Premature ventricular contractions in the 20s can not be treated with medication if there is no organic disease in the heart, but if there is organic heart disease, the heart itself needs to be treated. As one of the most common arrhythmias, premature ventricular contractions are widely seen in normal people and patients with various heart diseases, and the type of premature ventricular contractions, symptoms, and their own heart conditions need to be clarified before choosing the appropriate treatment plan. In the absence of organic heart disease, premature ventricular contractions do not increase the risk of cardiac death, so people with mild symptoms do not need to take medication, but need to improve their lifestyle habits, reduce the number of late nights, and cut down on cigarettes, alcohol, coffee, etc. If symptoms are obvious, treatment is aimed at eliminating them. If the symptoms are obvious, the treatment should be based on eliminating the symptoms, and the drugs can be used such as propafenone. When accompanied by organic heart disease, usually only the heart itself to deal with the problem, if the symptoms are obvious can be under the guidance of the doctor to take drugs such as amiodarone. In a few cases of frequent ventricular premature beats with significant symptoms or intolerance to medications and without organic heart disease, catheter-based radiofrequency ablation may be used. Premature ventricular contractions are very common, if diagnosed, there is no need to be overly alarmed, should follow the doctor’s instructions, and actively improve lifestyle habits.