Premature beats of 200 beats per 24-hour ambulatory electrocardiogram do not require treatment.
The guidelines state that ventricular premature beats greater than 5 beats per minute are clinically significant. Clinically indicated premature ventricular beats are accompanied by clinical symptoms such as chest tightness, shortness of breath, and sweating. Premature contractions can be caused by physiological factors and usually do not have obvious symptoms. In this case, rest and avoiding excessive consumption of foods that stimulate the sympathetic nerves, such as tea and coffee, can alleviate the symptoms of premature contractions to a certain extent.
If the symptoms of premature beats are obvious, myocardial ischemia should be excluded, and coronary CT angiography or coronary angiography should be perfected to clarify the etiology.
At the same time combined with the clinical manifestations of premature ventricular contractions, regardless of the number of premature contractions, it is necessary to go to the hospital to consult a professional doctor according to the specific circumstances of the treatment.