Premature ventricular contractions (PVCs) of 19,000—should I take medication or undergo surgery?

Generally, whether medication or surgery is recommended for 19,000 ventricular premature beats mainly depends on the patient's specific condition. If the patient's symptoms are mild, medication is usually sufficient. However, if the symptoms are severe, surgical treatment may be advised. If any discomfort arises, prompt medical attention is necessary. Detailed analysis is as follows:

A count of 19,000 ventricular premature beats is relatively high and classified as frequent ventricular premature beats, which can pose significant health risks and require prompt management. If the patient has no obvious symptoms or only occasional palpitations that do not affect daily life and work, and if the cardiac structure and function are normal, medication can be initially considered. Under a doctor's guidance, antiarrhythmic drugs may effectively reduce the number of premature beats and alleviate symptoms.

However, if the patient experiences severe palpitations, chest tightness, dizziness, syncope, or even near-syncope due to ventricular premature beats, significantly affecting quality of life, or if complications such as reduced cardiac function or cardiomyopathy have already developed, surgery may be a more appropriate option. Surgery can directly target and ablate the focus causing the premature beats, potentially curing the condition and improving symptoms and prognosis.

During treatment, patients should maintain healthy lifestyle habits, avoid excessive fatigue, and reduce caffeine and alcohol intake, which can help alleviate symptoms and enhance treatment effectiveness.