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Treatments and drugs
By Mayo Clinic staffMost people with premature ventricular contractions and an otherwise normal heart won't need treatment. Rarely, if you have frequent, bothersome symptoms, you may be offered treatment to help you feel better, but PVCs are typically not harmful.
In some cases, if you have underlying heart disease that could lead to more serious rhythm problems, you may need to make efforts to avoid triggers or perhaps take medications.
- Lifestyle changes. Eliminating common PVC triggers — such as caffeine or tobacco — can decrease the frequency and severity of your symptoms.
- Medications. Beta blockers — which are often used to treat high blood pressure and heart disease — can suppress premature contractions. Other medications, such as calcium channel blockers, or anti-arrhythmic drugs, such as amiodarone, also may be used if you have ventricular tachycardia or very frequent premature ventricular contractions that interfere with your heart's function, causing severe symptoms.
If you have very frequent PVCs associated with underlying heart disease and periods of ventricular tachycardia, your doctor might recommend treatment for the underlying condition.
References
- Podrid PJ. Clinical significance and treatment of ventricular premature beats. http://www.uptodate.com/home/index.html. Accessed March 4, 2011.
- Podrid PJ. Prevalence and evaluation of ventricular premature beats. http://www.uptodate.com/home/index.html. Accessed March 4, 2011.
- Arrhythmia. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/arr/arr_whatis.html. Accessed March 9, 2011.
- Ventricular premature beats. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec07/ch075/ch075j.html?qt=premature%20ventricular%20contraction&alt=sh. Accessed March 9, 2011.
- Piktel JS. Cardiac rhythm disturbances. In: Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw Hill Companies: 2011. http://www.accessmedicine.com/content.aspx?aID=6357092. Accessed March 9, 2011.
- Yealy DM, et al. Dysrhythmias. In: Marx JA, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. St. Louis, Mo.: Mosby; 2009. http://www.mdconsult.com/books/page.do?sid=1128969902&eid=4-u1.0-B978-0-323-05472-0..00077-3--s0190&isbn=978-0-323-05472-0&type=bookPage§ionEid=4-u1.0-B978-0-323-05472-0..00077-3--s0265&uniqId=236989434-3#4-u1.0-B978-0-323-05472-0..00077-3--s0265. Accessed March 9, 2011.
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