Can ventricular premature beats be cured by medication?

Written by Li Hai Wen
Cardiology
Updated on September 11, 2024
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Can ventricular premature beats be cured by medication? The answer is no, medication cannot cure ventricular premature beats. However, with standardized medical treatment such as metoprolol and amiodarone, and maintaining good lifestyle habits, such as regular exercise, consistent sleep patterns, quitting smoking, limiting alcohol intake, and avoiding strong coffee and tea, the treatment effectiveness for ventricular premature beats is often quite good. Therefore, although medication cannot cure ventricular premature beats entirely, the treatment results can still be very positive, but it should always be conducted under the guidance of a doctor. (The use of medication should be under the guidance of a doctor)

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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 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 Cai Li E
Cardiology
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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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Written by Li Hai Wen
Cardiology
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Are atrial premature beats and ventricular premature beats serious?

Atrial premature beats and ventricular premature beats are very common types of arrhythmia in our daily life. Generally, most atrial premature beats and ventricular premature beats are not serious, do not involve organic heart disease, and usually do not cause symptoms. The occurrence of these atrial and ventricular premature beats is often related to factors such as staying up late, fatigue, anxiety, drinking strong tea, or coffee. If the cardiac ultrasound and blood tests for thyroid function are normal, then these premature beats are not serious and will not affect health. Generally, no special treatment is needed and there is no need for concern.

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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.