HomeAnswersCardiologypremature ventricular contractionsHow do I manage the double heartbeats found in my ECG?

What could be the reason for double heartbeats?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. K. Shobana

Published At April 15, 2023
Reviewed AtOctober 6, 2023

Patient's 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 unexplained heart attack symptoms (chest-crushing pain extended to my left arm and shoulder, a little bit of shortness of breath). So I called the ambulance. They did ECG and found ST elevation. They took me to the hospital and did blood tests but it all came back normal so later on that night I was dismissed. I visited my doctor again he made a stress examination, and ECG found rare double beats with some extra volts. I can feel double beats after stress on the heart. But recently I am having extreme random fatigue. I feel constantly dizzy, hard to stay up, hard to keep my focus, cannot do my daily tasks (walking, and going to work normally). Sometimes I get pain again randomly (chest pain, stabbing left shoulder and sometimes right jaw pain, and nausea). Please help. Thank you.

Answered by Dr. Isaac Gana


Welcome to icliniq.com.

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 available to you for better clarification to suggest what is next. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Isaac Gana
Dr. Isaac Gana


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