Ventricular Bigeminy

Ventricular bigeminy is heartbeats marked on the electrocardiogram where two beats are close to each other, followed by a pause. This heartbeat refers to premature ventricular contraction. Familial history, heart infections, caffeine, nicotine, drugs like cocaine, increased electrolytes, coronary heart disorder, thyroid disorder, etc., are the reasons for ventricular bigeminy. Treatment is done based on the underlying condition.

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I have a family history of HOCM. Is this something to worry?

Query: Hi doctor, I am a 25 year old woman. About three months ago, I started having ectopic beats and palpitations. It made me quite worried, because they were definitely something new. I have a family history of sudden death from hypertrophic cardiomyopathy. So, I decided to have an echo and a 24 hour ...  Read Full »


Dr. Vivek Maroti Celerio Mandurke

Answer: Hi, Welcome to icliniq.com. As there is a family history of HOCM (hypertrophic obstructive cardiomyopathy) in the family and sudden death, you need to do echo yearly. Secondly, if symptomatic or left ventricular dysfunction is shown, then another option is to do ablation. So, find the focus and do a...  Read Full »

There is ventricular bigeminy and ectopics post MI. Do I need a device?

Query: Hi doctor, Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogr...  Read Full »


Dr. Vivek Pillai

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (electro...  Read Full »

Is it safe to exercise if I do not have structural heart problems?

Query: Hello doctor, I have PVC and bigeminy. I have had tests done and I do not have structural heart problems. Are alcohol and exercise harmful in case of PVC and bigeminy? Also, is it absolutely safe to exercise, if I have PVC and bigeminy during exercise and afterward as well? I take Thyroxin, bu...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Exercise is safe as you do not have any structural heart disease. Just keep observing if PVC (premature ventricular contractions) increases after exercise. Alcohol tends to increase PVC and bigeminy. So, you will need to avoid it. Also, smoking, drug abuse, and caffei...  Read Full »

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