Atrial premature beats usually do not need treatment, if there are obvious symptoms can be used β-blockers, non-dihydropyridine calcium channel blockers, etc.; ventricular premature beats combined with organic heart disease, can choose β-blockers, non-dihydropyridine calcium channel blockers, etc..
1. Atrial premature beats: Usually no treatment is needed, but when there are obvious symptoms or supraventricular tachycardia is triggered by atrial premature beats, treatment should be given. For example, smoking cessation and alcohol restriction, minimize coffee consumption; therapeutic drugs include beta-blockers (e.g. propranolol), non-dihydropyridine calcium channel blockers (e.g. verapamil, diltiazem), and propafenone and amiodarone.
2. Premature ventricular contractions: if the patient does not have organic heart disease or the symptoms are mild, there is no need for medication; if the patient has combined organic heart disease and cardiac insufficiency, in principle, on the basis of the treatment of the heart disease, according to the patient’s condition, choose whether to use β-blockers (e.g., propranolol), nondihydropyridine calcium channel blockers (e.g., verapamil, diltiazem), as well as propafenone and amiodarone, and so on.
It is recommended that patients go to the hospital in time, and choose whether to take the medication under the guidance of professional doctors in combination with the patient’s actual situation.