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How to manage premature ventricular contractions?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I was recently told that I do not have to worry about my heart, but when I received a copy of my ECG online, I noticed several irregular beats and am seeking a second opinion. It feels like my heart stops for a second, followed by a series of rapid beats and then a very strong one. I am currently taking Venlafaxine 37.5 mg (three times a day), Bupropion 150 mg, and liraglutide 3 mg.

Please advise.

Answered by Dr. Isaac Gana

Hello,

Welcome to icliniq.com.

I have reviewed your ECG (electrocardiogram) results (attachment removed to protect patient identity). They show PVCs (premature ventricular contractions). In most cases, these are benign and do not pose a threat. Common causes can include tobacco, alcohol, and caffeine use. High blood pressure, anxiety, and, rarely, heart disease can also contribute. In your case, the Venlafaxine you are using may be causing an increase in PVCs. If they continue to occur more frequently, you may need to discuss with your doctor the possibility of adjusting the dosage or switching medications. You will be fine, so there is no need to worry.

I hope this helps you.

Thank you.

Answered byDr. Isaac Gana

Medically reviewed byDr. Divya Banu M

Published At October 11, 2019
Reviewed AtMarch 21, 2025

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