Atrial flutter according to ICD 10. Paroxysmal atrial fibrillation: clinic, diagnosis, treatment, emergency care. Diagnosis of atrial fibrillation

In diagnoses, you can often find a disease such as atrial fibrillation, which has a code according to the international classification of diseases (ICD-10) I48.

This indicates the beginning of a pathology that is dangerous in all respects. The disease is characterized by uncontrolled excitation of various muscle fibers localized in the atrium.

As the clinical manifestations increase, the fibers lose their mechanical strength. Against this background, pathological contraction of the ventricular myocardium often develops. In most cases, the patient is diagnosed with atrial fibrillation.

Physiological aspect of the disease

Regardless of the intensity of clinical manifestations, the international directory of diseases requires mandatory medical intervention. During the initial examination, the doctor conducts an oral interview and prescribes an examination. Its purpose is to determine the causes of the development of the disease. Cardiac pathology of this kind has the following prerequisites:

From the above list, it is easy to understand that the disease develops against the background of chronic problems of the cardiovascular system. In this regard, doctors strongly recommend regular check-ups for preventive purposes. The frequency of such a procedure depends on whether there have been cases of atrial fibrillation in a person or his relatives.

Cardiologists recommend not to give up the opportunity to learn something about your own body, even for those who have not complained about cardiac activity before. A healthy person should visit a cardiologist at least once a year.

If the patient has hereditary prerequisites or various diseases, then in this case the intensity of visits to the doctor should be increased - 2 times a year.

In addition, the heart can fail a completely healthy person.

The presence of hereditary predispositions plays an important role.

Unfortunately, these latent factors are not always easy to detect.

That is why even a qualified doctor cannot always act proactively.

Varieties of pathological conditions

The generally accepted classification suggests that the disease manifests itself in several forms. The more accurately the doctor determines the true cause of the deterioration in health, the easier it is to prescribe an effective therapeutic course. It all starts with a form of the disease diagnosed for the first time, the duration of which does not exceed 8 days. In most cases, the disease is mild.

Despite this, a visit to the doctor is mandatory. Immediately after passing the tests and conducting the examination, an adequate therapeutic course is prescribed. It is carried out at home. The situation is more complicated when a paroxysmal form is found in a patient, the duration of which ranges from 7 to 21 days. The shimmering valve cannot recover on its own.

The patient is subject to mandatory hospitalization. For a certain time, he is under the supervision of specialists. Their task is to determine the severity of the disease and predict its further development. With the development of cardiac pathology, a citizen is diagnosed with a permanent form.

It takes several days to make a diagnosis and prescribe treatment. As a rule, the use of traditional means does not bring sufficient effect. In addition, there are several more forms of cardiac pathology:

1. Normosystolic form - the number of contractions of the ventricle up to 85 per minute.
2. Bradysystolic - ventricular flutter does not exceed 60 times within a minute.
3. Tachysystolic - the maximum frequency of ventricular contractions exceeds 90 for one minute. This suggests that atrial fibrillation has an unexpressed character.

The forms listed above are described in the ICD, which facilitates the work of the doctor. Despite this, patients should not even try to self-diagnose.

This can only be done with the help of high-precision medical equipment. When using it, the cardiologist has the opportunity to determine the existing symptoms.

Clinical manifestations of the disease

In order to save the patient from atrial fibrillation, the doctor studies the clinical picture in detail. In some cases, consultation with a related specialist is required. This is done for a comprehensive assessment of the health of the patient. The ischemic syndrome begins with general weakness, which is mistakenly explained by overwork.

As the clinical manifestations increase, the patient develops shortness of breath, dizziness. Cardiologists urge to remain prudent in such a situation. It is one thing when, after prolonged physical exertion, a person's heartbeat quickens. Things are completely different when the listed symptoms are frequent.

If the patient does not receive due attention from doctors, the disease continues to progress. Over time, the patient becomes unable to perform even the simplest work. This is explained by the fact that during atrial fibrillation, the supply of oxygen and blood to the whole body worsens.

The modern scientific and technical level of medicine does not allow to fully exclude the possibility of developing an ailment. In this regard, the task of each person is to regularly undergo preventive examinations.

February 03, 2018 No comments

Sometimes the electrical signals generated by the heart can lose the correct picture. In atrial fibrillation, many parts of the atria, the two upper chambers of the heart, begin to generate uncoordinated electrical signals. The electrical impulses cause irregular, erratic, and unnaturally fast heartbeats. According to statistics, about 1 million Russians have atrial fibrillation, which makes it the most common type of arrhythmia (abnormal heart rhythm), which is a serious disorder.

Signs and symptoms of atrial fibrillation

An abnormal heart rhythm is a change in either the speed or rhythm of the heartbeat. With an arrhythmia, the heart may beat too slowly or too fast or irregularly. When the heart beats too slowly, too little blood is pumped to the rest of the body. When the heart beats too fast, it cannot fully fill to fully supply the body with the volume of blood it needs to function properly.

A slow heart rate is called. Fast heart rates are called.

The heart consists of four chambers. The upper chambers, called the atria, receive blood. The lower chambers, called the ventricles, pump blood from the heart to the rest of the body. Working together, the chambers of the heart move vital blood throughout the body.

There are several types of abnormal heart rhythms, some of them occur in one of the chambers called the atria, others occur in the ventricles and are called ventricular arrhythmias.

Atrial fibrillation can cause the following symptoms:

• pressure or pain in your chest;
• fainting, loss of consciousness;
• Fatigue;
• dizziness;
• Palpitations that can be given in the chest;
• Confused breath.

Diagnosis of atrial fibrillation

If your healthcare provider suspects you have an arrhythmia, they will need to order one or more of the following diagnostic tests and tests to determine the source of your symptoms.

Electrocardiogram - an electrocardiogram (ECG or ECG) is a diagnostic method that records the electrical activity of the heart. Small electrodes are placed on the chest, arms and legs of the subject and are connected to the electrical wires of the electrocardiograph. The electrical impulses generated by your heart are converted into a wavy line on a strip of moving paper, allowing doctors to trace the pattern of electrical current in the heart and diagnose arrhythmias and heart problems.

For ECG recording methods, see.

24-hour ECG monitoring using a Holter monitor (Holter) is a small portable machine that the subject wears for 24 hours. What allows you to make a continuous ECG recording, while a person is engaged in normal daily activities. The patient is asked to keep a diary of all activities performed and symptoms observed. The Holter monitor allows you to detect abnormal heart rhythms (arrhythmias) that may not be displayed on a standard ECG, which is only recorded for a few seconds.

The Cardiac Stress Test, a study performed during exercise under exertion (treadmill), allows doctors to record the electrical activity of the heart that may not occur at rest.

Cardio event recorder (recorder) - a small portable transtelephone monitor that can be used for several weeks. This type of recorder is useful for patients who experience infrequent symptoms. The device records two minutes in its built-in memory, which is constantly overwritten. When the patient experiences symptoms, he presses the "record" button on the monitor, which stores a correlation strip of ECG material. The recording is sent automatically to a 24/7 monitoring station and sent to a computer or fax directly to the requesting doctor.

Magnetic Field Imaging – Magnetic Source Imaging (MSI) is used as an overlay on magnetic resonance imaging (MRI). The device recognizes weak magnetic fields generated by the heart muscle and localizes the arrhythmia non-invasively to save time during an invasive study.

Testing of cardiac activity during the tilt. This type of diagnosis is used to establish syncope or other conditions (vasovagal syncope), by trying to reproduce syncope episodes. A person leans vertically up to 60 degrees on a special table for a certain period of time with continuous recording of ECG and blood pressure.

Electrophysiological studies (EPS) - the study allows doctors to receive more accurate, detailed information and, in most cases, immediately perform treatment (for example, catheter ablation).

Treatment of atrial fibrillation

Depending on the type and severity of the arrhythmia, as well as the results of diagnostic studies, including electrophysiological studies, there are several treatment options. Which of them is most suitable for the patient is decided by the attending physician, after consulting with the patient.

Drug therapy

Certain antiarrhythmic drugs modify the electrical signals in the heart and help prevent abnormal rhythms, such as irregular or fast heartbeats.

Repeated electrophysiological study

To make sure that the drug is working properly after two or more days in the hospital, the patient may be referred for a second electrophysiological study. The doctor's task is to find the remedy that is best for the patient.

Implantable device (pacemaker)

Implantable devices or pacemakers are used to treat slow heart rhythms. These are small devices that are implanted under the skin under the collarbone and connected to a probe-electrode inserted into the heart cavity through a venous catheter. A pacemaker provides a small electrical impulse to stimulate the heart when it is beating too slowly.

RF catheter ablation

Ablation of an RF catheter destroys or damages the portions of the electrical pathways that cause arrhythmias, allowing patients who have not responded to drug treatment or who have chosen not to take drugs to be treated.

Catheter ablation involves puncturing (piercing) under anesthesia with a tiny metal catheter tip through a vein or femoral artery in the leg and inserting electrodes into the cavity of the heart. Fluoroscopy, which allows cardiologists to view a catheter passing through a vessel on a monitor, provides a road map. Other catheters, which are usually placed through the neck, contain electrical sensors to help locate the area causing the short circuit. A metal-tipped catheter is then maneuvered into each problem area, and radio frequency waves - the same energy used for radio and television transmission - gently burn every unwanted strand of tissue. When catheter ablation was first performed, direct current shocks were used, but later researchers developed the use of radio frequency waves, a more precise form of energy. With radiofrequency catheter ablation, patients usually leave the hospital after one day.

For diseases such as Wolff-Parkinson-White syndrome, in which thin tissue creates an additional electrical path between the upper and lower chambers of the heart, radiofrequency ablation can provide effective treatment. Ablation has become a treatment option for patients with this disorder who do not respond well to drug therapy or are prone to rapid heart rate.

It has been found that even for arrhythmias that can be controlled with drugs, this is reasonable from the point of view of time and money, since it does not require hospitalization. Also, catheter ablation is a good treatment option for elderly patients who tend to experience serious side effects from drug therapy and women of childbearing age who cannot take drugs because of the potential risk to the health of the fetus.

Studies have shown that catheter ablation is more effective than medical therapy or surgery, and patients who undergo this procedure also experience a significant improvement in their quality of life. A recent study in nearly 400 patients with dangerously fast heart rates (nearly a third of whom were considered candidates for open heart surgery) found that 98 percent were no longer on medication one month after an ablation procedure, and 95 percent reported that their general health was good. improved noticeably. The study also showed an improvement in the ability of the study subjects to work, to perform physical activities.

Cardioversion of atrial fibrillation

Internal cardioversion to convert atrial fibrillation and atrial flutter to normal sinus rhythm was developed by scientists in 1991. Internal cardioversion is an electric shock (1 to 10 joules) delivered inside the heart through two catheters inserted into a vein through the thigh and a small electrode pad applied to the chest. This procedure is carried out by an electrophysiologist.

During internal cardioversion, short-acting sedatives are administered to calm the patient. Currently, atrial flutter is successfully treated with a radiofrequency catheter; but treatment to restore atrial fibrillation to sinus rhythm has been the traditional use of medication and external cardioversion. External cardioversion is the transfer of high energy shocks of 50 to 300 joules through two defibrillator pads attached to the chest. In some cases, external cardioversion is not effective because the electrical current must first pass through the pectoral muscle and skeletal structures before reaching the heart. Internal cardioversion was performed when medication and external cardioversion failed to restore the patient's rhythm to normal sinus rhythm.

The less time a patient has in atrial fibrillation, the easier it is to return to a normal rhythm, but even patients with long-standing chronic atrial fibrillation can be successfully returned to a normal heart rhythm with internal cardioversion.

Implantable Cardioverter Defibrillator

The implantable cardioverter defibrillator is a device for patients who have a life-threatening fast heart rate. It is slightly larger than a pacemaker and is usually implanted under the skin under the collarbone. It is connected to a defibrillation wire located inside the heart through a vein. It is able to suppress the electrical shock to the heart when it detects the heart rate as being too fast. It is also able to stimulate the heart when its rhythm is too slow.

Biventricular pacing

Recently, a new type of pacemaker has been introduced that uses both ventricles of the heart to coordinate their contraction and improve their pumping abilities.

According to trial results, cardiac resynchronization therapy:

• Increases the number of daily activities that the patient can perform without symptoms of heart failure;
• Increases the efficiency of patients with heart failure, measured by the distance they can walk within 6 minutes;
• Improves overall quality of life as measured by standard measurements;
• Promotes changes in cardiac anatomy to improve cardiac function;
• Reduces the number of days patients stay in the hospital and the total number of hospitalizations.

CRT devices work by simultaneously conducting the left and right ventricles, resulting in resynchronization of muscle contractions and increased efficiency of a weakened heart. In normal mode, the cardiac electrical conduction system delivers electrical impulses to the left ventricle in highly organized contractions that pump blood out of the ventricle very efficiently. In systolic heart failure caused by an enlarged heart (dilated cardiomyopathy), this electrical coordination is lost. The uncoordinated function of the heart muscle leads to an inefficient ejection of blood from the ventricles.

Atrial fibrillation mkb 10

Code according to the ICD of the international classification of diseases (ICD-10) I48

The diagnosis of paroxysmal atrial fibrillation (PMA) means a type of arrhythmia, a violation of atrial contraction. Another name for atrial fibrillation is atrial fibrillation. The paroxysmal form of the disease is characterized by the alternation of normal heart function with the occurrence of attacks (paroxysms) of tachycardia. With paroxysm, the atria contract irregularly and often (up to 120-240 beats per minute). This condition occurs suddenly and may end spontaneously. Such attacks require immediate medical attention and treatment.

The paroxysmal form of atrial fibrillation is understood as a form of atrial fibrillation, in which an attack of an abnormal heart rhythm lasts no more than 7 days, with a longer duration of an attack, a permanent form of atrial fibrillation is diagnosed.

Paroxysm in atrial fibrillation is one of the most common manifestations of a violation of the process of atrial contraction. This is a tachycardia attack, which is characterized by an irregular heart rhythm and an increase in heart rate to 120-240 beats per minute.

The ICD 10 classification of diseases assigns the international code I48 to paroxysmal atrial fibrillation.

Attacks of this type of arrhythmia usually begin suddenly. After a while, they stop in the same way. The duration of this state on average takes from several minutes to two days.

The disease is more susceptible to elderly people over 60 years of age. Only in 1% of cases it occurs in young people.

The paroxysmal form of the disease is difficult to tolerate by a person, since with atrial fibrillation, the heart rate becomes high. During an attack, the heart works in an increased load mode, it contracts often, but weakly. There is a high probability of formation of blood clots in the atria due to blood stasis. Thrombus embolism can lead to ischemic stroke.

A frequent complication of pathology is the development of heart failure.

Clinical picture

Dizziness is one of the symptoms of paroxysmal atrial fibrillation

The paroxysm that arose with atrial fibrillation manifests itself as certain clinical signs. Symptoms of the disease may vary in different cases. In some patients, at the time of the attack, only pain in the region of the heart is felt. Others may complain of the following symptoms of the disease:

• severe weakness throughout the body;
• feeling of lack of air;
• strong heartbeat;
• sweating;
• trembling in the body;
• feeling of coldness in the upper or lower extremities.

In some patients, during an attack, blanching of the skin and cyanosis, that is, cyanosis of the lips, is observed.

If the attack is severe, then the standard symptoms are supplemented by concomitant signs:

• dizziness;
• semi-conscious state;
• loss of consciousness;
• panic attacks.

The last symptom often manifests itself, since at the moment of a strong deterioration in well-being, a person begins to seriously worry about his own life.

Important! Symptoms characteristic of paroxysmal atrial fibrillation may indicate other diseases. To accurately determine the cause of their appearance, it is required to undergo a set of diagnostic measures.

At the end of an attack of paroxysmal atrial fibrillation, the patient has a clear increase in intestinal motility. Also by this time there is profuse urination. With an excessive decrease in the heart rate, the patient's cerebral blood supply worsens. It is this change that explains the development of semi-conscious and unconscious states. Respiratory arrest is not ruled out, requiring urgent resuscitation measures.

Possible complications

The paroxysmal form of atrial fibrillation needs mandatory treatment. Otherwise, the disease will lead to serious complications. As a result of untreated pathology, patients develop heart failure, blood clots appear. These conditions lead to cardiac arrest and ischemic stroke. Possible development of Alzheimer's disease.

The most dangerous complication is death.

Diagnostics

The initial stage of diagnosing arrhythmia can be carried out by a therapist or cardiologist using an electrocardiogram

Atrial fibrillation is a sign of a serious illness. With atrial fibrillation, a person may need emergency care. However, a correct diagnosis must be established in order to carry out the necessary therapy.

The most important method for diagnosing paroxysmal atrial fibrillation is electrocardiography. The ECG shows the main signs indicating the disease.

Advice! It is necessary to trust the interpretation of the ECG result to a competent specialist. Self-assessment of the result can lead to an incorrect diagnosis.

Holter monitoring, exercise tests, listening to heart sounds with a phonendoscope, ultrasound and ECHO KG are used as auxiliary diagnostic methods.

Treatment

Only a competent specialist can prescribe the correct treatment. With paroxysmal atrial fibrillation, it may be necessary to use different techniques. They are selected individually for each patient.

The choice of method of therapy directly depends on the duration of paroxysms and the frequency of their occurrence.

If atrial fibrillation bothers a person for no more than 2 days, then doctors take measures to restore sinus rhythm. At a later date, treatment is required to help prevent the development of life-threatening complications.

In difficult situations, the patient is prescribed therapy, the main goal of which is to restore the correct rhythm of atrial contractions. Additionally, you need to take medications that can thin the blood.

Medical treatment

Class III antiarrhythmic drug, has antiarrhythmic and antianginal effects

With paroxysmal disturbance of the heart rhythm, due to which the entire cardiovascular system suffers, it is possible to fight with the use of drugs. To reduce heart rate and restore disturbed rhythm. the drug Kordaron is used. It has a minimal number of adverse reactions, therefore it is suitable for the treatment of most patients.

With the diagnosis of atrial fibrillation, Novocainamide is often prescribed. The drug is slowly introduced into the human body. It is forbidden to rush during the procedure, as an injection can dramatically lower blood pressure, thereby aggravating the situation. In some cases, Digoxin is prescribed, which is able to control the contraction of the ventricles.

Note! The drugs listed above are administered by injection. Therefore, patients should not use them on their own at home. Such drugs are administered during an attack to a person by ambulance doctors or specialists who work in the inpatient department.

If for the first time the prescribed drug showed a good result, then during its use with a new attack, one should not expect the same effect. Each time the effect of the drug will weaken.

Electropulse therapy

Electrical impulse therapy is used to treat atrial fibrillation, the procedure is performed in the clinic in one day, the patient should not eat anything for 6 hours before the session

To eliminate attacks of arrhythmia, a method of electropulse treatment was developed. It is prescribed if the drug course does not give the expected result. An electric current discharge is indicated for patients who have complications due to another paroxysm.

Electropulse treatment is performed according to the standard scheme:

1. Initially, the patient is introduced into a state of medical sleep, anesthesia (the procedure is characterized by high pain).
2. 2 electrodes are placed on the chest area.
3. Next, you need to set the required mode, which corresponds to the discharge of atrial contractions;
4. It remains to set the current indicator and conduct a discharge.

After the discharge, the heart begins its work again. Its functions from now on are performed a little differently. The electric current "recharges" the conduction system, which is why it is forced to start giving rhythmic excitation impulses to the sinus node.

Practice shows that this treatment option in most cases guarantees a positive result.

Surgical intervention

If the attacks of the disease occur too often, then the patient will need surgery. It is used to relieve the symptoms of pathology and eliminate its cause. Thanks to this method, arrhythmia attacks are stopped, since the surgeon destroys the focus of pathological excitation in the heart.

The relief of paroxysm and the prevention of new attacks is the main goal of the operation.

Surgery (catheter ablation) is performed using a catheter that is inserted through an artery. If necessary, the operation is repeated after a certain period of time.

What to do during an attack?

The patient and his relatives should know what to do in the event of a paroxysm. The following procedures help to completely remove or reduce the degree of intensity of the painful condition:

• compression of the abdominal press;
• breath holding;
• pressure on the eyeballs.

At the same time, an ambulance must be called. The doctor injects the patient intravenously with Korglikon, Strofantin, Ritmilen, Aymalin or Novocainamide preparations. Sometimes the attack is removed by intravenous administration of potassium chloride.

Forecast

In prognostic terms, arrhythmias are extremely ambiguous, it is recommended to limit the intake of stimulants (caffeine), avoid smoking and alcohol, self-selection of antiarrhythmic and other drugs

The prognosis for the treatment of paroxysmal atrial fibrillation depends on the disease, against the background of which there was a violation of the rhythm of atrial contraction.

With proper treatment with such a disease, you can live another 10-20 years.

The lack of therapy and the failure to provide timely assistance to the patient during an attack of paroxysmal atrial fibrillation can result in the development of dangerous conditions for him, which lead to death.

Atrial fibrillation or atrial fibrillation, microbial 10, is the most common type of arrhythmia. For example, in the United States, approximately 2.2 million people suffer from it. They often experience ailments in the form of fatigue, lack of energy, dizziness, shortness of breath and heart palpitations.

How dangerous is their future and can such a disease be cured?

What is the danger of atrial fibrillation mkb 10?

Many people live with atrial fibrillation for a long time and do not feel much discomfort. However, they do not even suspect that the instability of the blood system leads to the formation of a blood clot, which, if it enters the brain, causes a stroke.

In addition, the clot can get into other parts of the body (kidneys, lungs, intestines) and provoke various kinds of deviations.

Atrial fibrillation, microbial code 10 (I48) reduces the ability of the heart to pump blood by 25%. In addition, it can lead to heart failure and heart rate fluctuations.

How to detect atrial fibrillation?

For diagnosis, specialists use 4 main methods:

• Electrocardiogram.
• Holter monitor.
• A portable monitor that transmits the necessary and vital data on the patient's condition.
• echocardiography

These devices help doctors know if you have heart problems, how long they last, and what causes them.

There is also the so-called, you need to know what it means.

Treatment of atrial fibrillation

Specialists select a treatment option based on the results of the examination, but most often the patient should go through 4 important stages:

• Restore normal heart rhythm.
• Stabilize and control the heart rate.
• Prevent blood clots.
• Reduce the risk of stroke.

In most cases, the doctor prescribes special anticoagulants, drugs that prevent blood clots, and antiarrhythmic drugs to restore a normal rhythm.

In addition to taking medication, you may want to change some of your habits:

• If you notice that heart problems are associated with a certain activity, you should stop doing it.
• Quit smoking!
• Limit your alcohol intake. Moderation is key. Ask your doctor to formulate or select a safe amount of alcohol for you.
• According to the specification - atrial fibrillation microbial 10 - beverages such as coffee, tea, cola and over-the-counter drugs containing caffeine are responsible for many heart-related symptoms. If possible, eliminate them from the diet or reduce the usual dose.
• Beware of cough and cold medicines. They contain a component that causes spontaneous heart rhythms. Read labels and ask your pharmacist to find the right and safe medicine for you.

Atrial fibrillation is an abnormal heart rhythm characterized by rapid, erratic excitation and contraction of the myocardium. I 49.0 - according to ICD 10 code for atrial fibrillation, belonging to class IX "Diseases of the circulatory system".

Normally, in a healthy person, with each contraction of the heart, there should first be a contraction of the atria, and then the ventricles. Only in this way is it possible to adequately ensure hemodynamics. If this rhythm is disturbed, arrhythmic and asynchronous contraction of the atria occurs, and the work of the ventricles is disrupted. Such fibrillations lead to exhaustion of the heart muscle, which can no longer work effectively. Restrictive and then dilated cardiomyopathy may develop.

Heart rhythm disturbance in ICD 10 is coded as follows:

• I 49.0 - "Fibrillation and flutter of the ventricles";
• I 49.1 - "Premature contraction of the ventricles";
• I 49.2 - "Premature depolarization emanating from the connection";
• I 49.3 - "Premature atrial depolarization";
• I 49.4 - "Other, unspecified premature abbreviations";
• I 49.5 - "Syndrome of weakness of the sinus node";
• I 49.7 - "Other specified disorders of the heart rhythm";
• I 49.8 - "Disorders of the heart rhythm, unspecified."

In accordance with the established diagnosis, the necessary code is set on the title page of the case history. This encryption is the official and unified standard for all medical institutions, it is used in the future to obtain statistical data on the prevalence of mortality and morbidity from specific nosological units, which is of prognostic and practical importance.

Reasons for the development of rhythm pathology

Atrial fibrillation can occur for various reasons, but the most common are:

• congenital and acquired heart defects;
• infectious myocarditis (bacterial, viral, fungal damage to the heart);
• IBS atrial fibrillation (usually as a serious complication of acute myocardial infarction);
• hyperproduction of thyroid hormones - thyroxine and triiodothyronine, which have an inotropic effect;
• drinking large amounts of alcohol;
• as a consequence of surgical interventions or invasive research methods (for example, with fibrogastroduodenoscopy);
• arrhythmias after strokes;
• when exposed to acute or chronic stress;
• in the presence of a dysmetabolic syndrome - obesity, arterial hypertension, diabetes mellitus, dyslipidemia.

Attacks of arrhythmia are usually accompanied by a feeling of interruptions in the work of the heart and an arrhythmic pulse. Although often a person may not feel anything, in such cases, the diagnosis of pathology will be based on ECG data.

Consequences of arrhythmia

Atrial fibrillation in ICD 10 is fairly common and carries a poor prognosis if not adequately monitored and treated. The disease can be complicated by the formation of blood clots and the development of chronic heart failure.

Arrhythmia is of particular danger in coronary heart disease, arterial hypertension and diabetes mellitus - in these cases, thromboembolism can lead to cardiac arrest, heart attack or stroke.

Heart failure can form quite quickly and manifest as hypertrophy of the myocardial walls, which will aggravate the already existing ischemia. Arrhythmia in ICD 10 is a common complication of acute myocardial infarction, which can be the direct cause of death.

The above facts speak of the seriousness of the disease and show the need for constant and correct therapy. All kinds of antiarrhythmic drugs, potassium-containing drugs, antihypertensive drugs are used for treatment. Great importance is given to taking anticoagulants and antiplatelet agents. For these purposes, warfarin and acetylsalicylic acid are used - they prevent the development of blood clots and change the rheology of the blood. It is very important to establish the primary cause of the development of atrial fibrillation and block its action in order to prevent all sorts of complications.