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Нормой считается ЧСС 60–90 ударов в минуту [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia). \n\n**Брадикардия не самостоятельное заболевание**, как правило, замедление ЧСС связано с другими патологиями [2](https://Megapteka.ru/specials/medlennyj-puls-u-5240)[5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia). В некоторых случаях снижение пульса нормально — например, если человек спит или находится в состоянии покоя в статичной позе [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia).\n\n\n\n## Причины\nНекоторые причины брадикардии: \n* **Заболевания сердечно-сосудистой системы** — стенокардия, ишемическая болезнь сердца, инфаркт миокарда, кардиомиопатия, сердечная недостаточность, миокардит, врождённые и приобретённые пороки сердца, синдром слабости синусового узла [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia). \n* **Патологии других органов и систем** — эндокринные нарушения (болезни щитовидной железы (гипотиреоз) и надпочечников, сахарный диабет), инфекционные заболевания, повышенное внутричерепное давление [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia). \n* **Приём некоторых лекарственных средств** — например, бета-блокаторов, антагонистов кальция, антиаритмиков [2](https://Megapteka.ru/specials/medlennyj-puls-u-5240)[5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia).\n\n## Симптомы\nСнижение ЧСС приводит к ухудшению кровоснабжения разных органов и систем, в них возникает дефицит кислорода и питательных веществ [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia). Некоторые симптомы: \n* повышенная утомляемость, слабость, сонливость [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia); \n* одышка, ощущение сдавленности в груди [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia); \n* головные боли, головокружения, «мушки» перед глазами, шум в ушах [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia); \n* ухудшение памяти и внимания [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia); \n* повышенная потливость (холодный пот) [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia); \n* обморок, потеря сознания [5](https://www.VIDAL.ru/encyclopedia/zabolevaniya-serdechno-sosudistoyi-sistemi-kardiologiya/bradikardiia).\n\n## Диагностика\nПри симптомах брадикардии необходимо обратиться к кардиологу [17](https://www.Renewal.ru/voprosy-zdorovya/chto-takoe-bradikardiya/). Врач собирает анамнез, назначает комплексное обследование [17](https://www.Renewal.ru/voprosy-zdorovya/chto-takoe-bradikardiya/). Некоторые методы диагностики: \n* **Электрокардиограмма (ЭКГ)** — позволяет зафиксировать интервалы между сердечными сокращениями, определить регулярность ритма [13](https://premium-clinic.ru/kak-diagnostirovat-i-lechit-bradikardiyu/). \n* **Суточное мониторирование ЭКГ по Холтеру** — фиксирует работу сердца в течение 24–48 часов и позволяет выявить скрытые эпизоды брадикардии, которые пациент может не ощущать [13](https://premium-clinic.ru/kak-diagnostirovat-i-lechit-bradikardiyu/). \n* **Эхокардиография — УЗИ сердца** — помогает выявить органические патологии [13](https://premium-clinic.ru/kak-diagnostirovat-i-lechit-bradikardiyu/).\n\n## Лечение\nЛечение брадикардии зависит от её причины [4](https://gnicpm.ru/articles/zdorovyj-obraz-zhizni/chto-takoe-bradikardiya.html)[13](https://premium-clinic.ru/kak-diagnostirovat-i-lechit-bradikardiyu/). Например: \n* **Коррекция лекарственной терапии** — препараты могут быть отменены или заменены на более щадящие аналоги [13](https://premium-clinic.ru/kak-diagnostirovat-i-lechit-bradikardiyu/). \n* **Лечение сопутствующих состояний** — например, при гипотиреозе назначают гормональную терапию, при электролитных нарушениях вводят калий, магний или корректируют уровень натрия [16](https://cmrt.ru/simptomy/zamedlenie-pulsa/). \n* **Хирургическое лечение** — если брадикардия связана с органическим поражением сердца или серьёзными нарушениями проводимости, используют имплантацию кардиостимулятора — устройства, которое поддерживает нормальный ритм сердца [16](https://cmrt.ru/simptomy/zamedlenie-pulsa/). \n\n**Самолечение** при брадикардии может быть опасным — только специалист должен установить причину и назначить адекватное лечение [2](https://Megapteka.ru/specials/medlennyj-puls-u-5240).","linksData":[{"sourceId":1,"url":"https://mymedex.ru/services/zabolevaniya/bradikardiya/","shownUrl":"https://mymedex.ru/services/zabolevaniya/bradikardiya/","title":"Брадикардия: причины, симптомы, лечение в клинике MedEx в Москве","shortUrl":"mymedex.ru","isTranslated":false,"description":"","greenUrl":"mymedex.ru"},{"sourceId":2,"url":"https://Megapteka.ru/specials/medlennyj-puls-u-5240","shownUrl":"https://Megapteka.ru/specials/medlennyj-puls-u-5240","title":"Медленный пульс у взрослого: причины, симптомы и что делать","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":3,"url":"https://fnkc-fmba.ru/zabolevaniya/zamedlennyy-puls-bradikardiya/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/zamedlennyy-puls-bradikardiya/","title":"Брадикардия - симптомы, лечение, причины, диагностика","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":4,"url":"https://gnicpm.ru/articles/zdorovyj-obraz-zhizni/chto-takoe-bradikardiya.html","shownUrl":"https://gnicpm.ru/articles/zdorovyj-obraz-zhizni/chto-takoe-bradikardiya.html","title":"Что такое брадикардия? 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