Are ventricular premature beats serious?

Written by Li Hai Wen
Cardiology
Updated on September 29, 2024
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Ventricular premature beats are a very common condition in daily life, so many patients often ask their doctors this question: Are my ventricular premature beats severe? This needs to be analyzed based on the specific issue and circumstances.

First, if there is no structural heart disease, these premature beats are generally known as functional ventricular premature beats, which are usually not serious and do not endanger life safety.

Second, if there is concomitant structural heart disease, such as coronary heart disease or cardiomyopathy, then these ventricular premature beats are generally considered risky, and it is necessary to take medication or undergo surgery under the guidance of a doctor.

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Can you get pregnant with ventricular premature beats?

Premature ventricular contractions (PVCs) are a relatively common type of cardiac arrhythmia clinically. If the PVCs are occasional, it is possible to become pregnant and have children. However, during pregnancy, the cardiac workload for women increases, which can exacerbate symptoms. It is recommended that, before attempting to conceive, if premature ventricular contractions or other cardiac diseases are diagnosed, it is best to address these issues promptly. Priority should be given to the patient's safety, taking appropriate measures before planning for pregnancy. Additionally, women should have regular prenatal check-ups at the hospital during pregnancy to monitor their health and the development of the fetus.

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How to treat premature ventricular contractions?

Ventricular premature beats require an electrocardiogram to determine the frequency and nature of the premature beats, and a comprehensive judgment is made in conjunction with the medical history. Ventricular premature beats can be seen in the normal population, and in some cases, they occur in individuals with unstable autonomic nerve function. This group of people does not need drug treatment. Paying attention to rest, engaging in appropriate exercise, and regulating the autonomic nerves can make the premature beats disappear. In patients with organic heart disease who experience frequent premature beats, it is necessary to choose antiarrhythmic drugs for adjustment and treatment under the guidance of a doctor.

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Principles of treatment for ventricular premature beats

The treatment of ventricular premature beats mainly includes the following aspects: First, palliative treatment. Palliative treatment refers to cases where the patient's ventricular premature beats do not occur frequently, and there are no clinical symptoms, and no organic heart disease is found through related cardiac echocardiography. For this type of ventricular premature beats, treatment is not necessary, and regular observation can be conducted, which we call palliative treatment. Second, medication treatment. When ventricular premature beats occur frequently, and the patient has obvious clinical symptoms, such as palpitations and chest tightness, treatment can be carried out under the guidance of a doctor with standardized medication. Third, surgical treatment. When premature beats occur frequently and severely affect the patient's quality of life, radiofrequency ablation treatment can be conducted, and this treatment potentially cures ventricular premature beats.

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Can you exercise with premature ventricular contractions?

Whether or not one can exercise with ventricular premature beats depends on the nature of the premature beats and the underlying disease causing them. Premature beats can be seen in healthy individuals and may occur due to instability in the autonomic nervous system. Patients with this type of premature beat can benefit from aerobic exercise, which can enhance cardiac contractility and improve cardiac conduction, aiding in the recovery from premature beats. However, in cases of severe ventricular premature beats caused by organic heart disease, it is necessary to rest and avoid excessive exercise, as overexertion can increase the cardiac load and exacerbate the premature beats. Patients with premature beats should follow the guidance of a doctor and use effective medication for management.

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How many ventricular premature beats per day?

Ventricular premature beats can be caused by physiological reasons, diseases, ion disturbances, certain medications, and so on. If a healthy person without any diseases experiences ventricular premature beats, they should quit smoking, limit alcohol intake, ensure adequate rest, avoid staying up late, avoid excessive fatigue, and drink less or avoid strong tea, coffee, and other substances that stimulate the sympathetic nervous system. If ventricular premature beats are caused by other reasons, the specific cause should be determined by a specialist based on the medical condition and related examinations, and a reasonable treatment plan should be provided. (The use of medications should be conducted under the guidance of a doctor.)