The first thing you need to do is to get a good idea of what you are getting into. The reporter was informed that premature beats are not uncommon among young people who work for their lives, whether they need to take medication to treat them. The cardiovascular experts pointed out that some types of premature beats do not require medication, and active intervention may become excessive treatment instead. Functional premature beats – mostly occurring in the quiet state Premature beats, short for premature heartbeats, are also known as preterm contractions and extrasystoles, and are one of the most common ectopic heart rhythms, which can be divided into four types: sinus, atrial, atrioventricular junction and ventricular, with ventricular being the most common, followed by atrial, and sinus premature beats being rare. Patients with ‘premature beats’ should be differentiated before determining whether to treat them or not. First of all, it should be clarified whether it is caused by an organic or functional lesion, and the age and gender of the patient should be taken into account. Generally speaking, premature beats caused by organic pathologies such as coronary heart disease and heart failure tend to occur more often under exercise and exertion, while functional premature beats tend to occur more often under quiet and resting conditions. Functional premature contractions are often caused by phytodysfunction, which may manifest itself mainly in subjective sensory aspects and does not have a substantial impact on the physiological level. The patient’s age and gender are also often factors to be considered. For example, a 30-year-old patient with premature contractions, if female, is mostly functional. This is because women rarely suffer from cardiovascular diseases such as coronary heart disease before menopause due to the protective effect of estrogen. If the patient is a male, it is important to see if he has a history of smoking, diabetes, hyperlipidemia, family history of heart disease, and to exclude organic diseases such as coronary heart disease. The simplest thing is to do a heart ultrasound to determine if there are any problems with the size, structure and function of the heart, and depending on the results to see if further coronary artery examinations, such as coronary CT, coronary angiography, etc., are needed to confirm the diagnosis of coronary heart disease. If the symptoms are severe – medication can be used according to medical advice 1. If premature beats are diagnosed as organic lesions, treatment such as medication should be given to the primary disease first, and the premature beats will be relieved accordingly after improving the primary disease. The treatment of functional premature beats must be prevented from over-treatment. 2. If functional premature beats have no obvious symptoms and only show up on the electrocardiogram, there is no need for medication, and the focus should be on lifestyle and regular adjustments. In addition to a healthy lifestyle, it is also necessary to maintain emotional stability and coordinate work, study and life, because high emotional tension and psychological stress are the main causes of functional premature beats. If patients with functional premature beats feel that their symptoms are obvious and affect their work and life, they should seek the help of doctors and take appropriate medication to relieve their symptoms under the guidance of doctors, such as medication to mediate the function of vegetative nerves, and β-blocker drugs to combat arrhythmia or radiofrequency ablation therapy in serious cases. In the treatment of premature beats, it is important not to start taking medication as soon as the disease is diagnosed with the attitude of “it is better to kill a thousand by mistake than to spare one”. This is because the adverse consequences of over-treatment can be much more serious than the premature beats themselves.