Common "Premature Ventricular Contractions" queries answered by top doctors | iCliniq

Premature Ventricular Contractions

Premature ventricular contraction is an early heartbeat that starts in the ventricles and disturbs the normal heartbeats. Palpitations, chest pain, chest discomfort, fatigue, dizziness, etc., are the symptoms caused by premature ventricular heartbeat. Acute heart attack, cardiomyopathy, decreased blood flow to the heart, etc., are the causes for this condition.

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I have had missing heartbeats in the past and found rare double heartbeats in my ECG recently. What should I do?

Query: Hi doctor, I am a 23-year-old male. A few years ago, I have had heart beats skipping but never took it seriously and did not consider it at all. This year I had some chest pain which happened more than once. I went to ask a doctor. He made blood tests, all the tests came back normal. Later on, I had...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Your symptoms are very consistent with PVCs (premature ventricular contractions). These commonly present with palpitations in young healthy individuals. They are not life-threatening but can be worrying. I advise you to upload the results of all investigations availa...  Read Full »

I have a premature ventricular contraction and anxiety. Can I take clonazepam for anxiety?

Query: Hello doctor, I need a review of my review of my ECG ( electrocardiogram), which I am attaching. I have premature ventricular contractions (PVC), and I have anxiety. I want to go to the emergency room and do ECG. Can you look at it, please? Can you see the PVCs? The doctor said the ST was abnormal. ...  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to Do not worry. In this ECG strip, I do not find any PVC. Your ECG is within normal. Your heartbeat is 58/min at rest. It is fine. You need not take any medicine for that. For your anxiety, I suggest you follow non-pharmacological treatment. Do breathing exercises for fiv...  Read Full »

I have been experiencing heart palpitations or flutters for a week. Is this normal, or should I consult a cardiologist?

Query: Hi doctor, I am a 37-year-old woman and I have been having heart palpitations or flutters consistently for a week. I went to my GP and had a quick EKG, revealing that I am having premature ventricular contractions. I was told not to worry and that they will go away, but a few days have passed and th...  Read Full »

Dr. Ilir Sharka

Answer: Hi, Welcome to I read your query and can understand your concern. I would like to directly review your resting ECG (electrocardiogram) for a more professional opinion. I would also like to review your Holter report as soon as you will be able to upload them. In the meantime, I would r...  Read Full »

My pregnant wife is having premature ventricular contractions. What to do?

Query: Hello doctor, I have a question for my wife. She is pregnant and has been having palpitations. Her obstetrician sent her for a Holter monitor (not to a cardiologist), which came back saying she had rare premature ventricular contractions, one couplet, and one triplet. He has advised us not to worry....  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I read your query and can understand your concern. If this is the full report (attachment removed to protect the patient's identity), it is normal. If she has shortness of breath and no other cause is found, an echocardiogram (ECG) can be done. I hope this helps. Tha...  Read Full »

I have experienced a significant increase in ventricular ectopic beats. Please help.

Query: Hello doctor, I have experienced a significant increase in the number of ventricular ectopic beats (PVCs) over the past 2 weeks. I started recording them with my ECG recorder and noticed today that PVCs sometimes occur in three to four sequences. I have heard this may be problematic and would like a...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I understand your concern. PVCs (premature ventricular contractions) are generally present in healthy people. Anxiety and caffeine intake increase PVCs. I suggest having 12 leads ECG (electrocardiogram) and 24 hours of Holter monitoring to count PVCs in 24 hours. The...  Read Full »

Why are my PVC (premature ventricular contractions) getting worse?

Query: Hi doctor, There is an increase in PVCs over the past week. They happen in chunks of time for an hour or few times a day. There are no other symptoms, and it happens at rest, especially after I eat food and it goes away with movement. I bought the kardia device to catch an episode. I have attached ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to There are few extrasystoles, but not sure whether these are PAC (premature atrial contractions) or PVC (premature ventricular contractions) as complexes are small. A 12-lead ECG (electrocardiogram) is recommended. If you have frequent PVCs, then Holter will tell how ...  Read Full »

Can my heart problem cause gastrointestinal issues?

Query: Hello doctor, I have had premature ventricular contraction for six years, and I take tablet Metoprolol 50 mg once daily. My ventricular contractions are stacked and create a non-sustained ventricular tachycardia. I am constantly having an upset stomach, constipation, and bloating. Now my question is...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to Thanks for the query and detailed symptom description. Many arrhythmias are accompanied by gastrointestinal symptoms. I have noticed this in my experience but the reason is unknown. Most probably it might be a trigger for PVC (premature ventricular contractions), which ...  Read Full »

Why is there an increase in the PVCs after taking high carbs and at rest?

Query: Hello doctor,For a month, I have had a very large increase in PVCs. Each day anywhere from an hour to several chunks of hours, I get runs of them. They happen every few beats during that time and come with no other symptoms. I had a Holter which I am awaiting results for, and I know it caught my sym...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Thanks for the query. PVCs without any cardiac disease are usually benign and cause no harm. Only symptoms are bothersome only when there are a lot of PVCs, such as 20000 per day, and then they may cause the heart to become weaker. Holter will count PVCs in 24 hours. Ec...  Read Full »

Can I get my second shot of COVID vaccine when I am having an increase in PVCs?

Query: Hello doctor, I have had a very large increase in PVCs for the past few weeks. They happen mostly after I eat or when I am hungry. I suffer from health anxiety, so I cannot focus on anything else when I get something. I have a holter monitor set for this Friday, thankfully, then seeing the cardiolo...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to It can be due to some hyperdynamic state like thyroid dysfunction or anemia, or it can be idiopathic. Any other structural cause can be ruled out on an echo. If your first shot of vaccine was uneventful, then go-ahead for the second. Beta-blockers can help in PVCs.  Read Full »

Do I need medication to control frequent PVCs?

Query: Hi doctor, I consulted you before for my shortness of breath. I was having a lot of PVCs and still am. I am curious about how frequent they are. And should I be evaluated more if I need medication? My blood pressure is really low, like 90/55. I am sending you some EKG’s that I got with my portabl...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to In the attached tracings (attachment removed to protect patient identity), I could not see any PVCs (premature ventricular contraction) in the recent tracings. Some tracings show movement artifacts (which is read as unreadable by the machine), and some show low volta...  Read Full »

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