Can ventricular premature beats be cured?

Written by Li Hai Wen
Cardiology
Updated on September 01, 2024
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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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What are the symptoms of ventricular premature beats?

Ventricular premature beats often have no specific symptoms, whether there are symptoms and the severity of the symptoms depend on the individual's feeling, and are not directly related to the frequency of the ventricular premature beats. Some people may experience noticeable symptoms even with only a few premature beats. Others might have many premature beats but no symptoms, and ventricular premature beats may only be discovered during a physical examination or when consulting for other diseases. Ventricular premature beats are generally characterized by palpitations, a feeling of skipped beats or a sensation of rapid elevator movements akin to a loss of weight or a forceful heart beat after compensatory pause, and may be accompanied by symptoms such as dizziness, fatigue, and chest tightness. Patients with severe organic heart disease who experience frequent long-term ventricular premature beats may develop angina, hypotension, or heart failure.

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Can ventricular premature beats be cured?

Whether ventricular premature beats can be cured depends on the underlying disease causing it. In healthy populations, ventricular premature beats occur due to unstable autonomic nerve function or during the growth and development phase in young adults; these functional ventricular premature beats generally do not require medication. By regulating the autonomic nerves and engaging in appropriate aerobic exercise, these premature beats can be cured. However, frequent ventricular premature beats caused by organic heart disease need to be treated with anti-arrhythmic drugs while treating the primary disease; this can reduce ventricular premature beats and alleviate clinical symptoms, but generally cannot be cured. (Specific medication use should be carried out under the guidance of a doctor.)

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What is the difference between ventricular premature beats and atrial premature beats?

Ventricular premature beats and atrial premature beats have no different clinical symptoms; both present feelings of chest tightness and shortness of breath. They require an electrocardiogram (ECG) for diagnosis, where the differentiation between ventricular and atrial premature beats is made based on the differences in the waveform. Whether it is ventricular or atrial premature beats, if they are caused by discriminatory heart disease, it is necessary to treat the primary disease under the guidance of a doctor, while also correcting the premature beats. If the premature beats are caused by autonomic dysfunction, it is necessary to ensure rest, balance work and leisure, appropriately increase aerobic exercise, and enhance the heart's rhythmicity.

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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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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.