Sinus rhythm episodic ventricular premature beats may be due to psychological factors and pathological factors such as hypertension and myocarditis can lead to, according to the cause of targeted treatment, can follow the doctor’s instructions to take captopril, adenosine triphosphate and other drugs. 1. Physiological factors: the most common causes are exertion, mental stress, insomnia, heavy smoking, drinking alcohol, strong tea and coffee and other triggers induced sinus rhythm episodic ventricular premature beats. Generally no special treatment is needed, just avoid drinking and smoking, emotional stress, fatigue, improve the daily routine can be relieved. 2. Pathological factors (1) high blood pressure: high blood pressure affects the heart will appear left ventricular hypertrophy, structural changes in the heart, at this time can be combined with arrhythmia, common arrhythmia is sinus rhythm episodic premature ventricular contractions. Captopril can be used to treat hypertension, thereby improving myocardial remodeling and reducing symptoms. (2) Myocarditis: In myocarditis, premature contractions, premature beats and ectopic rhythms occur due to insufficient blood supply to the heart or inflammatory changes in the heart muscle. As a result, sinus rhythm and episodic premature ventricular beats may occur. Adenosine triphosphate can be used to promote myocardial metabolism, thus improving sinus rhythm episodic premature ventricular contractions. If the patient has sinus rhythm episodic premature ventricular contractions, it is recommended to go to the hospital in time to identify the cause of the targeted treatment.