What should I do if I have frequent sinus tachycardia with atrial premature beats in a second rhythm?

Patient's question:

The onset of symptoms was about a week ago. At that time, I felt like I wasn't getting enough air and couldn't sleep well. I had an electrocardiogram done at the hospital, which showed sinus rhythm and frequent atrial premature beats in a couplet. The hospital prescribed some medication, and I've been taking it for about four or five days. Today, it suddenly became severe—I couldn't sleep, and even when lying in bed, I couldn't move my head. I felt extremely dizzy. In the morning, I ate a piece of bread, and at noon, I drank half a bowl of chicken soup. Around 1 o'clock, I experienced dry vomiting again. I don't know if the vomiting is a sign that the condition is improving.

Doctor's answer:

You have sinus rhythm with frequent atrial premature beats in a bidirectional pattern. Ant treatment is sufficient. You can take oral propafenone. Currently, your condition is severe, and you cannot go to bed to sleep. Lying in bed, you cannot even move your head, feeling extremely dizzy. You are diagnosed with Ménière's syndrome. It is recommended to use betahistine hydrochloride and sodium chloride, as well as ganoderma lucidum injection for intravenous treatment.
The above is the advice for the question "What should I do about sinus rhythm with frequent atrial premature beats in a bidirectional pattern?" It is hoped that it will be helpful to you. Wishing you good health!

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