Heart & Cardiology/skipped beats
Hi Dr. Richardson,
I had e-mailed you a number of years back when I was in my late 30's about skipped beats (PVC's and PAC's). I was noticing them on a daily basis, had an ecg done, which came back normal. I exercise regularly (5 to 6 days a week, cardio and weights). I am a male, now aged 43. At the age of 40 I had a full physical done (including 24 hour heart monitor, which recorded about 24 PAC's and 20 PVC's). I have always felt them off and on.
Last week I started noticing them more frequently, and for some reason became anxious about them. I notice them now when I exercise. The increase in frequency has me worried and wondering whether I should do anything about them. I feel them a couple of times an hour and sometimes every 5 minutes or so. Is the increase in frequency worrisome? And should I get checked out again? I will be having a full physical again when I hit 45.
thanks so much
No, you need not get another 24-hour monitor. Skipped beats, no matter how frequent, are normal heart activity and harmless in someone with normal heart structure and function.. Skipped beats are normal heart activity, easy to understand as normal from knowledge of the heart's electrical system and occurring in about half of us. They don't mean you have heart disease or will in the future develop heart disease or any cardiac catastrophe. You can consider getting an echocardiogram to be sure your heart's structure and function are normal, though your exercise ability suggests that they are normal.
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