The heart is a muscle of rather complex construction. It consists of several parts, each of which performs a certain important function. One such detail is the right leg of the bundle of His, and its incomplete blockade is quite common. Abbreviated problem is called NBPNG. And if it is properly treated, you can easily avoid complications and unpleasant consequences.
What is the diagnosis of "incomplete blockade of the right leg of the bundle of His?"?
First of all, we need to understand what the leg of the beam is, and why it is in the heart. By the bundle of Gis, experts call the accumulation of nerve cells and fibers, through which the impulse is directed to the ventricles. One large trunk of the beam is the main one. It is divided into two parts. The latter and received the name of the legs - left and right.
Incomplete blockade of the right leg of the bundle of the Hyis - cardiac ventricular intubation. It is diagnosed in the case when the nerve impulse passes through the shoot of the trunk too slowly. Slowdown leads to disruption of the entire system as a whole and of the right sections of the bundle in particular.
Blockades come in different degrees:
- The first is characterized by a slowdown in the process of transfer of excitation from the atrium to the ventricle.
- The second degree is set when not all impulses reach the ventricles to the atria.
- The most difficult third degree is characterized by the absence of impulses.
As you might have guessed, at the third degree the complete cardiac blockade is already diagnosed.
Possible causes of incomplete blockade of the right bundle branch leg
All factors conducive to incomplete blockade are conventionally divided into two large groups:
- congenital;
- acquired.
Congenital are such reasons:
- stenosis;
- atrial septal defect;
- Lenegre's disease (diagnosed mainly in those children whose mothers are ill with diabetes mellitus);
- incomplete development of segments of the right leg of the bundle;
- defect of interventricular septum.
In addition, among the factors that are favorable for NBPH, it is customary to include all those congenital heart defects that can lead to an overload of the right ventricle.
Among the acquired reasons for the appearance of signs and symptoms of an incomplete blockade of the right leg of the bundle of Guis, I would like to single out the following:
- tumor processes (of different nature);
- hypertrophy of the right ventricle;
- muscular dystrophy at the stage of progression;
- hyperkalemia ;
- blunt trauma of organs located in the vaginal space;
- chronic forms of obstructive airways diseases;
- diseases affecting the right ventricle;
- intoxication with drugs containing quinidine, digiltys, novocaineamide.
Symptoms of incomplete blockade of the right bundle
As a rule, the disease does not focus on itself. Notable symptoms appear very rarely. All because the heart rate and rhythm itself do not change.
They learn about the incomplete blockade of the right leg of the bundle of Guis mostly by accident. In time to detect the disease and prevent its possible consequences, cardiologists recommend
Treatment of incomplete blockages of the right bundle branch leg
To restore the supply of impulses through the right leg, you need to determine what caused the blockade. Congenital heart defects, for example, need to operate in the department of cardiac surgery. But heart failure, manifestations of angina pectoris , arterial hypertension can be treated at home with the help of special medications.
Sometimes, if an incomplete blockade is found in absolutely healthy young people, it is regarded as a perfectly normal phenomenon, and accordingly, they do not cure.