and
conduction disorders in patients with hypertension (HT).
Materials and methods:
The study was conducted among 57 men and 33 women with
hypertension at the Bukhara regional branch of the Republican Specialized Scientific and
Practical Medical Center of Cardiology. Patients were asked to provide medical history, undergo
24-hour arterial blood pressure monitoring (ABPM), Holter monitoring (HMM), and cardiac
ultrasound (CUS).
Results:
Hypertension was confirmed according to the results of AQBSM. Of the
concomitant diseases, ischemic heart disease (IHD) was detected in 27 men (41.33% in men with
HF) and 18 women (55.81% in women with HF) (р>0.05). When performing HF in patients with
HF, rhythm and conduction disorders were detected in 38 men (64%) and 15 women (46.51%)
(р>0.05). The average age of men with HF and rhythm and conduction disorders was 57.86±1.91
years, and women were 67.29±2.34 years (р<0.05).Rhythm and conduction disorders:
supraventricular extrasystoles (SEE) in 6 men (12.24% of men with rhythm and conduction
disorders) and 4 women (17.39% of women with rhythm and conduction disorders), ventricular
extrasystoles (QES) in 14 men and 6 women (28.57% and 26.09%, respectively),
supraventricular tachycardia (SVT) in 17 men and 13 women (34.69% and 56.52%, respectively),
ventricular tachycardia (QT) in 5 men and 1 woman (10.20% and 4.34%, respectively), atrial
fibrillation (AF) in 7 men and 5 women (14.28% and 21.73%, respectively), AV block I and II
degrees in 2 men and 2 women (4.08% and 4.34%, respectively).
Intraventricular blockade was detected in 14 men (28.6%) and 6 women (26.1%).
According to the results of cardiac ultrasound, left ventricular dilatation was detected in
40 men (53.33% of men with GC) and 16 women (37.20% of women with GC), bilateral
ventricular dilatation - in 5 men and 1 woman (6.67% and 2.32%, respectively), right ventricular
dilatation - in 2 men (2.66%), dilatation of the left heart chambers - in 2 men (2.66%), akinesia
of the left ventricular walls - in 3 men and 1 woman (4% and 2.32%, respectively), decreased
ejection fraction - in 2 men (2.67%). Left ventricular hypertrophy (LVH) - in 42 men (56%) and
19 women (44.18%); Pulmonary hypertension was detected in 14 men (18.67%) and 11 women
(25.58%).
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Conclusion:
Thus, among patients with GC, rhythm and conduction disorders were
detected in 61% of men and about 40% of women. Men with GC and rhythm and conduction
disorders were younger than women. In conclusion, the types of arrhythmias are more common
among men, which indicates that they are both gender-dependent and arise due to harmful habits.
Among the diseases, all types of arrhythmias, such as atrial dilatation, ventricular
intraventricular blockade, ventricular extrasystoles, ventricular tachycardia, atrial fibrillation, are
common in combination with hypertension.
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