What should I do about premature ventricular contractions, chest tightness, and shortness of breath?
Aug 04, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
In general, ventricular premature beats, chest tightness, and shortness of breath may be caused by excessive anxiety, myocarditis, cardiomyopathy, coronary atherosclerotic heart disease, or valvular heart disease. Patients can receive symptomatic treatment based on the specific underlying cause. If symptoms such as ventricular premature beats, chest tightness, and shortness of breath occur, it is recommended to visit a正规 hospital to determine the cause and receive appropriate treatment promptly, so as to avoid delaying the condition.
Under normal circumstances, ventricular premature beats, chest tightness, and shortness of breath may be caused by excessive anxiety, myocarditis, cardiomyopathy, coronary atherosclerotic heart disease, or valvular heart disease. Patients can receive symptomatic treatment based on the specific underlying cause. The details are as follows:
1. Excessive anxiety: Anxiety can lead to dysregulation of the autonomic nervous system, causing overactivity of the sympathetic nervous system and insufficient activity of the parasympathetic nervous system. This imbalance in the autonomic nervous system may trigger abnormal heart rhythms, including ventricular premature beats. It is recommended to regulate emotions through deep breathing exercises.
2. Myocarditis: Myocarditis is an inflammation of the heart muscle tissue caused by viral infections, autoimmune reactions, or other infections. Myocarditis can lead to destruction and damage of myocardial cells, resulting in electrical instability of the heart, thereby causing symptoms such as ventricular premature beats, chest tightness, and shortness of breath. Patients can receive treatment under medical guidance with medications such as ribavirin injection or adenosine disodium triphosphate for injection, and should also ensure adequate rest.
3. Cardiomyopathy: Cardiomyopathy refers to a group of diseases characterized by structural or functional abnormalities of the heart muscle, which may be caused by genetic factors, infections, toxins, or other unknown reasons. Patients with cardiomyopathy may experience pathological changes such as myocardial cell hypertrophy, fibrosis, or apoptosis. These changes can lead to abnormal cardiac electrical activity and ventricular premature beats, along with symptoms such as chest tightness, weak breathing, and difficulty breathing. Under medical supervision, patients may use medications such as vitamin C tablets or coenzyme Q10 capsules, and should avoid large emotional fluctuations.
4. Coronary atherosclerotic heart disease: This condition results from insufficient blood supply in the coronary arteries, leading to myocardial ischemia and damage. Myocardial ischemia may cause dysfunction of myocardial cells, resulting in ventricular premature beats, as well as chest tightness and shortness of breath due to increased cardiac load. Under medical guidance, patients may take medications such as simvastatin dispersible tablets or atorvastatin calcium tablets, and should avoid excessive physical exertion.
5. Valvular heart disease: Valvular heart disease refers to structural or functional abnormalities of the heart valves, such as valve stenosis or regurgitation. Such conditions may increase cardiac load and elevate ventricular pressure, potentially triggering abnormal electrical activity in the heart—including ventricular premature beats—and associated symptoms like chest tightness and shortness of breath. Under medical supervision, patients may use medications such as furosemide tablets or warfarin sodium tablets, and should maintain a regular daily routine.
If symptoms such as ventricular premature beats, chest tightness, or shortness of breath occur, it is recommended to visit a正规 hospital promptly to determine the underlying cause and receive appropriate treatment to avoid delaying diagnosis and management.
