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 thyroid problems may aggravate these. So if not done, thyroid should be done. Next thing, about the medicines which you are having currently. Are you having those before this ectopics started as they can certainly cause and aggravate ectopics? So gradually should be tapered off. Stress, anxiety, lack of sleep may aggravate this. As I mentioned, these are benign and usually needs no treatment. However, for symptomatic relief, you may have beta blockers like Metoprolol once a day. Also, try to reduce the smoking, alcohol, caffeine, if any. I hope this helps. Thank you.
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Coming to this point, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring (Holter) to examine your heart rhythm trends for a prolonged time and investigate for possible cardiac arrhythmia . Read full
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