Are atrial premature beats and ventricular premature beats serious?

Written by Li Hai Wen
Cardiology
Updated on September 23, 2024
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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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Written by Zhang Yue Mei
Cardiology
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Can you exercise with premature ventricular contractions?

Whether or not one can exercise with ventricular premature beats depends on the nature of the premature beats and the underlying disease causing them. Premature beats can be seen in healthy individuals and may occur due to instability in the autonomic nervous system. Patients with this type of premature beat can benefit from aerobic exercise, which can enhance cardiac contractility and improve cardiac conduction, aiding in the recovery from premature beats. However, in cases of severe ventricular premature beats caused by organic heart disease, it is necessary to rest and avoid excessive exercise, as overexertion can increase the cardiac load and exacerbate the premature beats. Patients with premature beats should follow the guidance of a doctor and use effective medication for management.

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Written by Zhang Yue Mei
Cardiology
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Can premature ventricular contractions be cured?

Ventricular premature beats are a relatively common type of cardiac arrhythmia clinically, divided into benign and malignant premature beats. Benign premature beats refer to physiological premature beats occurring in healthy individuals, caused by autonomic dysfunction due to excessive drinking, smoking, staying up late, etc. This type of premature beat does not require medicinal treatment; it can heal itself through adjusting lifestyle, enhancing nutrition and exercise, resting adequately, and quitting smoking and drinking. Malignant premature beats caused by organic heart disease can also achieve clinical cure if the primary disease is treated early and antiarrhythmic drugs are used simultaneously.

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Written by Zhang Yue Mei
Cardiology
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How to adjust for premature ventricular contractions?

Ventricular premature beat management should vary based on the cause. Frequent ventricular premature beats caused by organic heart disease can be harmful to the body, and under a doctor's guidance, effective antiarrhythmic drugs should be used for treatment. If the ventricular premature beats are due to autonomic dysfunction in healthy individuals, or caused by excessive fatigue or staying up late, this type of premature beat generally does not require the use of antiarrhythmic drugs for treatment. Instead, managing the autonomic nerves and engaging in regular exercise can enhance the normal contractile strength of the heart and adjust the autonomic nerves to correct these abnormal ventricular premature beats.

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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 Zhang Yue Mei
Cardiology
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What causes premature ventricular contractions?

Ventricular premature beats are the most common type of premature beats clinically, and they mostly occur in healthy people, also known as benign premature beats. They are caused by unstable autonomic nerve function leading to arrhythmia and do not require treatment with anti-arrhythmic drugs. Treatment through regulating nerves and lifestyle can lead to improvement. They can also occur in organic heart diseases, such as coronary heart disease, rheumatic heart disease, pulmonary heart disease, and viral myocarditis. These organic heart diseases, due to long-term myocardial damage, exhibit ectopic rhythms and require treatment with effective anti-arrhythmic drugs alongside treatment of the primary disease (the use of such drugs should be under the guidance of a physician).