Frequent premature ventricular contractions, causes of frequent premature ventricular contractions

Hello, premature ventricular contractions are very common arrhythmias, which mostly occur in upper respiratory tract infections, depressed mood, dark weather, and bad mood.

Most of the ** of premature ventricular contractions are also whether to take drugs to control the seizure, mainly arrhythmia or amiodarone hydrochloride, severe premature ventricular contractions can be done radiofrequency ablation, mainly because the location of abnormal lesions is very important

Now it is mainly frequent premature ventricular contractions, which is considered to be a more serious disease, this situation can not rule out structural heart disease, common myocarditis, cardiomyopathy, palpitation, chest tightness, dyspnea, sweating, affecting normal life, need to go to the hospital for an electrocardiogram examination, cardiac ultrasound examination, myocardial enzyme spectrum examination, if there is viral myocarditis, it is more appropriate to be hospitalized to avoid harm to the body, if there are other diseases, then you need to treat the symptoms.

Now it is mainly frequent premature ventricular contractions, which have a certain impact on the body, which may be closely related to mental tension and overwork, which will cause palpitation, chest tightness, and dyspnea, so it has a certain impact on the body, and it is necessary to go to the hospital for a detailed examination, clarify the specific type of disease, generally commonly used to stabilize the heart of the granules**, the relative effect is better, usually need to pay attention to rest, avoid fatigue, is conducive to the health of the body, and can live normally in the future.

In the case of frequent premature ventricular contractions, it is a more serious heart disease, which has the possibility of causing ventricular tachycardia, and needs to be prompted**. **Premature ventricular contractions are mainly pharmacologically conservative** and minimally invasive surgery**, drugs can be selected amiodarone or slow heart rate and other drugs, if the drug is conservative** in the case of poor effect, minimally invasive radiofrequency ablation can be used**.

Try to keep your mood comfortable, try to avoid eating spicy, greasy, raw and cold food, if there is arrhythmia, you can use Wenxin granules, and if you have fatigue and myocardial ischemia, you can use isosorbide mononitrate to dilate the blood vessels of the heart, and if you have tachycardia, you can use metoprolol tartrate tablets. Blood pressure needs to be measured.

Frequent premature ventricular contractions are more likely to affect the patient's quality of life, as well as the health of the body. So let's take a look at the causes of frequent premature ventricular contractions.

Method steps.

The first reason is that many conditions such as exertion, smoking, alcoholism, and emotional agitation can aggravate the condition, and it is important for patients to pay attention to their lifestyle habits first.

The third reason is that premature beats are the most common arrhythmias caused by premature impulses from ectopic pacemakers. There are many reasons for this, and it is best to be able to go to the hospital to check what your cause is.

Precautions. There are many reasons for frequent premature ventricular contractions, and it is very important for everyone to pay attention to their living habits and avoid fatigue, smoking, and alcoholism.

Problem 1: Characteristics of frequent premature ventricular contractions ECG with frequent premature ventricular contractions has the following characteristics: (1) Broad QRS complex with a QRS interval greater than a second, and no premature P wave before it.

2) P waves can appear on the ST segment or buried in QRS and T waves, and the R-P time is often in seconds, and P waves are not related to the QRS waves in advance. (3) The ST segment and T wave direction are often opposite to the QRS wave direction. (4) There are usually complete compensatory pauses (i.e., the time between the two sinus beats before and after the premature beats is twice the normal cardiac cycle).

5) Sometimes premature ventricular beats are sandwiched between two consecutive sinus beats, called metastatic or insertional premature ventricular contractions. (6) Sometimes a dyad or a triplet is formed, or premature ventricular contractions form a short burst of ventricular tachycardia. (7) In the same lead, multi-source premature ventricular contractions can be seen, and the morphology of premature ventricular contractions is different (8) Premature ventricular contractions are more than six times in one minute.

For example, the following conditions appear on the Zen Zheng ECG, which mostly indicate that premature ventricular contractions are pathological: Multifocal premature ventricular contractions. Paired or continuous premature ventricular contractions.

The ventricle appears early on the T-wave of the previous beat (i.e., the Ront phenomenon of Ho Tsai Song), and the synrhythmic interval is less than a second. The above three conditions are often predisposed to induce ventricular tachycardia or ventricular fibrillation, which must be treated promptly. Extra-wide premature ventricular contractions, QRS interval seconds.

Extra-short premature ventricular contractions, i.e., the amplitude of the QRS complex of premature ventricular contractions in each lead. The premature ventricular QRS complex has significant notches and irregular ascending or descending ramuses. The T wave of premature ventricular contractions is sharp and symmetrical, and the direction of the T wave is consistent with the direction of the main wave of the QR S wave, and the ST segment changes horizontally.

Concurrent rhythmic premature ventricular contractions. Premature beat index less than 1.

Turned:Latest Consensus:

In August 2014, the European Heart Rhythm Association (EHRA), the American Heart Rhythm Society (HRS) and the Asia-Pacific Heart Rhythm Society (APHRS) jointly released the Expert Consensus on Ventricular Arrhythmias, which is of great value for the diagnosis and management of clinicians. Recommendations for functional premature ventricular contractions are as follows:

1.Because the vast majority of patients with frequent premature ventricular disease do not progress to cardiomyopathy, premature ventricular disease is not a risk factor** for cardiomyopathy.

Dr. Zhou's comment: The above is a gold bar that crushes premature beats, excessive checks, and excessive **.

2.Most patients with asymptomatic functional ventricular premature ventricular disease without structural heart disease have benign ventricular premature disease and do not need to**;

Dr. Zhou's comments: The functional room itself is not a disease, why should it be excessive**?

3.For symptomatic and high-load patients (24-hour Holter monitoring found that the number of functional premature beats is more than 10,000 times), receptor blockers and non-dihydropyridine calcium antagonists can be considered, and it is not recommended to give antiarrhythmic drugs such as amiodarone;

Like amiodarone, Rhythm Ping (Yuefulong) should not be used easily for long periods of time.

4.It is an indication for catheter ablation in patients with monomorphic premature ventricular disease with obvious symptoms, frequent attacks, and easy mapping.

Dr. Zhou's comments: For patients with monomorphic premature ventricular disease who have ineffective explanations, obvious symptoms, frequent seizures, and easy to map, radiofrequency ablation can be tried**, but patients must be truthfully informed that this is a traumatic means and has a certain rate.

Are frequent premature contractions atrial or ventricular or atrial? Atrial sex, as long as there are no symptoms, leave it alone, and re-examine at intervals. Ventricular may evolve into a severe heart rhythm disorder, and there is a possibility of sudden death by desire, so you must see a doctor and cannot take medication yourself, because anti-arrhythmic drugs can also cause arrhythmias.