Can you exercise with premature ventricular contractions?

Written by Zhang Yue Mei
Cardiology
Updated on September 26, 2024
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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.

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Written by Li Hai Wen
Cardiology
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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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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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Is ventricular premature beat a heart disease?

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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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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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.)