What causes premature ventricular contractions?

Written by Zhang Yue Mei
Cardiology
Updated on September 11, 2024
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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 Li Hai Wen
Cardiology
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Are ventricular premature beats serious?

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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Written by Li Hai Wen
Cardiology
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Can ventricular premature beats be cured?

Ventricular premature beats, also known as ventricular premature contractions, are a very common type of arrhythmia in our daily lives. Can ventricular premature beats be cured? The answer is definitely yes, ventricular premature beats can be cured. When ventricular premature beats occur frequently, or even with obvious symptoms, this type of ventricular premature beat can be radically treated through radiofrequency ablation surgery, which achieves the goal of cure. Of course, if the ventricular premature beats occur only occasionally, with infrequent episodes and no obvious symptoms, generally, this type of ventricular premature beats often does not require special treatment.

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Written by Chen Tian Hua
Cardiology
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Is a ventricular trigeminy serious?

Whether the severity of ventricular premature contractions in trigeminy is serious or not depends on the specific condition of the patient. If it occurs in a healthy individual due to certain triggers such as excessive smoking and drinking, extreme fatigue, and repeated staying up late, and is not caused by an organic disease, the condition is generally not serious. With prompt elimination of these triggers, it can be quickly alleviated. If it occurs on the basis of severe organic heart disease, the condition is more serious at this time. Sometimes the malignant degree of this trigeminy of ventricular premature contractions can be significant, and it may induce malignant ventricular arrhythmias, leading to sudden cardiac death. Therefore, it is necessary to provide relevant treatment as soon as possible to avoid adverse consequences.

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Written by Zhang Yue Mei
Cardiology
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How to adjust for premature ventricular contractions?

Ventricular premature beat management should vary based on the cause. Frequent ventricular premature beats caused by organic heart disease can be harmful to the body, and under a doctor's guidance, effective antiarrhythmic drugs should be used for treatment. If the ventricular premature beats are due to autonomic dysfunction in healthy individuals, or caused by excessive fatigue or staying up late, this type of premature beat generally does not require the use of antiarrhythmic drugs for treatment. Instead, managing the autonomic nerves and engaging in regular exercise can enhance the normal contractile strength of the heart and adjust the autonomic nerves to correct these abnormal ventricular premature beats.

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Written by Zhang Yue Mei
Cardiology
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Can you exercise with premature ventricular contractions?

Can individuals with ventricular premature beats exercise? It is necessary to undergo an electrocardiogram and determine the cause of the ventricular premature beats. Patients with frequent ventricular premature beats due to coronary heart disease, rheumatic heart disease, or viral myocarditis, especially those with heart failure, should not participate in exercise and need prolonged rest. Increased physical activity could exacerbate the heart's burden and worsen premature beats. For ventricular premature beats caused by physiological reasons, it is advised to engage in more aerobic exercises. Aerobic exercise can enhance the heart's contractility and conductivity, which has a beneficial effect on improving this type of premature beat.