PVCs: Symptoms and Treatment - in Plain English! | Joshua M. Cooper, MD, FHRS, FACC
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What's really happening in a PVC? 🤔 Premature Ventricular Contractions (PVCs) are early, abnormal electrical signals from the ventricles that disrupt the heart’s normal rhythm. While they’re actually extra beats, they often feel like a skipped beat—why? A PVC comes early before the heart has time to fill with blood, creating a weak pulse that’s barely felt. The next beat, after extra filling time, is stronger, leading to that noticeable ‘thump’ in the chest. Most PVCs are harmless, but frequent
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This is sinus rhythm with ventricular ectopy (PVCs) 👀 Ectopy means early beats coming from outside the SA node — not every PVC is an emergency. What to assess FIRST: Is the patient symptomatic? Chest pain, hypotension, dizziness, SOB? Is the ectopy frequent or new? Electrolytes, hypoxia, ischemia, stimulants? Most isolated PVCs in a stable patient = observe and correct the cause. PVCs become concerning when they are: • Frequent • Multifocal • Runs of VT • Associated with symptoms Context is eve
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