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 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 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. Avoi...  Read Full »

I had an echo, stress, and Holter test that showed arrhythmia and reduced heart function. I am feeling an extra beat, is it a double ectopic beat?

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 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 no ...  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 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 app...  Read Full »

I have normal ECG and echo. Why am I getting ectopic beats?

Query: Hello doctor, I am 21 years old and have a normal ECG and echo. I am getting ectopic beats for a while now, sometimes one per minute. Currently, I am on Lovan and Vyvanse. Kindly advise.   Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Firstly, ectopics in this age are benign and not worrisome. I guess they are confirmed on Holter and assumed to be ventricular ectopics. And also ruled out the structural heart disease on echo. They are also associated with excess caffeine, alcohol consumption, and t...  Read Full »

I experience premature ventricular contractions. Will it ever go away?

Query: Hello doctor, Since approximately eight months, I experience premature ventricular contractions (feeling of heartbeat skipping). I never had shortness of breath, severe chest pain, heavy sweating or dizziness, or like I will pass out. It also never goes on for several minutes, just around 10 to 20 ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your question and would explain that some PVC or ectopic heartbeats are quite normal in every healthy individual during emotional stress or physical activity. Anyway, a cardiac arrhythmia cannot be excluded either. Coming to this point, I ...  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 e...  Read Full »

Will ectopic beats cause twitching of muscles near breast under armpit?

Query: Hi doctor, I am a 24-years-old female. I am experiencing twitching on the left side of my breast, almost under my armpit. It feels like fluttering, and it has been happening for the second day now. Three weeks ago, I had a Holter monitor, and it showed a lot of ectopic beats, but the doctor assured...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Your Holter test is normal (attachments removed to protect the patient's identity). There are ectopic beats, but the number is very low. You need not worry about that. Ectopic beats cause a feeling of extra beats or missed beats or fluttering in the neck or cough. ...  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 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 disap...  Read Full »

What causes burning sensation in the hands and feet?

Query: Hello doctor, I hope you are doing well. I would extremely appreciate any advice on this topic right now. My close friend has had pressure on his face recently. Now he complains of a burning sensation in his feet and hands and pain in his back and legs. So he is taking Amitriptyline. He said he fee...  Read Full »

Dr. J N Naidu

Answer: Hi, Welcome to You mentioned blood tests show everything normal. But what are the blood tests done? If you can share the details, I can study the problem and ask for more tests or information, if necessary and evaluate the problem and suggest appropriate treatment.  Read Full »

Is it dangerous to have ventricular ectopic beats at 28 years of age?

Query: Hi doctor, I am a 28 year old male. My ECG shows ventricular ectopic heartbeat of 56 beats per minute. What should I do? Is it dangerous?  Read Full »

Dr. Rishu Sharma

Answer: Hi, Welcome to At the age of 28, ventricular ectopic beats are really dangerous. The most common cause of ventricular ectopic beats is myocardial ischemia. You have not mentioned your smoking history and your anxiety levels.¬†High levels of anxiety can cause ectopic beats. A detailed hi...  Read Full »

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