How to treat senile ventricular premature beat?

summary

Premature beat is very common in healthy people. With the increase of age, the frequency of premature beat also increases. 80% of healthy people aged 60-65 can have premature beat, and some of them have complex ventricular premature beat and short array ventricular tachycardia. Research shows that: whether premature beat is harmful to the health of the elderly, the key lies in whether the patient has cardiovascular disease. How to treat senile ventricular premature beat? Next, I'd like to share my views with you.

How to treat senile ventricular premature beat?

For the normal elderly, even if there are a little more ventricular premature beats, or occasionally complicated ventricular premature beats and short ventricular tachycardia, it will not increase the risk of cardiovascular accidental death. If there are no obvious symptoms, no medication is needed. If there are conscious symptoms, even palpitations, panic and discomfort in every premature beat, small doses of sedatives such as diazepam and oryzanol can be used.

Sometimes, even if antiarrhythmic drugs are used, premature beats may not disappear completely. If frequent premature beats and complex arrhythmias are found in patients with coronary heart disease, cor pulmonale, cardiomyopathy and other cardiovascular diseases, attention should be paid to them. Dynamic electrocardiogram, exercise test, late potential and other examinations should be done step by step, and electrophysiological examination should be done when necessary. The primary disease should be treated in time, and antiarrhythmic drugs should be taken to prevent accidents.

It can prevent and treat hypokalemia, correct heart failure, avoid excessive physical activity, reduce myocardial oxygen consumption and relieve myocardial ischemia. In addition, antiarrhythmic drugs should be selected reasonably. Lidocaine 50-100mg should be injected intravenously, and then maintained by intravenous drip. If not, amiodarone 150mg can be given intravenously. Hypokalemia should be supplemented with magnesium as well as potassium. Elderly patients with myocarditis generally do not use antiarrhythmic drugs.

matters needing attention

The elderly had better pay attention to life care, reduce the occurrence of premature beats, at the same time can do some exercise to enhance the heart beat, had better not choose surgical treatment. Try not to go to crowded public places, so as not to catch a cold and induce premature beats.