What to do when ventricular premature beats and atrial premature beats coexist

Aug 13, 2024 Source: Cainiu Health
Disease description:

My friend's child has not yet undergone a thorough medical examination at the hospital since birth. Yesterday, an exam revealed the simultaneous presence of ventricular premature contractions and atrial premature contractions. What should be done?

Doctor's answer (1)
Dr. Tian Hongbo

For patients presenting with both ventricular premature beats (ventricular premature contractions) and atrial premature beats (atrial premature contractions), the following measures can be taken:

1. Evaluate the patient's condition: To comprehensively understand the patient's cardiac health status, a thorough assessment of cardiac function, cardiac structural characteristics, and the presence of organic heart disease should be conducted.

2. Lifestyle interventions: Encourage patients to improve their lifestyle habits, such as quitting smoking, limiting alcohol consumption, and engaging in regular exercise, to optimize cardiac health.

3. For patients with symptoms or confirmed underlying heart disease, treatment options may include selective use of beta-blockers, calcium channel blockers, or antiarrhythmic drugs, depending on the individual patient's clinical presentation.

4. Surgical treatment: When pharmacological therapy fails to achieve the desired therapeutic effect, radiofrequency ablation can be considered as a treatment option. This procedure precisely ablates abnormal cardiac tissue through localized heating, thereby restoring normal electrical conduction pathways in the heart.

Regular follow-up is necessary to monitor disease progression and promptly adjust treatment plans.