A study of the benefits and methods of evaluating comprehensive management of residents with premature ventricular contractions in a community hospital

Premature ventricular contractions are the most common ventricular arrhythmias in clinical practice and are most commonly observed in organic heart diseases, such as cardiac insufficiency. Community physicians often lack experience in treating patients with premature ventricular contractions, and there is no standardized method for assessing the risk level of premature ventricular contractions or relevant primary care guidelines to guide community physicians in their practice. We used the premature ventricular contraction score to guide family physicians in the comprehensive management and treatment of community-dwelling patients to find a method of assessing premature ventricular contractions that is suitable for community physicians to operate. Statistical analyses were performed on 350 residents with premature ventricular contractions. The differences in the number of ambulatory electrocardiographic ventricular premature beats at 1, 3, 6, and 12 months of follow-up within each of the control, L low-risk L, L intermediate-risk L, L high-risk L, M low-risk M, M intermediate-risk M, and M high-risk groups were statistically significant (P < .05), and the number of ambulatory electrocardiographic ventricular premature beats in each of the groups showed a decreasing trend over the follow-up period. Adverse events occurred 31 times during the follow-up period, and the number of cases of heart failure, ventricular tachycardia, and ventricular fibrillation in group M was significantly higher than that in group L (P = .001). The within-group grouping of group L was more sensitive to changes in the number of premature ventricles and discriminated changes in the number of premature ventricles better than group M. The Myerburg score was better than the Lown score for adverse events, and group M was able to better judge the prognosis of premature ventricular failure.