VPCs: Common Concerns and Heart Rate Questions - Cardiology

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Heartbeat issues


Good afternoon, Director.
I would like to ask you about the general concerns people have when experiencing ventricular premature contractions (VPCs).
They often feel anxious and worry that their heart may not return to a normal rhythm after a VPC episode, fearing it might not recover.
Do you experience such concerns, or am I overthinking this? Is it normal for the heart rate to slow down a bit during a VPC episode? Additionally, if my resting heart rate sometimes ranges between 100-110 beats per minute, should I see a doctor? Could you please reassure me again that missed beats are generally safe? I apologize for the questions, and thank you, Director! Wishing you well.

Niming, 20~29 year old female. Ask Date: 2023/05/21

Dr. He Dongjin reply Cardiology


Hello, if your heart rate has not returned to normal and you are experiencing missed beats, it's important to note that a resting heart rate of 100 beats per minute can be considered elevated.
However, if you feel fine and have no other concerning symptoms, it may not be necessary to see a doctor.
Don't worry, and take care.
Changhua Hospital is here for you.

Reply Date: 2023/05/21

More Info


Ventricular premature contractions (VPCs) are a common type of arrhythmia that many people experience at some point in their lives. They occur when the ventricles of the heart contract earlier than they should, which can create a sensation of a "skipped" heartbeat or a pause in the normal rhythm. It's understandable to feel anxious or concerned when experiencing VPCs, especially if you are sensitive to changes in your heart rhythm.

First and foremost, it's important to recognize that occasional VPCs are generally considered benign in healthy individuals, particularly if there are no underlying heart conditions. Many people experience VPCs without any significant health issues, and they often do not require treatment. The sensation of a skipped heartbeat or a pause can be alarming, but it is usually not indicative of a serious problem.
Regarding your concern about whether VPCs can lead to a failure to return to a normal heart rhythm, it is essential to understand that while VPCs can cause temporary changes in heart rate, they typically do not lead to sustained arrhythmias or significant complications in individuals without pre-existing heart disease. The heart is a resilient organ, and it has mechanisms to restore its normal rhythm after an occasional premature contraction.

When you mention that your heart rate sometimes increases to 100 beats per minute while at rest, this can be a normal physiological response, especially if you are feeling anxious or stressed. Factors such as anxiety, caffeine intake, dehydration, and even physical fitness levels can influence resting heart rate. If your resting heart rate consistently remains elevated or if you experience other symptoms such as dizziness, shortness of breath, or chest pain, it would be prudent to consult with a healthcare provider for further evaluation.

In terms of the relationship between VPCs and anxiety, it is not uncommon for individuals who experience VPCs to develop anxiety about their heart rhythm. This anxiety can, in turn, exacerbate the perception of VPCs, creating a cycle of worry. It is essential to address both the physical and psychological aspects of your experience. Techniques such as mindfulness, relaxation exercises, and cognitive behavioral therapy can be beneficial in managing anxiety related to heart rhythm concerns.

As for the safety of experiencing VPCs, it is generally considered safe for most individuals, especially if they are infrequent and not associated with other symptoms. The occasional "skipped" beat or feeling of a pause is typically not dangerous. However, if you notice a significant increase in the frequency of VPCs, or if they are accompanied by other concerning symptoms, it is advisable to seek medical advice.

In summary, while VPCs can be unsettling, they are often benign, especially in the absence of underlying heart disease. It is normal to feel anxious about heart rhythm changes, but understanding the nature of VPCs and their typical benign course can help alleviate some of that anxiety. If you have ongoing concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance. Remember, maintaining a healthy lifestyle, managing stress, and staying informed about your heart health are all important steps in managing your overall well-being.

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