Can ventricular premature beats be cured?

Ventricular premature beats are a symptom of heart disease. According to different causes, they can be roughly divided into two categories. The first category is benign, which may be related to excessive fatigue, or psychological reasons causing arrhythmia. In this case, no medication is needed to treat it. The other category may be caused by disease, the more common ones are hypertension, coronary heart disease, myocarditis, etc. This situation should be treated in time.

Can ventricular premature beats be cured?

Arrhythmias and ventricular or atrial premature beats can be roughly divided into two categories according to their causes. One type is benign, where no heart disease is found during the physical examination and there is no history of such disease. It is just premature beats or other arrhythmias caused by factors such as overwork. This type of disease generally does not require medication and can be cured by paying attention to conditioning.

Another type is caused by heart disease, such as hypertension, myocarditis, coronary heart disease, and hyperthyroidism heart disease. In this case, these heart diseases must be treated first in order to improve arrhythmias such as premature beats. It is probably not easy to cure and requires long-term medication, regular check-ups, and constant prevention and observation of the condition.

1. Beta-blockers

Often the drug of choice: Atenolol (Atenolol): ~25 mg each time, 1 to 2 times/day; the elderly should start with a small dose of 12.5 mg, 1 time/day. The dose is then gradually increased to 50-100 mg per day.

2. Ion antagonists

It also has obvious therapeutic effect on atrial premature beats: Verapamil (Isopamil): 40-80 mg/time, 3-4 times/d. Adverse reactions include hypotension, atrioventricular block, severe sinus bradycardia, and even sinus arrest, and should be closely observed. It is contraindicated in patients with heart failure, shock, atrioventricular block and sick sinus syndrome.

3. Phenytoin sodium

It is effective for atrial premature beats or ventricular premature beats caused by digitalis toxicity. It can also be used for atrial premature beats or ventricular premature contractions caused by other reasons. It is especially suitable for patients with obvious oliguria or renal failure who are not suitable for taking potassium chloride and have premature atrial contractions. Phenytoin sodium can weaken myocardial contractility and has little effect on atrioventricular or intraventricular conduction function. 100 mg/time, 3 to 4 times/d.

4. Digitalis

Excessive doses of digitalis can cause premature ventricular contractions, but appropriate doses of digitalis can treat atrial premature beats, especially those caused by heart failure. Taking digitalis can reduce or eliminate premature beats. Digoxin 0.25 mg/time, 1-2 times/d, for 2-3 days, then change to a maintenance dose of 0.125-0.25 mg, once/d.