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Premature beats

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Ectopic beats - Extrasytoles - Premature ventricular contractions - PVCs - Supraventricular Premature Beats - Atrial premature beats - Premature atrial contraction

General

Premature beats is an arrhythmia in which the heart beat occurs earlier than expected, interfering with the heart's normal rhythm. Prematures beats can either be from a loci in the ventricles (PVC) or the atria (PAC). When someone has premature beats, it feels like a "thump" in the chest. But this sensation is actually from the normal beat that follows the premature one, because more blood is being pushed from the heart. Usually, premature beats are not a symptom of heart disease but some heart conditions may cause premature beats such as cardiomyopathy and coronary heart disease. Benign causes may include stress, fatigue, exercise, nicotine or caffeine consumption.

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Signs & symptoms

People may have different sensations in their chest such as fluttering, pounding, jumping and skipped beats.

Diagnosis

Diagnosis of premature beats is based upon ECG, holter monitor that records the heart activity for 24-48 hours, event recorder that operates when the patient presses the button, and an exercise stress ECG.

Treatment

Treatment may include lifestyle changes such as reducing caffeine or tobacco consumption. Medications such as beta blockers, calcium channel blockers and anti- arrhythmic medications. If these don’t help, another option is radiofrequency catheter ablation.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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the external monitors were a lot smarter than the implanted loop recorder. Turns out it could only do afib by itself. And manually triggered recordings are only good AFTER you press the button. If you are like me, i get so short of breath that i gave to sit in order to breath. Before the implant, i was told that it would keep the 2 MINUTES JUST BEFORE THE BUTTON IS PUSHED. Bottom line, the external ones were better and <$200 (vs $16000 in and $10000 remove and visit to have it read for the internal, geat money source for cardiologist). My 2nd cardiologist looked over just the external ones 48 hour and 4 week). From that, he would have never suggested an implant. Even during a flare (potassium loss +pots), it only got a few triples and a few **pvc's**. More likely, just the result of the high heart rate forcing an off beat once in a while. Thats probably why 130bpm is not concerning and my 200bpm for under a minute isnt concerning either. Bottom line, with Pots, the heart is being told verses telling the heart to go fast. Interesting thing though on the external ones, i got to see the output and when i was having the issues the most, there was a lot of artifact (as they call things that they dont care about). To me , that is significant, it looked like spasms.

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