VPBs are not significant in patients without a heart disorder, and no treatment is required beyond avoiding obvious triggers. Beta-blockers or ablation are offered only if symptoms are intolerable or if the VPBs are very frequent and, by inducing interventricular dyssynchrony, induce heart failure.
Is couple therapy the best treatment for IPV?
There are many standard treatments for IPV, but few involve couple therapy. While this meta-analysis speaks to the efficacy of couple therapy as a treatment for mild-moderate cases of IPV, it does not investigate the efficacy of other specific forms of intervention, nor does it imply that couple therapy is the best treatment.
How can we treat couple violence?
It’s possible that the key to effectively treating couple violence lies in accurately classifying the violence in order to facilitate the prescription of specifically tailored therapies.
What are the treatment options for ventricular ejection fraction (VPBS)?
VPBs are not significant in patients without a heart disorder, and no treatment is required beyond avoiding obvious triggers. Beta-blockers or ablation are offered only if symptoms are intolerable or if the VPBs are very frequent and, by inducing interventricular dyssynchrony, induce heart failure.
Is couples therapy effective as a treatment for violence?
After a comprehensive literature search of 1733 citations, this systematic review and meta-analysis compiles the results of six studies to investigate the effectiveness of couple therapy as a treatment for violence. Preliminary data suggest that couples therapy is a viable treatment in select situations.
Is VPB normal?
Ventricular premature beats (VPB) are single ventricular impulses caused by reentry within the ventricle or abnormal automaticity of ventricular cells. They are extremely common in both healthy patients and patients with a heart disorder. VPB may be asymptomatic or cause palpitations.
What is the most common treatment for PVCs?
Medications. Blood pressure medications may be prescribed to reduce the premature contractions. Those used for PVCs may include beta blockers and calcium channel blockers.
What is VPB heart rhythm?
Ventricular premature beats (VPBs) are the most common cardiac arrhythmia. Simple VPBs have one form. Complex VPBs are repetitive, bigeminal, frequent, have different forms, or occur in the T wave of the previous beat.
How do you stop Extrasystoles?
Extrasystoles can be treated with medication, e.g. by taking mineral supplements or stabilizing the heart rhythm with beta-blockers. If the prescribed medication does not help or this form of treatment is not available due to possible side effects, catheter ablation is another treatment option.
Can you live a long life with PVCs?
In general even those with fairly frequent PVC's who have had underlying heart disease ruled out can be reassured and likely have a good prognosis.
What causes PVCs to start?
Heart disease or scarring that interferes with the heart's normal electrical impulses can cause PVCs. Certain medications, alcohol, stress, exercise, caffeine or low blood oxygen, which is caused by chronic obstructive pulmonary disease (COPD) or pneumonia, can also trigger them.
Is VPB couple serious?
VPBs are typically considered harmless when they occur in healthy people without a history of cardiovascular disease, but primary care providers should be aware of when this arrhythmia may become life-threatening.
Are Premature heartbeats serious?
Rarely, when accompanied by heart disease, frequent premature contractions can lead to chaotic, dangerous heart rhythms and possibly sudden cardiac death.
What is VPB Trigeminy?
Trigeminy is a three-beat tightening or contraction that starts in the ventricles. The extra contractions happen sooner than your next usual heartbeat and disrupt the regular pumping order.
Do Extrasystoles go away?
Ventricular extrasystoles are also common. In a structurally normal heart, they are almost always benign. Both are usually abolished by exercise.
Can Extrasystoles disappear?
In the case of benign extrasystole, the symptoms tend to worsen at rest, sometimes especially after meals or at night, and may disappear with physical exercise; in the case that they increase with physical activity, they are often indicative of a more important pathology and require pharmacological therapies or ...
How many Extrasystoles are normal?
This distribution showed that 95% of men aged 15-39 years had less than 2.9 ventricular extrasystoles per hour and the same proportion of men aged 40 years or older had less than 36 ventricular extrasystoles per hour.
What is a VPB?
Ventricular premature beats (VPB) are single ventri cular impulses caused by reentry within the ventricle or abnormal automaticity of ventricular cells. They are extremely common in both healthy patients and patients with a heart disorder. VPB may be asymptomatic or cause palpitations. Diagnosis is by electrocardiography. Treatment is usually not required.
Is VPB asymptomatic or asymptomatic?
VPB may be asymptomatic or cause palpitations. Diagnosis is by electrocardiography. Treatment is usually not required. (See also Overview of Arrhythmias .) Ventricular premature beats (VPBs), also called premature ventricular contractions (PVC), may occur erratically or at predictable intervals (eg, every 3rd [trigeminy] or 2nd [bigeminy] beat).
Can VPBs be used without heart disease?
VPBs are not significant in patients without a heart disorder, and no treatment is required beyond avoiding obvious triggers. Beta-blockers or ablation are offered only if symptoms are intolerable or if the VPBs are very frequent and, by inducing interventricular dyssynchrony, induce heart failure. Other antiarrhythmics that suppress VPBs increase risk of more serious arrhythmias.
What is a VPB?
Ventricular premature beats (VPBs) are the most common cardiac arrhythmia. Simple VPBs have one form. Complex VPBs are repetitive, bigeminal, frequent, have different forms, or occur in the T wave of the previous beat. VPBs are seen frequently in patients with normal hearts, coronary artery disease, and mitral valve prolapse.
Can you have a simple VPB after cardiac arrest?
Survivors of cardiac arrest usually have simple and complex VPBs. The likelihood that further arrests will occur can be decreased by administration of antiarrhythmic drugs in sufficiently high doses to produce therapeutic blood levels or prevent induction of ventricular arrhythmias during electrophysiologic studies.
Can angina pectoris be treated with VPB?
Most patients with stable angina pectoris and/or healed myocardial infarctions have VPBs on ambulatory and exercise electrocardiographic testing. These patients die sooner when VPBs are found than when none occur; complex VPBs suggest an even worse prognosis. Treatment of VPBs may relieve such symptoms as palpitations, ...
Can a VPB be used to supplement an EKG?
In patients with normal hearts, VPBs are discovered with higher incidence when ambulatory or exercise electrocardiography is used to supplement the standard ECG. Patients with normal hearts and VPBs have a benign prognosis, and drug treatment is seldom needed. Most patients with stable angina pectoris and/or healed myocardial infarctions have VPBs ...
Can VPBs be detected with exercise?
VPBs can be detected with exercise and ambulatory electrocardiography in most patients who have survived an acute episode of myocardial infarction. The prognosis is adversely affected by the presence of simple VPBs and even more ominous when complex VPBs are found.
Electrocardiogram (ECG)
This imaging test records the electrical actions of the heart, including the speed of the heartbeats.
Echocardiogram
This imaging technique uses sound waves to project a moving picture of your heart onto a screen, providing the doctor with very detailed images of the heart’s chambers and valves.
Coronary angiography
In this test, a catheter is placed in an artery, usually in the groin or the arm, and then carefully moved until it’s in the heart. A contrast agent is then pumped into the catheter and monitored through X-ray images, allowing doctors to observe how blood is flowing through your heart.
Holter monitor
This is a device that your doctor will give you to take home and wear. It records your heart’s activity over a 24-hour period.
Event recorder
Similar to a Holter monitor, this is a device that you wear. It records heart activity when you experience a skipped heartbeat.
Lifestyle changes
If you’re healthy and don’t have any underlying heart problems, you may not need treatment. Your doctor may simply recommend that you avoid stimulants, such as caffeine, tobacco, and alcohol. Your doctor may also recommend that you find ways to control your stress and anxiety levels.
Medications
If your ventricular premature complexes are caused by an underlying health condition, your doctor may recommend certain medications to treat it.
Diagnosis of Ventricular Premature Beats
Diagnosis of ventricular premature beats is by electrocardiography (ECG) showing a wide QRS complex without a preceding P wave, typically followed by a fully compensatory pause.
Prognosis for Ventricular Premature Beats
VPBs are not significant in patients without a heart disorder, and no treatment is required beyond avoiding obvious triggers.
Abstract
Intimate partner violence is a serious public health problem accompanied by substantial morbidity and mortality. Despite its documented impact on health, there is no widely recognized treatment of choice.
Systematic Review and Meta-analysis Methodology
A systematic review and meta-analysis can be described as a method for systematically searching the literature and combining relevant study data from included studies to develop a single conclusion with greater statistical power.
METHODS
A systematic review of the literature is conducted prior to conducting meta-analyses in order to reduce bias in the included studies. Researchers decide on the Populations, Interventions, Comparisons, Outcomes, Time and Settings (PICOTS) prior to the meta-analysis to prevent bias in the process.
Results
After boolean searching PubMed, Ebsco/Host, and Cochrane Library, we initially identified 1733 unique citations ( Figure 1 ). We then systematically screened for relevance, first by title and then by abstract, which left us with 119 full text articles to examine for eligibility. Of these, 108 articles were excluded by at least two reviewers.
Discussion
Previous research has examined the feasibility and effectiveness of couple therapy based treatments for situational couple violence across several studies. In these studies, researchers have conducted couples therapy when working with couples experiencing relationship violence, and have reported differing but promising results.
Conclusions
Overall quality of evidence was moderate, indicating that there are benefits of couple therapy for reducing violence in the relationship, but these benefits may be variable across couples. Our sample was not very diverse.
Acknowledgments
This publication was made possible in part by the Clinical and Translational Science Collaborative of Cleveland, KL2TR000440 from the National Center for Advancing Translational Sciences (NCATS) component of the National Institutes of Health and NIH roadmap for Medical Research.
Causes
Trigeminy is common and happens in many healthy people. But it’s not how the heart normally works.
Symptoms
You may not have any symptoms, or very few, which cause an uncomfortable feeling in your chest:
Diagnosis
Since the extra heartbeats of trigeminy happen randomly, it can be hard to diagnose. In healthy people, doctors often discover it by accident during a routine electrocardiogram ( EKG ), a test that measures electrical activity in the heart. They also sometimes find it while testing you for heart disease.
Treatment
If you’re healthy and have symptoms of trigeminy only every once in a while, you won’t need treatment. But if you often have uncomfortable symptoms or heart disease, your doctor could recommend medication and lifestyle changes:
What is couples therapy?
Couples therapy is a form of psychotherapy that can help you and your partner improve your relationship. If you are having relationship difficulties, you can seek couples therapy to help rebuild your relationship. “Couples therapy can address a wide range of relationship issues, including recurring conflicts, feelings of disconnection, an affair, ...
How can therapy help you?
Improve communication skills: Therapy can help you and your partner communicate with each other. It can help you express yourself and ask for what you need without attacking or blaming your partner. Resolve conflicts: Your therapist can help you and your partner work through your issues and resolve them. Strengthen friendship and attachment: ...
What does a therapist do?
Your therapist will work with you and your partner to outline the goals for therapy. While couples therapy typically involves joint sessions, your therapist may also do individual sessions with you or your partner. They may also assign homework.
How does a therapist help a relationship?
Focusing on solutions: Your therapist will work with you and your partner to resolve issues, correct negative behavior patterns, and focus on positive aspects of the relationship. Teaching skills: Couples therapy can help teach you and your partner anger management, problem solving, and conflict resolution skills.
Why is couples therapy important?
Couples therapy can help promote open dialogue and transparency around income and spending habits. Time spent together: You and your partner can address issues that have been sabotaging your time together.
What is psychodynamic therapy?
Psychodynamic couple’s therapy: Psychodynamic therapy explores the underlying hopes and fears that motivate you and your partner, to help you understand each other better.
What is Ellen Wachtel's approach?
Ellen Wachtel’s approach: This is a strength-based approach that involves focusing on the positive aspects of the relationship. It focuses on self-reflection rather than blame.
How to stop PVCs from getting worse?
Still, some lifestyle changes can prevent your PVCs from getting worse or more frequent. Since anxiety can cause your heartbeat to speed up or be abnormal, find a way to reduce your stress. Try daily exercise, meditation, or yoga, or talk about your feelings with someone you trust.
What drugs are prescribed for bigeminy?
These drugs are often prescribed for arrhythmias and are safe. Calcium channel blockers or anti-arrhythmic drugs such as amiodarone ( Cordarone, Pacerone) or flecainide ( Tambocor) are other drugs your doctor might prescribe. If your bigeminy is having a severe effect on your heart, you could need cardiac ablation.
What tests can you do to check for bigeminy?
They may order tests that check your electrolyte levels and how well your thyroid is working. You may also be asked to have a Holter monitor test or echocardiogram (your doctor might call this an echo).
How does a doctor treat a heartbeat?
The doctor will then use heat, a laser, or extreme cold sent through the tube to destroy the tissue causing your abnormal heartbeat.
Do you need to take medicine for bigeminy?
If you're in good health , you may not even need treatment. But if you have a heart condition, you may need to take medicine to control your bigeminy. Lifestyle changes can also keep this abnormal heart rhythm from getting worse.
