Question
My child is experiencing symptoms of premature ventricular contractions (PVCs), with a total of 30,000+ PVCs in a 24-hour period, ranging from 69 to 171 PVCs per minute. This has been observed for about a month. What treatment options are available?
Answer
Given the child’s symptom description, if there has been a recent history of colds or vomiting, it is recommended to perform blood routine, cardiac enzyme tests, and liver function tests to determine the cause of the PVCs and to treat them accordingly for better results. It is necessary to clarify the type of PVCs. Generally, such a high volume of PVCs can be treated with oral metoprolol, and it is advisable to avoid strenuous exercise and undergo a 24-hour ambulatory electrocardiogram (Holter monitor).