Hello, the doctor! At me on a background of a bradycardia (48 50 impacts in minutes) nab...

[Tamara Georgievna]

Hello, the doctor! At me on a background of a bradycardia (48 50 impacts in minutes) are observed disturbance of a rhythm as a bigeminal pulse on a background of reception anaprilina within a month in a dose 0, 03 mg/days thus I accept Corinfarum retard 40 mg/days That you can advise?

[Fertser E.A.]

Dear Tamara Georgievna! The information Presented by you is insufficient for the answer to your question. What disease is treated anaprilinom and korinfarom-retardom (diagnosis)? If it is a stenocardia, whether that there are attacks in rest or only at loads? What bigemenija is recorded on an electrocardiogram (ventricular? Supraventricular?). Whether Delalosb daily monitoring of an electrocardiogram on Holteru?

[Tamara Georgievna]

To me the item, the Atherosclerotic cardiosclerosis, an extrasystolic arrhythmia, NK 1 items have diagnosed an ischemic heart disease, idiopathic hypertensia P
On an electrocardiogram - a sinus arrhythmia, the CARDIAC CONTRACTIONS RATE 66 77, frequent atrial ekstrasistolija, ventricular as bi and trigeminies.
Daily monitoring (from 97) - the CARDIAC CONTRACTIONS RATE 48 131, is recorded frequent ventricular ekstrasistolija, is more in the afternoon, and also didymous and group atrial extrasystoles.
Objectively: a BP 140 150/90, a bradycardia with ekstrasistoliej.
The therapist has appointed or nominated anaprilin for treatment of an arrhythmia. Corinfarum retard I accept within 3 years in a combination with veroshpironom (once a week) - as therapy of an idiopathic hypertensia.

[Fertser E.A.]

Dear Tamara Georgievna! Basically single ventricular extrasystoles, even frequent, are not dangerous. But they can be a marker of an organic pathology of a myocardium. I advise you doobsledovatsja (to make EhoKG, the analysis on lipids of a blood). If to look or see full listing "Holtera" could, possibly to advise, change therapy or not. Good luck.

[Ibragim Mamedov]

To me of 46 years. In October 2002 go year the doctor to me pos-tavil the diagnosis: the transferred or carried myocardial dystrophy with an outcome in melkoochagovyj a cardiosclerosis. Disturbance of a rhythm as frequent ventricular extrasystoles. Ate
roskleroz with a lesion of the main vessels. A regimen
Sparing.
The conclusion of an echocardiography: a cardiosclerosis perego-rodki without disturbance of contractility, an atherosclerosis stenok aortas without a lesion of the valve of an aorta. Cavities are not expanded, the valval pathology is not present, attributes of a hypertrophy of a left ventricle is not revealed. I ask consultation. Thanks