СА БЛОКАДА 2 СТЕПЕНИ

Уважаемая Татьяна!

Преходящая сино-аурикулярная блокада 2 ст., особенно во время сна, может регистрироваться у совершенно здоровых людей, не является обязательным признаком патологии. Попытка "объяснить" её постмиокардитическим кардиосклерозом выглядит достаточно спекулятивно, надуманно. Тем более это относится к экстрасистолии. Магне В6 на эти процессы не оказывает никакого влияния и её назначение совершенно бессмысленно.
В одной, недавно опубликованной работе, я прочитал:
"Ambulatory monitoring of the electrocardiogram in 100 healthy 14 to 16 year old boys showed heart rates ranging from 45 to 200 beats/minute during the day and from 23 to 95 beats/minute during sleep. Sinus arrhythmia was present in all cases and was the only variation noted in 17%. Sudden variations in the PP interval occurred in 41%, but a precise diagnosis of the mechanism was usually impossible; 15% had changes compatible with sinus arrest or temporary complete sinoatrial block, and one boy had a pattern compatible with type II second degree sinoatrial block. Escape rhythms were noted in 26%, first degree atrioventricular block in 12%, and second degree atrioventricular block (Mobitz type I) in 11%. Mobitz type II second degree atrioventricular block was seen on one occasion in one boy. Ventricular extrasystoles seen in 41% were of uniform morphology in 75% and multiform in 25%. Short episodes of ventricular tachycardia were recorded in 3%".