Dizziness, pain in the heart area (blades). Halter (SA-blockage 2 Speps 2Type) Halter monitoring (SA-Blocade 2 types 2) Hello! I am 20 years old. There was pain in the heart of the heart, it continues for 3 weeks, dizziness frequent, before bedtime, it seems to freeze the heart, the feeling of fear of death (without ending the pressure and pulse), is very scary there is a lot of tests: the ECG showed nothing (made 6 times ), heart ultrasound is normal, gastroscopy (superficial focal reflux gastritis, moderately pronounced bulbs, pylorit, moderate reflux-esophagitis); Blood tests from veins and fingers in tolerances, urinary analysis, too, hormones are normal, thyroid gland is normal, chest (ultrasound) in normal, ultrasound internal organs In perfect order, fluorography (light and heart without change) said to make a Halter this is what is written in the conclusion: during the entire observation period, the predominantly sinus rhythm was recorded (92.8%), which was interrupted sinus Arrhythmia. CCS average 86ood / min, minimum 49 (sleep), maximum 156 (lifting the stairs) is predominantly minus bradycardia over the entire period of observation of 4C46M: in the active period, it is 13 minutes, in a passive - 4 h33m circadian index is 1.60, which indicates a significant decrease heart rate at night. Conducting disorder: Pauses lasting over 2000ms have not been detected. The pauses 2 R-R are detected due to the SA-blockade of 2 degrees (only-9). Maximum R-R The interval is 1620ms (Ca-blocking 2 of the type 2). A single complex of a sinus complex with aberration (transient blockade of PVLNPG). The PQ intrusted is 176ms within the normal range. Rhythm rhythm digestive disorders were found: 3 ventricular extrasystoles were found, so on inserts, of which isolated 3. The elevation of the ST segment duration 1172 (85%) was revealed in the channel A, V. The maximum element is 349MKV (early syndrome Repolarization of ventricles) Analysis of the intrusted Qt: on the maximum heart rate is 286ms, at minimum-408ms. Medium for the entire observation period-347ms.

Cardiologist

Higher education:

Cardiologist

Kuban State Medical University (KubanGMU, Kubbma, KubbMi)

Education Level - Specialist

Additional education:

"Cardiology", "Course on magnetic resonance tomography of the cardiovascular system"

Cardiology them. A.L. Myasnikova

"Course on Functional Diagnostics"

NTSSSH them. A.N. Bakuleva

"Course on Clinical Pharmacology"

Russian medical Academy Postgraduate Education

"Emergency Cardiology"

Cantonal Hospital Geneva, Geneva (Switzerland)

"Course on therapy"

Russian State Medical Institute Roszdrava

With transient AV blockade 2 degrees, the conductivity of the electrical pulse from the atria to the ventricles is partially disturbed. An atrioventricular blockade sometimes proceeds without visible symptoms, can be accompanied by weakness, dizziness, angina, in some cases loss of consciousness. AU knot is part of a conductive heart system, which provides a consistent reduction in atrial and ventricles. Under the defeat of the AV assembly, the electrical pulse slows down or does not arrive at all and, as a result, it fails to be failed in the body.

Causes and degree of illness

An atrioventricular blockade of 2 degrees can be observed in healthy trained people. This state develops during peace and passes in physical exertion. Most exposed to this pathology of the elderly and people having organic diseases Hearts:

• ischemic disease;
• myocardial infarction;
• heart disease;
• myocarditis;
• heart tumor.

Sometimes the disease develops against the background of the overdose of drugs, the congenital pathology is less common. The cause of an atrioventricular blockade can be surgical interventions: the introduction of the catheter into the right hearts of the heart, valve prosthetics, organ plastic. Diseases endocrine system and infectious diseases contribute to the development of blockade of 2 degrees.

In medicine, atrioventricular blocks are divided into 3 degrees. Clinical picture At the stage of the disease, there is no pronounced symptoms. In this case, there is a slowdown in the passage of pulses in the area of \u200b\u200bthe organ.

For the 2 degrees, the slowdown and partial passage of sinus pulses, as a result, the ventricles do not receive the signal and are not excited. Depending on the degree of loss of pulses distinguish several blocks of 2 degrees:

1. Mobitz 1 - characterized by a gradual lengthening of the P-Q interval, where the ratio of the P and QRS complexes is 3: 2, 4: 3, 5: 4, 6: 5, etc.
2. Another option - Mobitz 2 - is characterized by an incomplete blockade with constant interval P-Q. After one or two pulses, the conductivity of the system deteriorates, and the third signal no longer comes.
3. 3 options implies high degree Blocks 3: 1, 2: 1. When the electrocardiogram is diagnosed on the electrocardiogram, each second is not passing pulse. Such a state leads the patient to slowing the rhythm of the heart and bradycardia.

Av blockade (degree 2) with a further deterioration of the state leads to a complete blocking, when no pulse passes to the ventricles. This condition is characteristic of 3 degrees of the disease.

Symptoms and treatment

Symptoms of pathology are developing against the background of rare heartbeat and circulatory disorders. Due to insufficient blood flow of the brain, dizziness arises, the patient may lose consciousness for a while. The patient feels rare powerful pushes in the chest, the pulse slows down.

When evaluating the patient's condition, the specialist finds out whether he had previously suffered infarction, cardiovascular diseases, List of accepted drugs. The main method of research is an electrocardiography that allows you to catch and graphically reproduce the work of the cardiac system. Daily monitoring on the holder allows you to assess the patient's condition at rest and with small physical exertion.

Additional studies are carried out using echocardiography, multispiral computer cardiography and magnetic-sensuous tomography.

If an av blockade (degree 2) arose for the first time, the patient appoints a course of drug therapy. Cancel all drugs that slow down the conduction of the pulse. Appointments that increase the heart rate and blocking influence nervous system on the sinus node. These drugs include: atropine, izadrin, glucagon and prednisone. In cases of chronic course of the disease, Belloid, Corinthar, are additionally prescribed. Pregnant and persons suffering from epilepsy, the theopect is recommended. The dosage is appointed by a doctor depending on the state of the patient.

Long heart failure helps to accumulate fluid in the body. To eliminate the ability to take diuretic funds of furosemid, hydrochlorostiazide.

A severe disease shape with AV blockade 2 degrees of the type of Mobitz 2 requires radical treatment. For this purpose, an operation is carried out on the installation of an electrocardiotimulator - the device controlling the rhythm and the frequency of heart rate. Indications for surgery:

• the clinical picture of the state of the patient with frequent fainting;
• Av blockade (degree 2) of the type Mobitz 2;
• attack Morgali-Adams - Stokes;
• cardiac frequency less than 40 shots per minute;
• failures in the heart with a frequency of more than 3 seconds.

Modern medicine applies the latest devices that work on demand: electrodes produce pulses only when cardiac abbreviations begins to fall. The operation makes minimal damage and is carried out under local anesthesia. After installing the stimulator in patients, the pulse is normalized, disappeared painfulness and improves well-being. It is necessary to comply with all prescriptions of the doctor and visit the cardiologist. The duration of the device is 7-10 years.

Prediction and prevention of the disease

For chronic flow Pathology is possible serious complications. Patients develop heart failure, kidney disease, arrhythmia and tachycardia occurs, there are cases of myocardial infarction. The poor blood supply of the brain leads to dizziness and fainting, may be a disruption of intellectual activity. Dangerous for a person becomes an attack of Morgali-Adams-Stokes, the symptom of which is the heat, pallor of the skin, nausea and fainting. In such cases, urgent help is needed: Heart massage, artificial respiration, challenge resuscitation. The attack can end the heart stop and fatal outcome.

Prevention of the disease lies in timely treatment Heart pathologies, hypertension, blood sugar level control. It is necessary to avoid stress and overvoltages.

With AB blockades, the second degree is prohibited:

• engage in professional sports;
• exposed to excessive physical exertion;
• smoke and drink alcohol;
• after installing the pacemaker, electrical and electromagnetic fields, physiotherapy procedures and injuries in the chest should be avoided.

The planned passage of the electrocardiogram will help identify the disease on early stages and spend conservative treatmentWhat contributes to the full restoration of man and his return to a normal lifestyle.

All organs and systems of humans are interconnected. The violation of the functions of one body is immediately reflected on others. However, there are such bodies that, even stop working, do not carry the real threat to the health and life of a person, since their functions take on others. And there are also those that at the slightest failures significantly violate the human activity.

The heart is the most indispensable organ. In this case, any violation of its functions is reflected on each cell cell. Many diseases are capable of disrupting his activities. One of these is a synoyatrial blockade, also called a synoyauricular or C A blockade. What do these concepts mean, what kind of danger represents this disease, what reasons contribute to its development, and is it possible to cure it?

general description

To understand what kind of synoatrial A-blockade is, it should be understood in anatomical features Cardiac muscle. As you know, the heart is a pumping mechanism pumping blood by reducing cardiac chambers - atrial and ventricles. At the same time, the reductions themselves become possible due to electrical impulses forming in a synoatrile or sine node.

This component of the heart is one of the rhythm drivers, which is located in the right atrium. But it consists of several branches, to the number of which includes a bunch of Torrel, Bakhman and Vestskach. On these branches, electrical impulses come to both atriums. The synoyatrial blockade is called a state at which the pulse is disturbed.

The synoyatrial blockade, as a rule, arises against the background of other heart pathologies, as a result of which scars and other obstacles that interfere with the pulse are formed in the heart muscle. As a result, the person develops arrhythmia, which leads to asistolia. Asistolia is a dangerous state at which the heart is stopped as a result of the disappearance of electrical activity.

It should be noted that the share of the synoatrial blockade accounts for no more than 0.16% of all heart diseases. That is, the disease is quite rare, but it is most often diagnosed in men who oversail a 50-year-old frontier.

However, SA-blockage is diagnosed in children. However B. childhood Violation of electrical impulses is usually caused by congenital heart disease.

Causes of Development SA-Blockada

Among the main reasons for impairment of the pulse, the following can be noted:

• damage to the sinus node;
• violation of the spread of the impulse by myocardium;
• change tone wandering nerve.

In some cases, the disease arises due to the fact that the impulse is not formed at all, or it is so weak that the cells of myocardium, called cardiomyocytes, are unable to recognize it, or they are insensitive to it. There are often cases when there are obstacles in the form of scars, through which it cannot pass.

There are many factors that can provoke the development of the synoatrial blockade. These include the following pathologies:

• heart defects, both congenital and acquired;
• inflammatory processes in myocardium;
• systemic diseases of the connective tissue;
• damage to heart tissues in cancer or injuries;
• ischemic heart disease developing against the background of cardiosclerosis, or being the consequence of myocardial infarction;
• myocardial infarction, causing the dieting section of the heart muscle;
• cardiomyopathy;
• some variations of ICC;
• inxication of the body caused by overdose of certain drugs or their intolerances, as well as poisoning by various chemicals.

At the function of the sinus node, a straight influence has a wandering nerve. The synoyatrial blockade is capable of changing its activity. However, in this case, it, as a rule, does not represent a serious threat of a person's life, as it is capable of passing without medical intervention.

Cas blocks and symptoms

Based on the severity of arrhythmia, the synocatrial blockade is divided into several degrees:

• 1 degree;
• 2 degree;
• 3 degree.

SA-block 1 degree

In this case, they are talking about incomplete salable when the sinus unit is functioning smoothly, and pulses cause contraction of myocardium in the atrods. However, with such pathology, the heart muscle receives impulses somewhat less often than necessary. At the same time, patients people do not feel any manifestations of the disease, and conducting ECG No changes are recorded.

The presence of 1 degree sa-blockade can be suspected by the only sign - bradycardia. And it is possible to diagnose it only in the electrophysiological examination of the heart.

SA-block 2 degrees

A distinctive feature of the synoyatrial blockade of 2 degrees is that the formation of pulses is not always. As a result, in some cases, myocardial reductions are missing, which is registered on the ECG.

This pathology is divided into two types:

• SA-block of second degree 1 type;
• SA-block of second degree 2 type.

In the first case, the pulses decreases gradually. In this case, the patient worries the following symptoms:

• dizziness;
• general weakness;
• pre-real states;
• short-term loss of consciousness.

Loss of consciousness can be provoked by any exerciseas well as head turns or cough.

In the second case, there is a persistent violation heart Rhythm, accompanied by pauses, during which sick people feel weakness and often lose consciousness.

SA-block 3 degrees

This pathology is the greatest danger, since the flow of impulses ceases from the sinus unit, which means that the myocardium does not reduce. The synoyatrial blockade of 3 degrees is very often accompanied by a loss of consciousness that requires resuscitation activities.

Signs of SA-Blockada in children

In children, it is possible to suspect pathology on features similar to adults. Most often, the reason for appealing to the doctor becomes a quick fatigue of the child and fainting, accompanied by the formation of the nasolabial triangle.

Sinoauricular blockade on ECG

Heart electrocardiography is the main way to help diagnose the impairment of electrical pulses. However, its conduct is not effective in the case of a synoyouricular blockade of 1 degree. The only signs of pathology in this case are bradycardia, to which a person is adapted and shortening the PQ interval.

At 2 degrees of pathology, the following deviations are recorded on the ECG:

• the P-P indicator is declining, indicating the extension of the gap between the prevents of the atria;
• after pause, there is a gradual reduction in the time of the indicator P-P;
• one of the next PQRST complexes may be absent;
• during the period, the impulses come from other rhythm drivers;
• if several abbreviations fall out, the pause duration is several P-P indicators.

At 3 degrees of pathology, the ECG registers an isolated, indicating the absence of electrical pulses and myocardial cuts. In this period, the likelihood of death increases repeatedly.

Diagnosis of the disease

The main methods of diagnosing the impaired electrical conductivity of the heart are the following studies:

• ECG on Holter.

The ECG on the holder turns out to be effective if the traditional electrocardiographic study of the heart did not allow to detect any changes. Halter monitoring is carried out within 3 days, which allows reliably to evaluate violations in the work of the sinus node. This type of study is shown for children.

Another diagnostic method is a sample with atropine. The presence of pathology can be said if after the introduction of this substance in the patient the pulse will first increase, and then sharply cut down, which will become indirect evidence of the blockade.

Find the cause of the violation of the sinus node helps ultrasound procedure Hearts. This type of research allows you to detect vices, scars and other pathological changes in the structure of myocardium.

Treatment of the disease

The synoyatrial blockade of 1 degree does not require special therapy. In most cases, the treatment of the disease helps to normalize the rhythm of the heart, which caused its violation. If the disorder of the sinus node was caused by the reception of any drugs, they are canceled.

If the cause of the disease was the change in the activity of the vagus nerve, the patients are prescribed preparations based on atropine. These same drugs are prescribed and children with ICC, which caused a violation of myocardial conductivity.

Nitroglycerin, Atropine, Platifylin and Nidefilin, helps to remove heavy attacks of arrhythmias. However, medication therapy in this case brings only temporary relief. In particularly severe cases, the installation of the pacemaker is illustrated.

All patients, regardless of the severity of the disease, appointed the reception of drugs that improve metabolic processes in myocardium and its contractile ability.

Children, in addition to the reception of drugs, it is recommended to reduce the load, reduce the intensity of sports activities, and in some cases it is generally abandoned to visit children's institutions. However, if arrhythmia is transient, and there is no risk for life, children are not recommended to isolate. In this case, it is only necessary to regularly visit the doctor and undergo the necessary research.

Sinoatrial blockade is a pathological condition that is accompanied by a violation of natural heart rhythm. Miocardial parts are reduced asynchronously, resulting in temporary asistolia. Naturally, such a violation is dangerous. Many patients are looking for additional information about this pathology. Why does the blockade develop? Are there any external symptoms? What treatment methods offers modern medicine? Answers to these questions will be interesting to many readers.

What is a synoatrial blockade?

In order to explain the essence of pathology, you first need to pay attention to the anatomical and physiological features Myocardial man. As you know, the heart is partially autonomous. Its reduction is ensured by the work special that is carried out nervous impulses.

An important part of cardiac rhythm drivers is a sinus node. It is located between the right ear atrium and a hole in the wall of the right atrial. The synodatrial compound has several branches, including a bunch of Tulle, Bakhman, Vallabach - they carry out impulses to the walls of both atrial. Violation of the normal conduct on this site and is called the blockade of the synoatrial node.

Thus, against the background of pathology, the failures arise, which leads to asistolia, which, of course, is extremely dangerous. It is worth saying that this is quite rare pathology - it is diagnosed in 0.16% of patients cardiology branch. And according to statistical research, Men over fifty years old are most often suffering from violation. Female representatives have such a deviation less often.

Possible development of blockade and in childhood, but it usually happens against the background of congenital organic lesions Myocardium.

The main causes of the appearance of pathology

It is worth understanding that the SA-Blockade is not an independent disease. This is rather a sign of other pathologies. Almost 60% of patients with blockade suffer from ischemic Disease Hearts. In addition, pathology often occurs on the background or after myocardial infarction.

In addition, there are other reasons that can lead to a violation of normal heart rhythm. Risk factors include viral and bacterial myocardits, as well as calcification of the heart muscle congenital forms of cardiomegaly. Sometimes sa-blockade develops in people suffering from rheumatism.

The blockade of the synocatrial node can be caused by the use of too large doses of cardiac glycosides, beta-blockers, quinidines and some other medicines. The development of pathology often leads an excess of potassium in the blood. Since the work of the heart is regulated by a wandering nerve, the increase in its tone can also lead to a violation of the rhythm (strong blow or injury chest, carrying out some reflex samples that increase the activity of nerve endings).

For reasons include other aahs, including vices of cardiac valves, the presence of a tumor in the brain, malfunctions thyroid gland, pronounced hypertensive disease, meningitis, encephalitis, leukemia, the pathology of cerebral vessels. As you can see, there is a huge number of risk factors.

The blockade of the first degree and its features

In modern medicine, it is customary to distinguish three severity of this pathology. Each of them has its own characteristics. Most light form The synoatic blockade of the first degree is considered. With such pathology, each impulse, which occurs in the field of sinus node, reaches atrium. But holding it takes place with some delay.

Such pathology can not be seen on the electrocardiogram, and there are no external manifestations - patients mostly feel fine. Diagnose the first degree of blockade in the conduct of an intracardiac effect.

Blockade of the second degree: brief description

This stage of the development of pathology is made to divide into two types:

• The blockade of the 2nd degree of the first type is accompanied by a gradual decrease in conduction in the sinus node. Such a violation can already be diagnosed on the ECG. As for external symptoms, patients often complain about periodically emerging dizziness, weakness. As the illness is urged, the frequent phenomenon in the life of a person becomes sometimes short-term loss of consciousness, provoked by elevated physical exertion, a strong cough, sharp turns of the head, etc.
• The blockade of the 2nd degree of the second type is already accompanied by clear impairment of the heart rhythm, which may feel the patient. For example, the heartbeat is first amplified (a person may feel abbreviations), after which it stops sharply, and after a pause is renewed. In periods of asistolia, the patient feels a sharp weakness, often loses consciousness.

What signs accompanied by the blockade of the 3rd degree?

Pathology of the third degree is a complete synodatrial blockade. In this case, myocardium does not at all receive pulses from the sinus node. Naturally, pathology is visible to the ECG, because against the background of the full blockade of conductivity in the patient develops ashistolia. At the same time, an eluding ectopic rhythm appears thanks to the activities of third-order drivers. During electrocardiography, it can be noted that PQRST complexes are missing.

Medicia treatment

Immediately it is worth saying that the treatment regimen largely depends on the cause of the appearance of pathology. If the synoyatrial blockade is partial and is not a threat to the patient's life, then specific therapy may not be required at all - the heart rhythm can normalize in itself.

Nevertheless, you need to treat primary disease. For example, if the blockade is triggered by increasing the tone of the wandering nerve, then it is important to introduce the patient "Atropine" (it is possible to replace with "Ephedrine", "orciprepalin", "isoprenaline"). In the event that the heart rate failures arose against the background of overdose, the reception potentially dangerous drugs Need to stop immediately and try to remove the remnants of medicines from the body.

Unfortunately, quite often, such a violation of the rhythm leads to the development of fibrous changes in myocardium. In such cases, it is possible to provide a normal reduction in the heart muscle only by constant electrostimulation.

First Aid with Blocade

As mentioned, in most cases the blockade is partial in nature and is not a direct threat to the patient's life. Nevertheless, in some cases, complete termination of the transmission of electrical pulses leads to a sharp heart stop.

If the heart rhythm is observed a serious failure up to the stop, then atrial stimulation is carried out. As a short-term measure, you can press on eye apples (helps to change the rhythm of heart abbreviations). Unfortunately, sometimes the patient requires a heart massage and connecting to the livelist.

In the presence of violations in the functioning of the sinus node on different areas Cardiac muscle can be formed new sources. They provide electrical impulses.

Presented new sources can provide bad influence On the sinus type knot, competing with him or exacerbating his activity.

The wave propagation can be noted on the heart muscle. All presented negative phenomena can be carried out accompanied by arrhythmias and, in the worst case, blockades that are called atrioventricular.

• All information on the site is familiarized and is not a guide to action!
• Put an accurate diagnosis you may only a doctor!
• I convincingly ask you not to engage in self-medication, but sign up for a specialist!
• Health to you and your loved ones!

Conductive heart system

Speaking of heart pulses, it should be noted that they are formed in the formations of a sine node. It is located in the right atrium and is the main one.

It is the sine node that is a guarantee of the frequency of rhythmic abbreviations, which are transmitted after it to the atrocarditricular node.

The latter is located in the area of \u200b\u200bthe interpresent partition. The fibers forming the Gis beam are lagging behind. It is located in the partition between the ventricles, of which both its legs come out: right and left. The endings presented are branched and completed on the myocardine cells of the ventricles.

Each of the components of the conductive system can independently create an excitement, and when destabilizing the operation of a certain node, standing above, its functioning will replace the underlying.

However, in such a situation, the degree of frequency of impulse suffers, and, as a result, rhythm, which is largely reduced (from 60 to 20 contractions).

Causes of pathology

The blockade of the heart of 2 degrees is formed due to the following factors:

• genetic predisposition and inherited pathology;
• ischemic heart disease and myocardial infarction;
• , angina, myocarditis;
• the use of huge dosages of medicinal components or the use of drugs is not on medical recommendations;
• change the thickness of the heart muscle.

The frequency of heart cuts in an adult person with normal health is equal to 60 to 80 repetitions in 60 seconds. If, within 3-5 seconds, cardiac abnormalities are not marked, then the loss of consciousness is likely. Also, he can begin convulsive cuts, and in the absence of help of specialists death comes.

The presented pathological phenomena is sometimes formed or can be marked continuously. Identified by ECG.

Differences of the blockade of the heart of 2 degrees

With 2 degrees of the cardiac blockade, not each impetus from the atrias is carried out in the region of the ventricles, and therefore some reductions of the represented area fall out.

The ECG is identified primarily for slowing down or optimal complexes.

Only after that the provence is revealed, which corresponds to the reduction of the atrial region, and the reduction of ventricles is not observed. This can occur with each fifth, fourth, third, and any subsequent reduction.

The blockages formed without preceding the deceleration of the implementation can transform into a full cardiac blocking. Treatment when the blockade of 2 degrees is detected largely depends on the leading disease.

In some cases, atropine and izadrin are used. If the frequency of heart cuts is reduced to a large extent, then the permanent electrical stimulation of the heart is used, namely the pacemaker.

Treatment methods

When the blockade is generated on the basis of the pathologies of the heart (myocarditis or acute myocardial infarction), first of all struggle with the leading disease.

The reduction algorithm for blocking 2 and 3 degrees is selected taking into account where the violation of the conductivity is located:

Folk remedies

Using folk recipes To restore health status during cardiac blocks, it is also recommended to agree with a specialist. But first of all it is required to comply with elementary recommendations regarding the lifestyle.

It is necessary to eliminate alcohol and cigarettes, minimizing the use of strong coffee and tea. It is undesirable to use salt, as well as fried and fatty foods.

For speedy recovery from the menu, salted and smoked dishes are eliminated, preference is given to fruits, vegetables, meat and fish with low percentage fatness, as well as similar dairy products.

Folk Medicine may offer the following simple recipesthat will help the heart muscle function fully:

Luke mixing with an apple, for the preparation of which you want to mix 1 small head of the ordinary onion. Next rub on fine grater 1 apple and the resulting mixture is thoroughly mixed. Use the mixture is necessary within 2 times in the breaks between food consumption.

The composition of peppermint, for the preparation of which is used 1 Art. l. finely chopped mint leaves, which poured 200 ml of boiling water. It is required to insist the mixture under the lid at least 60 minutes. The decoction is filtering and used slowly, within 24 hours.

It is necessary to avoid physical and emotional excessive stresses, remember the observance of the rest mode and physical exercises as often as possible.

Effects

The deadlines in which disability comes, are directly dependent on how difficult the leading disease occurs.

The forecast depends on the main disease and the blockade level. A pessimistic forecast is associated with distal blockades, because they are prone to continuous development - the consequences in this case will be the most difficult.

The absolute cardiac blockade of the distal type is identified by the probability of formation trimming states In 70% of cases. The blockade, developing in a proximal algorithm, is determined by the possibility of fainting in 25% of cases.

It should be noted that:

• if the primary attack of Morgali-Adams-rods occurred, and the extension transplant was not carried out, the duration of life is significantly reduced, and will be no more than 2.5 years;
• the percentage of patient survival increases due to permanent stimulation;
• the forecast after the transplant is directly dependent on what the nature of the leading disease is.

If an anti-mocardium infarction has occurred, then with an absolute blockade there is an aggravated defeat of the partition between the ventricles. This means that the forecast is extremely unfavorable: the percentage of mortality from ventricular fibrillation or cardiac insufficiency is identified in 90% of cases.

The blockade of the heart of 2 degrees is a dangerous pathology, which can aggravate the life of a person, provoking a lot of complications. In order to avoid this, you should pass a correct and timely course of treatment.