Principles of treatment for ventricular premature beats

Written by Li Hai Wen
Cardiology
Updated on September 22, 2024
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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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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.

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

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 Li Hai Wen
Cardiology
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Is ventricular premature beat intercalary serious?

Whether ventricular premature beats are serious depends on the cause of the ventricular premature beats. From a medical perspective, physiological ventricular premature beats are generally not serious and do not greatly affect health or endanger life. Physiological ventricular premature beats are often related to emotional stress, staying up late, and poor lifestyle habits such as drinking strong tea or coffee. Pathological ventricular premature beats, on the other hand, are often more serious, such as those caused by cardiomyopathy. These ventricular premature beats can potentially trigger ventricular tachycardia or ventricular fibrillation, seriously endangering the patient's life. Pathological ventricular premature beats require active interventional treatment to prevent the premature beats from worsening and causing unexpected events.

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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.)

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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.