VPC: Impact on Heart Health and Symptoms Explained - Cardiology

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Heart arrhythmia issues?


Dr.
He, thank you very much for your previous response.
I would like to ask you a few more questions.
If VPCs (ventricular premature contractions) occur 500-800 times a day, it feels like the heart is skipping beats.
While a few occurrences may not be significant, over the long term, that could amount to hundreds of thousands in a year and millions over three years.
Would this prolonged condition have an impact on the heart? Could it lead to heart failure, angina, myocardial infarction, etc.? I often feel pain in my left chest, and I wonder if this is related to the psychological effects of the skipped beats.
I have also seen some patients who, after not undergoing any electrical treatment or medication, managed to adjust their mood and their autonomic nervous system, resulting in no more skipped beats.
Is this possible, Dr.
He? Additionally, can an electrocardiogram (ECG) reveal the presence of myocardial infarction, angina, or heart failure? Does walking, which increases heart rate, help improve this faster heart rhythm? Thank you very much, and I wish you peace!

Niming, 20~29 year old female. Ask Date: 2021/06/08

Dr. He Dongjin reply Cardiology


Hello, you are right.
It's like spending 30 dollars a day on drinks, which adds up to over ten thousand dollars a year and could exceed hundreds of thousands over a lifetime.
Will I become poor? Probably not! At least you might not have considered this issue.
Experts say that "normal" refers to a range where the probability of experiencing heart failure, angina, myocardial infarction, etc., is low and similar to that of a healthy person, which is why it can be called normal.
Without electrical burns or medication, good autonomic nervous system regulation can reduce missed beats, but the autonomic nervous system can fluctuate due to changes in internal and external environments.
Can you confidently say that by exercising more, maintaining a healthy lifestyle, and boosting immunity, you will never get sick or catch a cold for the rest of your life? It's unlikely; the probability is just significantly reduced.
Additionally, an electrocardiogram can indicate the presence of myocardial infarction or some heart failure.
Walking can improve the autonomic nervous system, and a faster heart rate may provide opportunities for better coexistence.
Changhua Hospital cares about you.

Reply Date: 2021/06/08

More Info


Ventricular premature contractions (VPCs), also known as premature ventricular beats (PVBs), are common occurrences in the general population and can often be benign. However, when they occur frequently, such as 500-800 times a day, it raises concerns about their potential impact on heart health.
To address your concerns, it is essential to understand that while VPCs can be alarming, especially when they are frequent, they do not necessarily lead to severe complications like heart failure, angina, or myocardial infarction (heart attack) in most individuals. The heart is a resilient organ, and occasional VPCs are typically not harmful. However, when VPCs become frequent, they can sometimes indicate underlying issues, such as electrolyte imbalances, structural heart disease, or increased sympathetic nervous system activity due to stress or anxiety.

The long-term effects of frequent VPCs on heart health are still a topic of research. In general, if the heart is structurally normal and there are no other underlying heart conditions, the presence of frequent VPCs alone is unlikely to lead to significant heart problems. However, it is crucial to monitor symptoms and have regular check-ups with a healthcare provider to ensure that no other issues are present.

Regarding your experience of left chest pain, it is not uncommon for individuals with anxiety or those who are hyper-aware of their heart rhythms to perceive discomfort or pain in the chest area. This discomfort can often be attributed to anxiety rather than a direct consequence of VPCs. It is essential to differentiate between anxiety-related symptoms and those that may indicate a more serious condition. If chest pain persists or worsens, it is advisable to seek medical evaluation to rule out any serious cardiac issues.

As for the possibility of managing VPCs through lifestyle changes, many individuals have reported improvements in their symptoms by adopting healthier habits. Regular exercise, stress management techniques, and a balanced diet can help regulate the autonomic nervous system and potentially reduce the frequency of VPCs. Activities such as yoga, meditation, and deep-breathing exercises can also be beneficial in managing anxiety, which may, in turn, help reduce the occurrence of VPCs.

Regarding your question about electrocardiograms (ECGs), they are indeed useful tools in assessing heart health. An ECG can help identify signs of ischemia (reduced blood flow to the heart), arrhythmias, and other cardiac conditions. However, it is important to note that while an ECG can indicate the presence of certain heart conditions, it may not always detect every issue, especially in the absence of symptoms during the test.

In summary, while frequent VPCs can be concerning, they are often benign, especially in the absence of structural heart disease. It is essential to maintain regular follow-ups with your healthcare provider, manage stress and anxiety, and adopt a healthy lifestyle. If you experience persistent symptoms or have concerns about your heart health, do not hesitate to seek medical advice. Your well-being is paramount, and addressing both physical and mental health aspects is crucial for overall heart health.

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