Common "Ventricular Ectopic Beats" queries answered by top doctors | iCliniq

Ventricular Ectopic Beats

Ventricular ectopic beats are skipped or added beats that originate in the ventricles (lower chambers of the heart). The possible causes include smoking, anxiety, exercise, low potassium levels, and use of recreational drugs.

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I have chest pain and a racing heart. Why is the EKG normal?

Query: Hi doctor, I am 25 years old, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I a...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello,Welcome to icliniq.com.Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problem...  Read Full »

Why do I have ventricular ectopic beats and VT?

Query: Hi doctor, Recently, I had a Holter monitor, which showed 7000 ventricle ectopic beats and a few short runs of VT, only four beats or less than that. My doctor has referred me to a cardiologist. When I asked if it is dangerous, she said no and said that I could exercise. Is that true? I am extremely...  Read Full »


Dr. Rishu Sharma

Answer: Hi, Welcome to icliniq.com. Ventricular ectopics are abnormal beats, which have their origin in the ventricle chamber of the heart. A few ventricular ectopics are a common finding, but 7000 ventricular ectopics cannot be neglected. VT (ventricular tachycardia) of less than 30 seconds is called non-...  Read Full »

Is there a false lumen in the aorta on my MRI? Kindly interpret.

Query: Hello doctor, I am taking an MRI of my aorta once a year to check for the development of dissections, aneurysms, and enlargement of my aortic root. This is because my family can have connective tissue disorder (not yet diagnosed). I just got back from my MRI, and doing this every year. I have a hab...  Read Full »


Dr. Chitrangada Jitendra

Answer: Hi, Welcome to icliniq.com. I am glad that you are an aware patient and getting yourself screened annually for aortic pathologies. The aortic origin, arch, and descending thoracic aorta show normal caliber lumen (attachment removed to protect patient identity). Abdominal aorta and its branches appea...  Read Full »

I experience ectopic beats sporadically. Why?

Query: Hello doctor, I had an echo, stress test, and 14-day Holter tests, that came back showing arrhythmia or reduced heart function. I have brought it up to my regular doctor that sporadically I get ectopic beats when I go out for my evening walks. I have noted them on different days and found that my he...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Your Holter monitoring report is normal. The palpitations you felt, were not due to heart rhythm issues. Few premature beats are normal. These increase due to anxiety, excessive caffeine intake, or electrolyte abnormalities. You said echocardiography was normal, so n...  Read Full »

I have had ectopic heartbeats, and I have had trigeminy or quadrigeminy episodes. Please help.

Query: Hello doctor,I have been having ectopic heartbeats for quite a while now. I got an echo, ECG, Holter and stress test, and all are fine. Holter showed mostly PAC but also a few PVC. But the thing is that I sometimes have trigeminy or quadrigeminy episodes. They can go for a few seconds to almost an h...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. I understand your concern. Most of the time PACs (premature atrial contractions) and PVCs (premature ventricular contractions) are normal. Your echocardiography is normal, so most likely, ectopic beats are regular. Caffeine and anxiety precipitate premature beats. Avoid...  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 icliniq.com. 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 »

What causes premature beats and how is it controlled?

Query: Hi doctor, I have an ECG recording of two beats simultaneously, three times in a minute, and wanted to see if someone can take a look at it. I took a Melatonin spray of 2 mg the night before for the first time. Melatonin made me sleep 10 hours and have a very vivid dream. Felt slightly weak or lazy...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thank you for the query. ECG (electrocardiogram) strip shows premature beats, but I doubt whether these are actual premature beats or just artifacts. A 12 leads ECG will be helpful to clarify it. Even if these are premature beats, these are not dangerous and will disapp...  Read Full »

I feel strong heartbeat inspite of BP and ECG being normal. Why?

Query: Hi doctor, I am 46 years old, on no medication apart from Zinc daily that seems to help with my low testosterone. BP averages about 110/63 mmHg, resting pulse between 58 and 65 bpm. My height is 5' 10" and weigh about 165 pounds. About five years ago, I noticed odd heart rhythms after playing two h...  Read Full »


Dr. Salam Salloum

Answer: Hi, Welcome to icliniq.com. It seems that all the tests you had are reassuring. What you are describing seems to me as ectopics and a small dose of beta blockers could help. But if the resting heart rate is less then 65 bpm then better to avoid them. In this case, if the ectopics burden is very hi...  Read Full »

I have ventricular ectopic beats. Could these cause cardiac arrest?

Query: Hello doctor, My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23 years? I worry about it every day. Kindly advice. Thank you.  Read Full »


Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to icliniq.com. It is unusual for ventricular ectopic beats alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopic beats, the morphology of ectopic beats, frequency of ectopic beats, LV function on Echo. What symptoms do you have? You have uploaded...  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 angiogra...  Read Full »


Dr. Vivek S Narayan 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 (elec...  Read Full »

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