How is premature heartbeat treated?

Aug 13, 2024 Source: Cainiu Health
Disease description:

I have a family history of heart disease and have been undergoing active treatment. During my most recent follow-up visit, I was found to have symptoms of premature beats. How are cardiac premature beats treated?

Doctor's answer (1)
Dr. Tian Hongbo

Premature heartbeats refer to one or multiple heartbeats that occur earlier than the normal rhythmic heartbeat. The treatment of premature heartbeats should be based on their type, frequency, and the patient's symptoms. Specific approaches include:

1. Medication: Select appropriate medications according to the type and frequency of premature beats. Commonly used drugs include beta-blockers, non-dihydropyridine calcium channel blockers, traditional Chinese medicine formulations, and other antiarrhythmic agents. These medications should be used under a doctor's guidance to ensure safety and effectiveness.

2. Premature beats associated with heart disease: Treat the underlying heart condition, such as coronary artery disease or cardiomyopathy, while administering antiarrhythmic therapy. When necessary, interventional treatments such as electrophysiological studies and radiofrequency ablation may be considered.

3. Premature beats caused by psychological factors: Premature beats triggered by psychological factors such as anxiety and stress require psychological intervention and appropriate counseling, sometimes combined with mild sedatives.