Sinus rhythm with episodic premature ventricular contractions need to be based on the presence or absence of myocarditis, myocardial ischemia, rheumatic heart disease and other organic heart disease to determine a reasonable treatment method, as follows:
1. When there is myocarditis, myocardial ischemia, rheumatic heart disease and other organic heart disease, in principle, only deal with the heart disease itself, and do not need to apply the drugs to treat premature ventricular contractions, such as palpitations, dizziness, chest tightness and other symptoms are obvious, the use of metoprolol, verapamil, amiodarone and other drug therapy, and catheter ablation can be taken if necessary.
2. In the absence of organic heart disease, episodic premature ventricular contractions will not increase the risk of cardiac death, so those without obvious symptoms do not need to be treated. If the combined symptoms are obvious, the treatment should be aimed at eliminating the symptoms, avoiding the triggering factors, quitting smoking and alcohol consumption, relieving the patient’s anxiety and uneasiness, and also using verapamil or propafenone treatment if necessary.
Therefore, when the sinus rhythm with episodic premature ventricular contractions can be timely to the hospital examination to clarify the cause of the disease, if necessary, to give the appropriate treatment, the drug needs to be used under the guidance of a physician, so as not to delay the condition.