How to treat multifocal and multiple ventricular premature beats
Disease description:
I recently went to the hospital for a color Doppler echocardiography, which showed multiple ventricular premature beats. I would like to ask, how should this be treated?
Doctor's answer (1)
Dr. Tian Hongbo
Multifocal premature ventricular contractions (commonly known as "multifocal PVCs") refer to additional ventricular beats initiated by abnormal electrical activities from multiple different locations in the heart outside the normal heartbeat cycle. This condition may arise from various causes, including cardiac muscle diseases, electrolyte disturbances, drug side effects, or myocardial ischemia. Treatment generally includes:
1. General treatment: Initially, lifestyle modifications are recommended, such as avoiding excessive fatigue and staying up late, reducing stress and anxiety, and refraining from consuming stimulants like strong tea and coffee. These changes can help reduce the occurrence of premature ventricular contractions.
2. Medication: Beta-blockers, calcium channel blockers, or antiarrhythmic drugs (e.g., amiodarone) may be used to control symptoms and decrease the frequency of PVCs.
3. Surgical treatment: When the condition is severe and medication proves ineffective, surgical intervention may be considered. Radiofrequency ablation is a commonly used procedure that can effectively improve impaired blood circulation in the heart.
4. Monitoring and follow-up: Regular electrocardiogram (ECG) examinations and cardiac function assessments should be conducted to allow timely adjustment of treatment plans.
