Premature beats need not be treated with drugs.
http://news.jnnc.com//jinan/2018/0521/681807.shtml
near newspaper new audio-visual
Mr. Ma: Doctor Hello, I am 63 years old this year, my heart beat is not very normal, suddenly and slowly, especially after morning, noon, and slight exercise, heartbeat is not rhythmic, one minute in a minute. More than 150 times, is it a symptom of premature beat? How dangerous is the danger? What medicine do you need to take? What kind of examination and treatment do you need to do?
expert: Hello, your situation is arrhythmia, that is, premature beat. Ventricular premature beat is a kind of ventricular arrhythmia. For all patients with ventricular arrhythmia, electrocardiogram and 12 lead electrocardiogram and echocardiography should be performed to assess the existence of basic heart disease including hereditary or acquired cardiac disease. But it is worth noting that not all ventricular arrhythmias need medication.
ventricular arrhythmias were classified into benign, potentially malignant and malignant arrhythmia. The majority of benign ventricular premature beats mainly manifested as the basis of most non organic heart diseases and relatively long history of ventricular premature beats without cardiac events; malignant ventricular premature beats were mainly manifested in the basis of organic heart disease, and the clinical manifestations of latent malignant ventricular premature beats were between benign and malignant. If there is no evidence of organic heart disease and exclude hereditary arrhythmia, asymptomatic occasional ventricular premature beats, two rhythms, or triple rhythms should be considered normal variations, which are common and do not need to be treated.
ventricular arrhythmias associated with organic heart disease may increase the risk of adverse cardiac events and therefore need to be further examined. Viral or rheumatic myocarditis can cause pathological changes in young people; pathological ventricular premature beat, coronary heart disease, myocardial infarction, left heart dysfunction, hypertension, and heart Myopathy and so on.
regardless of the symptoms of ventricular premature beat, attention should be paid to factors such as hypokalemia, severe insomnia and high caffeine intake. Frequent ventricular premature beats may lead to reversible cardiomyopathy, and may also be a sign of structural heart disease. When patients have frequent seizures, pay special attention.
in addition, studies have shown that if the patient has no obvious clinical symptoms, no drug intervention is necessary, and there is no need to pay too much attention to the number of premature beats per day. Reporter Liu Yimeng collate
experts of the Advisory Committee of the near newspaper:
Bu Peili, the director of Department of Cardiology, Qilu Hospital, Qilu Hospital, Shandong University, professor and doctoral supervisor, vice director of the Department of internal medicine and research, National Committee for cardiovascular diseases branch of the Chinese Medical Association, and the hypertension group of the Chinese society of cardiovascular diseases. Members of the committee, vice chairman of the Shandong Provincial Association of physicians and cardiovascular physicians, vice chairman of the cardiovascular branch hypertension Committee of China Association for the combination of Chinese and Western medicine, the Committee of the Chinese medical and Health International Exchange Promotion Association, and the director of the Shandong provincial heart function Association. They are mainly hypertensive, hyperlipidemia, arteriosclerosis, arrhythmia, coronary heart disease and cardiomyopathy.
specialist clinic:
address on Wednesday afternoon and Thursday: 107 west culture Road, Qilu Hospital, Shandong University, Lixia District.