Is ventricular premature beat a heart disease?

Written by Zhang Yue Mei
Cardiology
Updated on September 25, 2024
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Ventricular premature beats can occur in the normal population, caused by autonomic nervous dysfunction. These premature beats are not considered heart disease. However, ventricular premature beats caused by certain heart diseases are considered heart disease. Common heart diseases include congenital heart disease, viral myocarditis, rheumatic heart disease, coronary artery disease, and pulmonary heart disease. These diseases lead to myocardial damage and ischemia, causing abnormal conduction rhythms, resulting in premature beats. Treatment should be provided based on different causes, and the premature beats should be corrected simultaneously.

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Written by Zhang Yue Mei
Cardiology
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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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Written by Zhang Yue Mei
Cardiology
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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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Written by Zhang Yue Mei
Cardiology
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What causes premature ventricular contractions?

Ventricular premature beats are the most common type of premature beats clinically, and they mostly occur in healthy people, also known as benign premature beats. They are caused by unstable autonomic nerve function leading to arrhythmia and do not require treatment with anti-arrhythmic drugs. Treatment through regulating nerves and lifestyle can lead to improvement. They can also occur in organic heart diseases, such as coronary heart disease, rheumatic heart disease, pulmonary heart disease, and viral myocarditis. These organic heart diseases, due to long-term myocardial damage, exhibit ectopic rhythms and require treatment with effective anti-arrhythmic drugs alongside treatment of the primary disease (the use of such drugs should be under the guidance of a physician).

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Written by Liu Ying
Cardiology
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The difference between ventricular premature beats and atrial premature beats.

Atrial premature beats are excitations of the heart initiated by the atrium and are prematurely triggered; ventricular premature beats refer to heart excitations initiated by the ventricles, which are also premature. On the electrocardiogram (ECG), atrial premature beats can be seen as prematurely occurring P waves and QRS complexes, where the shape of the QRS complex is consistent with that of the normal sinus rhythm. In contrast, ventricular premature beats on the ECG are shown as prematurely occurring wide and abnormal QRS complexes, with no preceding P wave.

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Written by Zhang Yue Mei
Cardiology
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Can premature ventricular contractions cause a heart attack?

Ventricular premature beats will not cause myocardial infarction as they arise from different mechanisms and lead to different outcomes. Ventricular premature beats occur due to changes in the ventricular conduction system, causing irregular heartbeats. Myocardial infarction is caused by the narrowing of coronary arteries, the formation of plaques, and thromboses, leading to blockage that deprives the heart of oxygen, resulting in ischemia and necrosis, known as myocardial infarction. Myocardial infarction is a serious condition that requires immediate medical intervention to save the patient's life. Ventricular premature beats can occur due to pathological reasons or can be seen in healthy individuals, and can be managed with medications that regulate the heart rate to achieve the desired therapeutic outcome.