Which patients with premature ventricular contractions need treatment

Premature ventricular beats are one of the most common clinical arrhythmias. Many comrades are accidentally found to have ventricular premature beats during physical examination or electrocardiogram, and once these comrades are found to have ventricular premature beats, they will be very nervous and even have anxiety symptoms, which will affect their normal study, work and life. In fact, the detection of ventricular premature beats during physical examination or electrocardiogram is not terrible and need not be alarming, because most comrades do not need treatment for ventricular premature beats, while a small number of patients need serious treatment. If ventricular premature beats are found during physical examination or electrocardiogram, a 24-hour ambulatory electrocardiogram and two-dimensional ultrasound examination of the heart should be performed, and the following questions should be answered: 1. 2. Any history of syncope, if you have had syncope or aura syncope in the past, you should go to the hospital and ask the arrhythmia specialist for consultation. 3.With or without organic heart disease, if there are also structural and functional abnormalities of the heart, you should go to the hospital and ask for consultation with an arrhythmia specialist. 4. If the ventricular premature beats are “R on T”, polymorphic or continuous on the electrocardiogram, you should go to the hospital for consultation with an arrhythmia specialist. 5. If the 24-hour ventricular premature beats exceed 10,000, even if there is no family history of sudden death, syncope, organic heart disease and ECG with “Ron T”, polymorphism and continuous occurrence, antiarrhythmic drugs should be used under the guidance of doctors. If the above 5 conditions do not occur, the number of premature ventricular beats in 24 hours is less than 5,000, and the patient has no symptoms at the same time, any treatment can be dispensed with. If there are significant symptoms, antiarrhythmic drugs and anxiolytic treatment can be considered under the guidance of a physician.