A heartbeat of 28 beats per minute is generally considered to be associated with bradyarrhythmias, severe ischemic cardiomyopathy, and pharmacogenetic sources. Slow arrhythmias require timely installation of a pacemaker in the hospital; severe ischemic cardiomyopathy requires interventional surgery, and pharmacogenicity requires discontinuation of medications, timely consultation, and use of medications such as isoprenaline.
1. Slow arrhythmia: such as sick sinus node syndrome, III degree atrioventricular block, etc., the impulse sent by the sinus node is reduced or conduction block leads to slow heart rate, in severe cases, the patient’s heart rate can be 28 beats/min, which may be accompanied by dizziness, fatigue, darkness, fainting, etc., in which the situation is more critical, and the patient needs to go to the hospital to install the cardiac pacemaker in a timely manner.
2. Severe ischemic cardiomyopathy: Insufficient blood supply to the heart or cause myocardial injury, serious impairment of heart function may cause bradycardia, 28 beats/minute, patients may have black haze, chest tightness, chest pain and other symptoms, or even sudden death, this time, we need to go to the hospital in a timely manner to the hospital, interventional surgery, and comply with the doctor’s orders to use dopamine, epinephrine, aspirin, statin drugs, and so on.
3. Pharmacogenetic: If the patient is taking metoprolol, amiodarone and other drugs leading to slow heart rate, which can be accompanied by obvious dizziness, fatigue, etc., with a heart rate of 28 beats/min, the patient needs to stop taking the drugs immediately, consult the doctor in time, and use atropine, isoproterenol, and other drugs if necessary.
If the patient’s heart rate is 28 beats / min, with dizziness, fatigue and other uncomfortable symptoms, it is recommended to go to the hospital in a timely manner to consult a doctor, clear the cause of the disease and then active treatment.