Should frequent atrial premature beats be operated on?

summary

Frequent atrial premature beats, seen in mitral valve disease, hyperthyroidism or coronary heart disease, especially multiple, may be a prelude to atrial fibrillation. There are many causes of premature beat, some healthy people's heart may also have premature beat, and in the sick heart is more likely to occur. Should frequent atrial premature beats be operated on? Let's talk about it

Should frequent atrial premature beats be operated on?

For ventricular premature beat accompanied by organic heart disease, the primary disease should be treated. For ventricular premature beat requiring emergency treatment, 50-100mg lidocaine can be injected intravenously until the premature beat disappears or the total amount reaches 250mg. After the arrhythmia is corrected, 1-3mg can be dripped every minute as needed. After stabilization, oral medication can be used to maintain the arrhythmia.

For patients with organic heart disease accompanied by frequent ventricular premature beats or short ventricular tachycardia, the purpose of treatment is to prevent the occurrence of sudden cardiac death. At this time, doctors focus on the prevention of sudden death rather than the treatment of ventricular premature beat or paroxysmal ventricular tachycardia itself, because this arrhythmia is not fatal.

Quinidine or antimony should be stopped immediately in the treatment of ventricular premature beat. Oral medicine can be used: ① slow rhythm. ② β Receptor blockers. ③ Digitalis; It is suitable for ventricular premature beat caused by heart failure rather than digitalis poisoning. ④ Procaine amide. ⑤ Amiodarone, diisopropylamine, propafenone, antaxine, CHANGROLIN, intravenously administered intravenously administered amiodarone, ethambuazine, and incalamide.

matters needing attention

Exercise properly and avoid strenuous exercise. Keep optimistic and positive attitude, don't be too anxious and nervous. If frequent atrial premature beats are found, it is better to see a doctor in time, improve the dynamic electrocardiogram, X-ray chest film, cardiac color Doppler ultrasound and other examinations, find out whether there is organic heart disease, evaluate the condition and guide the treatment.