What should I do if I experience frequent premature heartbeats?

May 08, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In general, cardiac premature beats refer to premature contractions. Frequent premature contractions may be caused by factors such as emotional fluctuations, excessive fatigue, hyperthyroidism, coronary artery atherosclerotic heart disease, and pulmonary arterial hypertension. Treatment options include general management and medication, under a doctor's guidance. If symptoms occur, prompt medical attention is recommended.

Generally speaking, cardiac premature beats refer to premature contractions. Frequent premature contractions may be caused by emotional fluctuations, excessive fatigue, hyperthyroidism, coronary artery atherosclerotic heart disease, pulmonary hypertension, and other factors. Treatment options include general therapy and medication under a doctor's guidance. If discomfort occurs, timely medical consultation is recommended. Detailed explanations are as follows:

1. Emotional Fluctuations

Emotional tension or anxiety may cause sympathetic nerve excitation, leading to abnormal electrical activity in myocardial cells and resulting in frequent premature contractions. It is important to maintain a positive mental state in daily life, relieve stress through methods such as meditation and deep breathing, and avoid excessive mental stimulation.

2. Excessive Fatigue

Extended working hours or insufficient sleep can reduce the body's immunity, leading to autonomic nervous system dysfunction and subsequently causing arrhythmias and frequent premature contractions. It is essential to ensure adequate sleep, maintain a reasonable schedule, and avoid overexertion in daily life.

3. Hyperthyroidism

Hyperthyroidism is primarily a metabolic disorder caused by excessive secretion of thyroid hormones. Excess thyroid hormone can stimulate the heart, increasing heart rate and the frequency of premature contractions. Associated symptoms may include weight loss, excessive sweating, and anxiety. Patients may take medications such as methimazole tablets, propylthiouracil tablets, and levothyroxine sodium tablets as directed by a physician.

4. Coronary Artery Atherosclerotic Heart Disease

Coronary artery atherosclerotic heart disease may be caused by genetic factors, unhealthy lifestyle habits, hypertension, diabetes, and other conditions. Insufficient blood supply through the coronary arteries can lead to myocardial hypoxia, which may trigger premature contractions. In addition to premature contractions, symptoms such as chest pain, palpitations, and shortness of breath may also occur. Patients can take medications such as aspirin enteric-coated tablets, rosuvastatin calcium tablets, and nitroglycerin tablets under medical guidance to alleviate symptoms.

5. Pulmonary Hypertension

Pulmonary hypertension may be caused by environmental factors, medications, heart diseases, and other factors. Increased pulmonary vascular resistance加重 the burden on the right ventricle, potentially leading to arrhythmias and frequent premature contractions. Associated symptoms include chest tightness, shortness of breath, and cyanosis of the lips. Patients may take medications such as bosentan tablets, ambrisentan tablets, and tadalafil tablets under medical guidance.

In daily life, it is important to maintain a balanced diet, ensure electrolyte balance, consume adequate potassium- and magnesium-rich foods, and avoid excessive caffeine intake.

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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.