Frequent ventricular premature beats suggesting a parallel rhythm resisting arrhythmia should be further investigated before choosing medication or radiofrequency ablation. Frequent ventricular premature beats in parallel rhythm is the heart has two or more ectopic pacing points to control cardiac excitation, this situation is more serious, easily lead to rapid ventricular tachycardia induced acute heart failure, cardiac arrest. A complete 24-hour ambulatory electrocardiogram is needed. If the premature ventricular contraction is greater than 10,000 beats per minute, radiofrequency ablation can be performed. If the premature ventricular beats are less than 10,000 beats per minute, antiarrhythmic drugs such as propafenone hydrochloride and amiodarone can be used to control the symptoms. If the examination suggests the presence of organic heart disease, such as coronary heart disease, myocardial ischemia, heart failure, etc., the primary disease should be actively treated. Frequent ventricular premature parallel rhythms require immediate medical attention and treatment with medication as prescribed.