What to do about frequent ventricular premature beats bigeminy

Heart disease is no longer unfamiliar in today's society, because the heart is one of the important organs in the human body. Therefore, it has attracted more attention in terms of treatment, but generally this disease cannot be cured well. Frequent premature ventricular beats and bigeminy is a common type of heart disease. However, even if it cannot be cured, many people still want to know what to do about frequent premature ventricular beats and bigeminy. We can't just leave it alone.

Steps/Methods:

1 Frequent ventricular premature beats with bigeminy are mostly caused by coronary heart disease, hypertension, cardiomyopathy, electrolyte disorders, etc. Patients can go to the hospital for an electrocardiogram. There are many factors that cause frequent ventricular premature beats with bigeminy. It is recommended to go to the hospital and buy some drugs to treat frequent ventricular premature beats under the guidance of a doctor. This is the formal final method.

2 Patients can choose antiarrhythmic drugs according to their condition, including propranolol, quinidine, procainamide, etc. Take the medicine under the doctor's instructions and have an electrocardiogram in the hospital, which will help diagnose the disease and the doctor can prescribe the right medicine for the patient. Please go to the hospital for regular check-ups.

3 Patients can take some medicines at home according to the needs of their condition, keep a happy mood, avoid doing strenuous exercise, take the medicines prescribed by the doctor on time, and go to the hospital regularly for electrocardiograms, blood routine tests, etc. Blood routine tests can allow patients to understand blood pressure and blood lipids. Blood pressure and blood lipids are both factors that can cause frequent ventricular premature beats with bigeminy.

Treatment

The main goal of treating frequent premature ventricular beats is to prevent ventricular tachycardia, ventricular fibrillation, and sudden cardiac death.

1. For patients without heart disease, premature ventricular contractions do not increase their mortality. No drug treatment is required for asymptomatic isolated premature ventricular contractions, regardless of their morphology and frequency.

2. For ventricular premature beats associated with organic heart disease, the primary disease should be treated. For ventricular premature beats that require emergency treatment, 50-100 mg of lidocaine can be injected intravenously until the premature beats disappear or the total amount reaches 250 mg. After the arrhythmia is corrected, 1-3 mg can be dripped per minute as needed, and oral medication can be used to maintain stability. Lidocaine begins to work within minutes after intravenous injection and lasts for 15 to 20 minutes. Therapeutic doses have little effect on myocardial contractility, blood pressure, and atrioventricular or intraventricular conduction. Side effects include dizziness and drowsiness. Large doses can cause convulsions, respiratory or cardiac depression and may aggravate existing atrioventricular or intraventricular conduction block. Use with caution in patients with liver or kidney dysfunction or severe heart failure.

3. Ventricular premature beats caused by digitalis poisoning. In addition to drug discontinuation, IV phenytoin sodium or IV potassium chloride is often effective. For premature beats caused by hypokalemia, the cause should be actively eliminated and the hypokalemia should be corrected.

4. If ventricular premature beats occur during quinidine syncope or antimony treatment, quinidine or antimony should be discontinued immediately. Oral medications available: ① Slow heart rate. ②β-receptor blockers. ③Digitalis: suitable for ventricular premature beats caused by heart failure rather than digitalis poisoning. ④Procainamide. ⑤Amiodarone, disopyramide, propafenone, anthemine, pheniramine, sirox, ethozone and encaine, etc.

5. β-receptor blockers, phenytoin sodium, quinidine, verapamil, etc. are effective for various premature beats. People with bronchial asthma should not use beta-blockers. Patients with bradycardia and premature beats can be treated with atropine.

6. The incidence of sudden cardiac death is higher in patients with myocardial infarction or cardiomyopathy who suffer from premature ventricular contractions, especially when there is a significant decrease in left ventricular ejection fraction, the risk of sudden cardiac death will be greatly increased. The use of certain antiarrhythmic drugs to treat premature ventricular contractions, sudden death and total cardiovascular mortality after myocardial infarction actually increases significantly. The reason is that these antiarrhythmic drugs themselves have proarrhythmic effects. Therefore, class I drugs should be avoided in the treatment of post-MI ventricular premature beats. Although beta-blockers are not effective in treating premature ventricular contractions, they can reduce the incidence of sudden death after myocardial infarction. Amiodarone is very effective in suppressing premature ventricular contractions, but attention should be paid to the possibility of torsades de pointes.

7. Preventing Sudden Cardiac Death

For patients with organic heart disease accompanied by frequent ventricular premature beats or short bursts of ventricular tachycardia, the goal of treatment is to prevent the occurrence of sudden cardiac death. At this time, the doctor's treatment focus is to prevent sudden death rather than treat ventricular premature beats or paroxysmal ventricular tachycardia itself, because this arrhythmia is not fatal.

As for what to do with frequent ventricular premature beats and bigeminy, many treatment methods are introduced above. I hope it can help everyone understand the disease of frequent ventricular premature beats and bigeminy. No matter what disease you are treating, you must have a positive attitude. Many patients cannot control their emotions during treatment, which is usually not helpful for the treatment of the disease.