Ventricular Premature Contractions: When to Seek Treatment - Cardiology

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Arrhythmia consultation


Hello Director He, thank you for your response in the previous "Cardiac Medication Consultation." I understand that ventricular premature contractions (VPCs) can occasionally occur even in normal, healthy hearts.
My mother underwent a 24-hour electrocardiogram in February of this year, and the cardiologist indicated that her condition is relatively stable, so she has been maintaining a dosage of Heart Regulating Medication three times a day.
I would like to ask you, is there a need for special treatment for the occasional pause in heartbeat due to VPCs? My mother generally has a stable heart rhythm, but she is extremely prone to anxiety (for example, when visiting outpatient clinics), so the recent episodes of her heartbeat pausing at specific times have been a bit concerning.
I appreciate your time in addressing these questions.
Thank you.

JJ, 30~39 year old female. Ask Date: 2016/03/14

Dr. He Dongjin reply Cardiology


Hello, occasional premature ventricular contractions (PVCs) do not necessarily require special treatment; it depends on what makes the patient feel more comfortable.
Individuals who are extremely anxious may benefit from taking some anxiety-relieving medications, and it may not be necessary to use antiarrhythmic drugs.
Changhua Hospital cares about you.

Reply Date: 2016/03/14

More Info


Ventricular premature contractions (VPCs), also known as premature ventricular contractions (PVCs), are common occurrences in the heart's electrical activity. They can happen in individuals with healthy hearts as well as those with underlying heart conditions. Understanding when to seek treatment for VPCs is crucial, especially for individuals who may experience anxiety related to their heart rhythm.

In your mother's case, it is reassuring to know that she underwent a 24-hour Holter monitor test, and the cardiologist deemed her heart rhythm stable. This suggests that her VPCs are likely benign, especially if they are infrequent and not associated with any significant symptoms. VPCs can often be triggered by stress, caffeine, alcohol, or other stimulants, which may explain why your mother experiences them more during times of anxiety, such as during hospital visits.

Generally, treatment for VPCs is not necessary unless they are frequent, symptomatic, or associated with underlying heart disease. Here are some key points to consider regarding VPCs and when treatment may be warranted:
1. Frequency and Symptoms: If VPCs are infrequent and not causing symptoms such as palpitations, dizziness, or chest pain, they are typically not a cause for concern. However, if your mother begins to experience these symptoms more frequently, it would be wise to consult her healthcare provider.

2. Underlying Heart Conditions: If there are any underlying heart conditions, such as coronary artery disease or heart failure, the management of VPCs may differ. In such cases, a thorough evaluation by a cardiologist is essential to determine the best course of action.

3. Lifestyle Modifications: Since anxiety can exacerbate VPCs, addressing stress through relaxation techniques, regular exercise, and a healthy diet can be beneficial. Encouraging your mother to engage in activities that promote relaxation, such as yoga or meditation, may help reduce the frequency of her VPCs.

4. Medication: In some cases, if VPCs are frequent and symptomatic, medications such as beta-blockers may be prescribed to help manage the heart rhythm. However, this decision should be made in consultation with a healthcare provider who can assess the risks and benefits based on her overall health.

5. When to Seek Immediate Care: If your mother experiences a sudden increase in the frequency of VPCs, or if she develops new symptoms such as severe chest pain, shortness of breath, or fainting, it is crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt evaluation.

In summary, while VPCs can be concerning, especially for individuals prone to anxiety, they are often benign in the absence of significant symptoms or underlying heart disease. Regular follow-ups with her cardiologist and maintaining a healthy lifestyle can help manage her condition effectively. If her symptoms change or worsen, do not hesitate to seek further medical advice.

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