The reason for the morning blog? What is Zaobo?

Premature beats, which are premature impulses from ectopic pacemakers, are the most common arrhythmias that can occur in the atrium, ventricles, or the atrioventricular junction. The main causes of premature contractions are as follows: 1. Physiological premature contractions, including emotional agitation, nervous tension, indigestion, etc., can cause premature contractions.

2. Taking sympathetic drugs can cause premature beats after heart surgery. 3. Coronary heart disease, myocarditis, hyperthyroidism, heart disease, etc. can also cause premature beats. When premature beats are found, you should first go to the cardiovascular department of the hospital for electrocardiogram and ambulatory electrocardiogram examination to determine the type of premature contractions.

Because premature contractions are divided into ventricular and supraventricular premature contractions, they can only be diagnosed by tests such as electrocardiograms. Then, according to the frequency of attacks and the origin of premature beats, the next step is formulated. If premature beats occur occasionally, or if the patient has no obvious symptoms, dynamic observation or conservative observation may be used.

If the frequency of premature beats is high, or when it is multi-sourced, it should be done again cardiac ultrasound or coronary CT and other examinations, and after the evaluation of cardiovascular and cardiac function, the corresponding ** should be taken, propafenone, beta receptor blockers and other drugs can be selected, and premature ventricular contractions are often used, and beta receptor blockers, mexitine, morexizine, etc.

Premature heart beats. It is also known as premature contraction, which mainly includes atrial and ventricular and borderline properties, and there are also differences in different types. The most common type of premature cardiac contraction is premature ventricular contraction, which is thought to be associated with excessive alcohol consumption and coronary heart disease

Congenital heart disease, emotional anxiety, taking certain drugs and other triggers, these factors can cause electrophysiological changes in ventricular cells, ectopic pacemaker out of the control of the sinus node, and premature activation of the heart below the Hehrsley tract, thereby causing premature ventricular contractions; Patients generally have symptoms such as palpitations and fatigue. The ** of atrial premature contraction has not been clarified, most of them belong to functional changes, about 60% of normal people will occur, and any part of the atrium outside the sinus node is prematurely excited, that is, atrial premature contraction; People often feel like their heart is skipping. Borderline premature contractions are currently thought to be related to organic cardiac changes such as coronary heart disease, cardiomyopathy, congenital heart disease, and the use of drugs such as digitalis and quinidine, which can cause premature excitation at the atrioventricular junction, thereby causing premature cardiac contraction; Patients may have symptoms such as dizziness and chest tightness.

Pay attention to your diet, limit sodium and salt intake, eat more foods rich in dietary fiber, and develop regular work and rest habits.

A normal heart rhythm is triggered by electrical signals generated by the headquarters of the heart (sinus node), which are sequentially transmitted to all parts of the heart along the electrical wires (a conduction system made up of special heart muscle fibers), causing the heart to beat regularly. Premature contractions, on the other hand, are caused by additional electrical signals from abnormal pacemakers in the heart, which can be caused by any cardiomyocyte outside the sinus node.

Premature systole is a type of early ectopic heart contract, also called premature contraction or extra-period contraction. Premature beats, referred to as premature beats, are caused by early agitation from ectopic pacemakers (atrium, ventricle, and atrioventricular nodes) other than the sinus node, also known as premature (extraperiodic) contractions, which can occur in normal people, such as excessive smoking, drinking, drinking strong tea, and emotional agitation. and fever can be induced.

It is common in patients with a variety of heart diseases such as coronary heart disease, acute myocarditis, cardiomyopathy and hyperthyroid heart disease, and can be caused by digitalis drugs, antimony, quinidine, chloroform and other toxic effects, hypokalemia, cardiac surgery or cardiac catheterization.

Premature bob is the early heartbeat of the heartbeat, also known as precontraction and extracontraction, which is a kind of early ectopic heart beat. Premature blogging is the most common ectopic heart rhythm. Premature onset is one of the most common clinical symptoms of myocarditis, and the common clinical symptoms can be divided into premature atrial and ventricular premature onset.

Premature contractions are a serious arrhythmia, common in viral myocarditis, coronary heart disease, cardiomyopathy, wind heart disease and other organic heart diseases and healthy people, the clinical manifestations of palpitations, discomfort, chest tightness, etc., in the motherland medicine"Heart palpitations"Category. If frequent premature disease occurs in structural heart disease, the use of anti-arrhythmic drugs is the main choice, and the efficacy is certain, but it is clinically found that Western medicine has the disadvantages of large, long time and easy to take drugs. The specific pathological changes caused by viral myocarditis are caused by cell damage to the excitatory conduction system, and in the acute stage of myocarditis, the pathological changes are mainly inflammatory edema, which is relatively easy at this stage.

1. Premature rhythm is the most common arrhythmia, which can occur sporadically or frequently, and can occur irregularly or regularly after every or every few normal beats, forming a dyad or premature beat.

2. According to the origin site, it can be divided into four types: sinus, atrial, atrioventricular junction and ventricular nature. Among them, ventricular premature contractions are the most common lesions, and it is best to go to a detailed examination of pure Tongtong, you can do an electrocardiogram, and if there is no positive finding, you can check 24-hour ECG monitoring.

So so**.

Take breaks and avoid overexertion;

Quit smoking, avoid heavy alcohol and coffee;

Maintain a good mood and emotional stability.

Drugs**. Medications for premature contractions** should be administered after adequate evaluation by a cardiologist and patients should not self-medicate.

Patients without structural heart disease**.

For patients without structural heart disease, some drugs are required if premature contractions are frequent and accompanied by significant symptoms**. Commonly used drugs are receptor blockers, non-dihydropyridine calcium antagonists and antiarrhythmic drugs, but the effect is not certain, and long-term application should also be noted, because antiarrhythmic drugs themselves can also cause arrhythmias.

Patients with structural heart disease**.

For patients with structural heart disease, such as coronary heart disease, myocarditis, etc., the use of drugs should be based on the primary disease.

Surgery**. Catheter ablation.

In addition to medications, catheter ablation is also an option for premature contractions. The principle is to send the catheter through the femoral vein and/or jugular vein into the heart, and after the abnormal site is found by mapping technology, the energy released through the tip of the catheter is used to eliminate the abnormal site.

At present, most experts believe that catheter ablation is mainly suitable for the following situations:

Patients with frequent ventricular premature contractions with obvious symptoms, with more than 10,000 premature contractions per day;

Have received anti-arrhythmic drugs** but the effect is not obvious or ineffective, or the drugs are effective but *** make the patient unable to tolerate them;

Frequent premature beats have resulted in significant impairment of cardiac function.

Catheter ablation is a minimally invasive procedure performed under local anesthesia, and the person is awake during the operation, which has the advantages of less pain and faster recovery. Generally, you can get out of bed and move within 12 to 24 hours after surgery.

Chinese medicine**. Premature beats belong to the category of palpitations, palpitations and apprehension in traditional Chinese medicine, and the pathogenesis is based on the deficiency and the standard, and it should be treated with syndrome differentiation. The main methods are:

Nourishing Qi and Nourishing Yin, Nourishing the Heart and Nourishing the Spirit: It is mainly used for the deficiency of qi and yin, and the representative prescriptions include boiled licorice decoction, and Chinese patent medicines include ginseng mai bingning heart tablets.

Nourishing Qi and Nourishing Yin, Invigorating Blood and Removing Blood Stasis: It is mainly used for qi and yin deficiency and stasis syndrome, and commonly used drugs include Wenxin Granules, Ginseng Song Yangxin Capsule, etc.

Premature beats do not need to be treated, they are usually caused by emotional overstimulation, it will last for a while, don't worry, as long as you keep a calm mind, it will gradually recover.

,, If it is an occasional morning blog, it is better to do it later, generally do not need **, just relieve mental pressure, avoid alcohol, caffeine and other intake, but if frequent seizures of early blog, accompanied by obvious symptoms: or underlying diseases, then it is necessary to undergo **, you can use Wenxin granules, betalux, heart rhythm equality drugs**, if the condition is serious, radiofrequency ablation surgery can be done.

Take the medicine first, then rest and don't motivate exercise.

Is the heart premature? It is recommended to go to the cardiology department of a tertiary hospital to confirm the diagnosis first.