Patient Question: Disease:Multi-source premature ventricular contractionsDescription:Dear Dr. Mao: The course of my disease may be somewhat hydrazinium hydrazinium. In 1990, I found a stabbing pain in my left chest, which started once every few months, but the interval became shorter and shorter, and then I felt a heartbeat, and the interval became shorter and shorter like the stabbing pain, and then I felt a fast heartbeat, and in 1994, I felt a sudden jump with a feeling of numbness all over my body that could be relieved by itself. The expert diagnosed it as cardiac neurosis and prescribed aminoglutethimide to take without effect. After meeting an old Chinese doctor who prescribed medicine for more than a month and psychological guidance to me, the above symptoms are much better and basically do not affect life and work. But eight years ago there was a heart “bump” (is now known by this name) once a day, a few days apart again, and then a few days two or three times, and then once or twice a day, I thought the heart disease again anyway, it does not affect life and work, but the trend of the past few years is gradually more frequent, to the second half of last year more aggravated, to January this year to Shaanxi People’s Hospital for heart The doctor prescribed western medicine such as propafenone to take, and said to go to a large hospital for what ablation surgery, after all, called the heart, heard to surgery, then the heart was nervous and worry, worried, and soon found another doctor to understand the situation, said two thousand is not enough for the conditions of surgery and prescribed betalac and other western medicine, I’ll betalac and propafenone. In May, I checked the ECG for more than 10,000 premature beats (see uploaded report) and became more worried and nervous and had a series of uncomfortable symptoms such as panic. The doctor only gave a pre-excitation on the 19th of July, saying that it was inconvenient to make premature beats not frequent. The surgery was done and money was spent, but the symptoms did not change at all. The doctor said to control it with medication first, and then make it again when the premature beats reach 20,000 to 30,000 per day, and prescribed Meclizine and Betaloc, but now I don’t dare to take anti-arrhythmic drugs anymore, because I am eating more and more. Doctor: My current situation is: one, premature beats, two, panic attacks. Sometimes the two do not occur at the same time. Specifically, there is a sense of panic throughout the day, there is tension, chest tightness, vague discomfort in the precordial area, wake up in the morning with a sense of tension for about ten minutes; Shanghai Renji Hospital, Department of Cardiology Mao Jialiang during the daytime sleep, just to fall asleep by a kind of nameless afraid of waking up (a few days or ten days occurred once) panic when there is a sense of frequent death, sweating (this situation is relieved by taking half a tablet of Valium for half an hour to an hour,) after relieving most of the day, as before. People feel very relaxed. For more than a month now, I have been experiencing swelling and discomfort in the left side of my neck (under the ear), dizziness and headaches. These symptoms have been very uncomfortable for several months now and have seriously affected my quality of life. It is very painful. Dr. Mao guided me and gave me a treatment plan. It is worth adding that at present, the early contractions are less frequent in a week (about eight days), but occasionally they occur frequently for a minute or two. I hope to provide help: please doctor to give me some treatment advice, the hospital department: Shaanxi Provincial People’s Hospital Shanghai Renji Hospital Department of Cardiology Mao Jia Liang Reply: Suggestions: Click here to refer to my article “cardiology psychological disorders status, identification and treatment” Patient Question: Thank you Dr. Mao late night hard work for my reply, I have read your article, sure compound your article Patient Question: sure my case is I sincerely hope that Dr. Mao can give me a treatment plan in his busy schedule, what drugs to use, and also how to deal with my premature beats. Thank you! Patient Question: Hi Dr. Mao, this is the scale I took seriously, please give me a rating and a valuable treatment plan. Thank you! Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: We recommend taking Dexin orally one tablet in the morning and one tablet at noon, in addition to the Chinese medicine Wuling capsule 3 capsules each time, three times a day, usually after two weeks to start relieving symptoms. Patient Question: Dr. Mao, thank you so much! Today I went to the hospital to get a prescription, but the doctor asked me about my condition and prescribed Idebenone tablets and Wu Ling capsules, (Dexin can’t be bought without a prescription,) do you think it’s okay? Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital replied: This medicine is not okay. Patient question: Then I’d better find a way to buy Dexin, okay. Patient Question: Hi Dr. Mao, I have bought Dexin and Wu Ling capsules today and started taking them. There is only one thing I need to ask you: The contraindication column in the manual says that it is not recommended for arrhythmias, but I have frequent premature ventricular contractions, so I am a bit worried. Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: Yes, feel free to take it, and let me know how it goes after two weeks by filling out the scale. Patient Question: Well, okay, thank you very much! Reply from Mao Jialiang, Department of Cardiology, Shanghai Renji Hospital: No thanks. Patient Question: Hi Dr. Mao, most of my symptoms have disappeared now, only some of them are mild, see table, hope you can guide me in your busy schedule, thank you! Patient Question: See the table Shanghai Renji Hospital, Department of Cardiology, Mao Jialiang Reply: You fill in the scale there are still 29 points, indicating that it is not yet well, you still need to insist on eating do not stop, it is best to 25 points or less, and insist on about 3 months without recurrence, and then only slowly stop.