What are the symptoms of ventricular premature beats?

Written by Cai Li E
Cardiology
Updated on February 21, 2025
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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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How to exercise to recover from premature ventricular contractions?

For ventricular premature beats exercise, it should be judged based on whether there is structural heart disease. Firstly, for those with structural heart disease, such as dilated cardiomyopathy or valvular heart disease, the exercise should be based on the patient's physical tolerance. Engage in exercises that are not physically demanding, such as jogging, practicing Tai Chi, and park walking, taking not feeling fatigue or experiencing symptoms of breathlessness as references. Secondly, for those without structural heart disease, ventricular premature beats without structural heart disease or other diseases, such as pneumonic heart disease, these ventricular premature beats are often functional. Daily exercise generally has no apparent restrictions; activities such as running, playing ball, or swimming are all permissible.

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Written by Zhang Yue Mei
Cardiology
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Is ventricular premature beat a heart disease?

Ventricular premature beats can occur in the normal population, caused by autonomic nervous dysfunction. These premature beats are not considered heart disease. However, ventricular premature beats caused by certain heart diseases are considered heart disease. Common heart diseases include congenital heart disease, viral myocarditis, rheumatic heart disease, coronary artery disease, and pulmonary heart disease. These diseases lead to myocardial damage and ischemia, causing abnormal conduction rhythms, resulting in premature beats. Treatment should be provided based on different causes, and the premature beats should be corrected simultaneously.

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Written by Chen Tian Hua
Cardiology
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Frequent ventricular premature beats refer to what?

Frequent ventricular premature beats refer to the occurrence of more than five ventricular premature beats per minute. Ventricular premature beats, also known as ventricular premature contractions, can occur in patients without structural heart disease, as well as in those with structural heart disease. For frequent ventricular premature beats occurring on the basis of structural heart disease, it is necessary to actively treat the underlying heart disease. Some ventricular premature beats can also be treated with radiofrequency ablation surgery to reduce their occurrence. In daily life, it is important to maintain a healthy lifestyle, reasonably plan work and life activities, reduce mental stress, avoid extreme emotional fluctuations, avoid overwork and staying up late, and ensure sufficient sleep.

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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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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.