Speaker: Chen Long, Associate Chief Physician, Department of Cardiology, CUHH Hospital affiliated to Southeast University December 20th Sudden heart jump, feeling out of breath, touch the pulse, only forty or fifty beats per minute heartbeat, to the hospital for a check, the doctor told you: premature beats .Premature beats are not uncommon among young people .In general circumstances , Although the risk of premature beats is not very high, but it may induce tachycardia, ventricular fibrillation, more serious will lead to sudden death, therefore, premature beats need to arouse people's attention. Premature beats physiology and pathology Premature beats heartbeat referred to as premature beats, is an early ectopic heartbeat, according to the origin of the site can be divided into sinus, atrial, atrioventricular junctional sex and ventricular four, of which the most common ventricular, followed by atrial Premature sinus beats are rare. Premature beats have physiological and pathological two kinds of situations.Generally, premature beats are called premature premature beats, asymptomatic, heart palpitations may also have a sense of suspension; the frequent premature beats are called premature beats, the symptoms are mostly palpitations, chest tightness, fatigue , Dizziness and other discomfort.Generally speaking, premature beats, mostly physiological.Physiological premature beats are harmless, will not bring the risk.This premature beat most of the pathological incentives can not be found, often because of Mental stress, overwork, smoking, alcoholism, drinking tea, drinking coffee caused by the overwhelming majority appear in the quiet or before going to sleep, premature beats disappear after exercise, generally do not affect their health .After a period of time, most of this premature beats Healed, so no need to go to the hospital for treatment. Rest or slow heartbeat occurs when the premature beats are mostly physiological; exercise or heartbeat occurs when the premature beats are mostly pathological .Frequent premature beats are mostly pathological premature beats, common in myocarditis, coronary heart disease, Rheumatic heart disease, hyperthyroid heart disease, mitral valve prolapse and digitalis poisoning occurred in the elderly or children .This type of patients, or have been diagnosed with heart disease, exercise increased after the number of premature beats, ECG in addition to Found premature beats, often accompanied by abnormal changes in other ECG. For pathological premature beats, should attach great importance to early ECG, under the guidance of a doctor medication, in case of serious and frequent seizures, the best hospital observation treatment .Pathological premature beats after treatment, most of the prognosis is good, only A small number of patients complicated by severe heart disease or ion disorder induced ventricular tachycardia, ventricular fibrillation, severe can lead to sudden cardiac death, especially acute myocardial infarction of coronary heart disease. Of course, this is only a few cases, change.
Premature treatment should be treated differently Many of my friends believe that premature beats heart is a problem. In fact, normal people will happen premature beats .95% of people have experienced premature beats, if normal people do 24-hour ECG, may record premature beats will reach 70 % ~ 80% .There is no need to interfere with the symptoms of premature beats in the vast majority of people.However, if the frequency is too high, it is necessary to intervene in the treatment.Therefore, some patients appear excessive tension in premature beats, in fact, caused by the misunderstanding of premature beats. Premature patients to be treated differently, focusing on adjusting rest and mood control is the key. Whether physiological or pathological premature beats, mental stress will lead to further aggravate the important thing is to remove the cause of premature beats as soon as possible, can be gradually eliminated, if necessary, can take the sedative drugs to overcome the tension and improve sleep. To find the causes of premature beats, allowing specialists to decide whether the need for premature intervention.Frequent premature beats, especially in the heart disease based on premature beats, should be drug treatment as soon as possible.Can not find the cause of frequent premature beats may be very early It has occurred, many patients have been accustomed to.Premature premature beats, little effect on blood circulation, so patients with premature beats should be to eliminate the ideological concerns, to maintain optimism. At present, the treatment of premature beats many drugs, such as Betaloc, etc., can be taken under the guidance of the physician.Frequent premature beats, heart disease may evolve into a serious heart rhythm disorder, or can lead to angina pectoris and heart failure. Of the drug a lot, but most of these drugs more drastic, do not recommend frequent dressing.Pharmaceutical ineffective premature beats, or have a certain degree of malignancy, acceptable radiofrequency ablation surgery, this intervention can cure premature beats, and surgical safety Trauma is small. Prevention of premature beats Premature beats can occur in all kinds of people, cardiac neurosis and organic heart disease patients are more prone to emotional irritability, nervousness, fatigue, indigestion, excessive smoking, drinking or drinking tea and other behaviors can cause seizures, but also No obvious incentive to prevent the occurrence of premature beats, to maintain regular habits is very important. First of all, to maintain a regular routine, but not stay up late .Hypnosis, should be properly under the guidance of a doctor taking sedatives or sleeping pills, to ensure adequate access to the cerebral cortex rest .Second, adequate physical activity .Do not watch TV for a long time or sitting Computer, walking, tai chi, fitness training, will bring long-term benefits.Third, the diet should be light, try not to eat spicy food, such as sour, spicy condiments, drink less tea or coffee, these foods Can make the excitement of the myocardium increased, induced premature beats.To stop smoking less alcohol, smoking and drinking is the main cause of coronary heart disease.In addition, mental stress, excessive psychological stress is the main cause of premature beats, emotional ups and downs may cause functional premature beats Should always keep the mood cheerful, to avoid over-excitement or sadness.Patients with premature beats should be prescribed by the doctor, and regularly go to the hospital for medical examination.If palpitation, heart leakage and other conditions should be timely treatment. Early examination, early diagnosis, early treatment, premature beats are not So terrible.
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