![]() ![]() ![]() Most ectopic heartbeats do not need to be treated. Exercise often helps people who are inactive. Limiting caffeine, alcohol, and tobacco may reduce the risk and frequency of ectopic heartbeats in certain people. Continuous ambulatory cardiac monitoring ( Holter monitor, patient-activated recording device, or implanted loop recorder).If the ectopic heartbeats do not occur very often, your doctor may not find them during a physical exam. Feeling like your heart stopped or skipped a beatĪ physical examination may show an occasional uneven pulse.Feeling your heart beat ( palpitations).Their causes should be investigated, although usually no treatment is needed. In adults, ectopic heartbeats are common. Most extra heartbeats in children are premature atrial contractions (PACs), which are almost always harmless. Ectopic heartbeats are rare in children without heart disease that was present at birth (congenital). Changes in the blood, such as a low potassium level ( hypokalemia)Įctopic beats may be caused or made worse by smoking, alcohol use, caffeine, medications such as stimulants, and some illicit drugs.Sometimes ectopic heartbeats are seen with: Premature ventricular contractions (PVC).The two most common types of ectopic heartbeats are: They often occur without a clear cause and are most often harmless. In patients with very high levels of ventricular ectopy, you may need an ablation procedure to help improve your symptoms and the risk of the heart muscle becoming weaker.Ectopic heartbeats are small changes in an otherwise normal heartbeat that lead to extra or skipped heartbeats. In patients where there is concern about coronary artery disease, Dr Nijjer may ask you to have a CTCA or a coronary angiogram.However, if the number of ectopic beats increase on exercise, this can reflect a possible problem with your heart arteries. If your ventricular ectopics are reduced by increasing exertion, this can be a reassuring sign. In patients with frequent ventricular ectopics, Dr Nijjer may ask you to undertake an exercise ECG test. For the vast majority of patients, this will be sufficient to make a diagnosis and treatment can be started. Echocardiography will be used to assess the heart function and look for underlying heart conditions. A very careful assessment has to be made using a combination of 12-lead ECG and ambulatory ECG monitoring.This can be detected on heart scans such as echocardiography or cardiac MRI. ![]()
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