Q. What causes ventricular ectopic beats?
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 heart rate was 104 bpm during a 30-minute walk, 104 bpm whilst shoveling snow, 108 bpm while shoveling snow, 112 bpm with 2 bpm extra betas at the same time during cool-off from a 30 minutes walk, and 127 bpm during a 30 minutes walk. After each extra beat, I did not feel dizzy, chest pain, or anything but anxious. Why is this happening and is it a cause for concern? Please advise on what constitutes a double ectopic beat, I get an extra beat then 5 to 10 seconds later get another extra beat. Is that a double extra beat?
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 no need to worry. Are you taking any medicines? What are your symptoms? Thank you.
Hello doctor,
Please review and advise on the below. 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 heart rate was 104 bpm during a 30-minute walk, 104 bpm whilst shoveling snow, 108 bpm while shoveling snow, 112 bpm with 2 bpm extra betas at the same time during cool-off from a 30 minutes walk, and 127 bpm during a 30 minutes walk. After each extra beat, I did not feel dizzy, chest pain, or anything but anxious. Why is this happening and is it a cause for concern? Please advise on what constitutes a double ectopic beat, I get an extra beat then 5 to 10 seconds later get another extra beat. Is that a double extra beat? Please can you advise what constitutes a double ectopic beat? I get an extra beat then 5 to 10 seconds later get another extra beat. No medications are being taken. How many extra beats in a row is normal? Does coughing stop extra beats from continuing?
Hello,
Welcome back to icliniq.com.
An increase in heart rate during exertion is normal due to an increase in demand for oxygen. Few PVCs are also normal occasionally three consecutive are also normal. PVCs (premature ventricular contractions) are of concern in the case of ischemic heart disease or another structural heart disease. Your echocardiography and Holter test are normal. If frequent and bothersome, you may take medicine for it which will slow down your heart rate a bit. Tablet Nebivolol (Lactose monohydrate, Microcrystalline cellulose, Crospovidone (type B), Crospovidone, Magnesium stearate) 5 mg once a day dose may be increased depending upon response. Consult your specialist before taking medications. Avoid anxiety, and do regular exercise. Kindly share your Holter report and echocardiography. Thank you.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
What number of APCs are normal for a 24 year old female?
.. understand you may have Holter monitor or loop recorder. First of all, if you are reading from a machine, it is not accurate every time, a doctor needs to check the rhythms if your machine recorded something. Read full
What could be the reason for heartbeat variations in a healthy individual?.. reviewed the details you provided (attachments removed to protect the patient's identity). ECG (electrocardiography) strip shows ventricular ectopic beats. They can occur in normal individuals, also. Read full
Please see my echocardiogram report, and tell me if I need immediate medical attention... gone through your echocardiography report (attachment removed to protect patient identity). Your EF (ejection fraction) is 76 %, which is good. But, you have a heart valve problem. You follow-up with your cardiologist, and repeat echocardiogram as sug Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a Cardiologist Now* guaranteed answer within 4 hours.