Are bigeminy and trigeminy premature heartbeats serious?

Apr 07, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Bigeminy and trigeminy premature beats are usually more serious and carry certain risks. For organic heart disease, medications such as lidocaine tablets or propafenone tablets should be taken orally under a doctor's guidance. In addition, when bigeminy and trigeminy are severe and oral medications are not effective enough, radiofrequency ablation may be considered under medical supervision.

Ventricular bigeminy and trigeminy are usually relatively serious and carry certain risks. The specific analysis is as follows:

Bigeminy and trigeminy are common types of arrhythmia. These premature beats may arise from physiological causes or result from pathological conditions. Physiological causes are typically related to high life stress, excessive fatigue, and mental tension, while pathological causes are commonly associated with heart diseases such as rheumatic heart disease, myocarditis, and others.

Treatment for ventricular bigeminy and trigeminy should be guided by a physician based on the underlying cause. During treatment, it's important to get adequate rest, avoid alcohol consumption, and maintain emotional stability, all of which help promote recovery. Non-organic (functional) premature beats generally do not require medication. However, for organic heart lesions, medications such as lidocaine tablets or propafenone tablets may be prescribed under medical supervision. If bigeminy or trigeminy is severe and oral medications prove ineffective, radiofrequency ablation may be considered under a doctor’s guidance.


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