Can patients with cardiac premature beats undergo gastroscopy?

Mar 09, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In general, cardiac premature beats refer to premature contractions. Patients with premature contractions are not absolutely prohibited from undergoing gastroscopy; the decision depends on the frequency of the premature contractions. If the premature contractions are occasional, gastroscopy is generally permissible; however, if they are frequent, gastroscopy is not recommended. It is important to maintain a regular作息 (作息 translates to作息 time or routine作息 here, but since it's in Chinese text and needs to be translated, I'll adjust accordingly), maintain a regular daily routine, ensure adequate sleep, and avoid excessive fatigue.

Generally speaking, cardiac premature beats refer to premature contractions. Patients with premature contractions are not absolutely prohibited from undergoing gastroscopy; the decision depends on the frequency of the premature contractions. If the premature contractions occur occasionally, gastroscopy is usually permissible; however, if they are frequent, gastroscopy is not recommended. Detailed analysis is as follows:

If the premature contractions are occasional, with fewer premature beats per minute (e.g., less than 5), and the patient does not experience obvious symptoms such as palpitations, chest tightness, or shortness of breath, and if the heart's structure and function are normal, the patient generally can tolerate gastroscopy. During the procedure, as long as electrocardiogram and other vital signs are closely monitored, serious cardiac complications due to gastroscopy typically will not occur.

When a patient experiences frequent premature contractions—for example, more than 5 premature beats per minute—or has special types such as bigeminy or trigeminy, especially when accompanied by significant symptoms like palpitations, dizziness, visual dimming, or even syncope—gastroscopy may further increase the cardiac burden, potentially causing more severe arrhythmias and even threatening life. In such cases, gastroscopy is not recommended.

Maintain a regular作息 schedule, ensure adequate sleep, and avoid excessive fatigue. Additionally, reduce consumption of caffeinated and alcoholic beverages such as coffee, tea, and alcohol, as these substances may stimulate the heart and trigger premature contractions.

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Are heart palpitations a sign of myocarditis?

Premature contractions are not the same as myocarditis. Premature contractions refer to irregular heartbeats that may represent normal physiological phenomena but could also be associated with organic heart disease. Myocarditis, on the other hand, is usually related to viral infections. These two conditions are distinct; however, severe myocarditis may trigger premature contractions, leading to irregular heartbeats.

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Can a cold cause premature heartbeats?

Whether a cold causes premature contractions mainly depends on the type and severity of the cold. Non-viral colds or mild colds usually do not cause premature contractions, whereas viral or severe colds may induce viral myocarditis, thereby leading to premature contractions and associated symptoms. Therefore, it is important to promptly identify the cause of the cold and provide targeted treatment accordingly.

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Can ventricular premature beats in trigeminy rhythm return to normal?

Whether premature contractions can be restored mainly depends on the underlying cause. If caused by physiological factors, they may return to a normal state after improving lifestyle habits and generally do not require special treatment. However, premature contractions caused by pathological factors such as cardiomyopathy or coronary heart disease, especially in severe cases, are usually difficult to reverse and require treatment of the underlying disease or catheter radiofrequency ablation.

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Which acupoint should be scraped for cardiac premature beats?

In general, cardiac premature beats refer to premature contractions. For premature contractions, acupoints such as Neiguan (PC6), Shenmen (HT7), Shanzhong (CV17), Xinshu (BL15), and Jueyinshu (PC8) can be stimulated. Normally, one should avoid intense emotional fluctuations and reduce stimulation from negative emotions such as tension, anxiety, and anger. Relaxation methods such as listening to music or meditation may help alleviate these emotions and prevent emotional factors from triggering premature contractions.