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PVCs can be distinguished from premature atrial contractions because the compensatory pause is longer following premature ventricular contractions, in addition to a difference in QRS appearance. [20] In some people, PVCs occur in a predictable pattern. Two PVCs in a row are called doublets and three PVCs in a rows are triplets.
Premature heart beats come in two different types: premature atrial contractions and premature ventricular contractions. Often they cause no symptoms but may present with fluttering in the chest or a skipped beat. They typically have no long-term complications. They most often happen naturally but may be associated with caffeine, nicotine, or ...
Those who have severe symptoms from an arrhythmia or are medically unstable may receive urgent treatment with a controlled electric shock in the form of cardioversion or defibrillation. [6] Arrhythmia affects millions of people. [4] In Europe and North America, as of 2014, atrial fibrillation affects about 2% to 3% of the population. [9]
In people without underlying heart disease and who do not have any symptoms, bigeminy in itself does not require any treatment. If it does become symptomatic, beta-blockers can be used to try to suppress ventricular ectopy. Class I and III agents are generally avoided as they can provoke more serious arrhythmias. [4]
The second Cardiac Arrhythmia Suppression Trial (CAST II) modified the enrollment criteria to include patients at higher risk for serious arrhythmia. [4] This included 1) patients enrolled within 4 to 90 days of a previous MI, 2) a left ventricular ejection fraction lower than 40%, 3) prior to enrollment, suppression of PVCs had occurred with the drugs (vs. placebo) using a double-blinded ...
Recent studies have underscored the diagnostic effectiveness and cost-efficiency of implantable loop recorders (ILRs) in specific patient populations. In patients with unexplained palpitations, especially those with infrequent symptoms, ILRs have shown a significantly higher diagnostic yield compared to conventional methods.
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Ventricular tachycardia (V-tach or VT) is a cardiovascular disorder in which fast heart rate occurs in the ventricles of the heart. [3] Although a few seconds of VT may not result in permanent problems, longer periods are dangerous; and multiple episodes over a short period of time are referred to as an electrical storm.