The treatment of polygenic premature ventricular contractions should take the form of correcting the causative factors (such as reperfusion therapy), drug therapy and so on.
1. Multiple premature ventricular contractions, also known as multiple ventricular pre-systoles, are usually treated with antiarrhythmic drugs, such as amiodarone, in patients with organic heart disease and markedly symptomatic premature ventricular contractions.
2. Patients with acute myocardial ischemia or infarction with ventricular pre-systole, preferred reperfusion therapy, such as thrombolytic therapy, interventional therapy, do not advocate the prophylactic application of antiarrhythmic drugs. If multiple premature ventricular contractions have occurred before reperfusion therapy, β-blockers such as metoprolol should be applied before reperfusion, and the causative factors should be corrected, such as potassium supplementation in patients with hypokalemia.
Patients with polygenic premature ventricular beats should be treated promptly in a regular hospital.