Here are six bullet points on PVCs: (No doubt, if you wanted to be an engineer about it, there would be many more.
Atrial or ventricular beats that appear in an every other beat pattern are referred to as bigeminy. This image shows PVCs (beats 2, 4, 6 etc) occurring in what we call a bigeminal pattern. Atrial arrhythmia, including AF and atrial flutter are the most common. PVCs are probably the second most common rhythm problem I see. What’s up with PVCs? Why? Could they be 1) consequence of (chronic) exercise or 2) related in some way to overtraining. Otherwise the history, exam, ECG, ECHO and electrolytes are normal.
He (or she, it doesn’t matter) has visited the doctor and an ECG shows PVCs, or premature ventricular contractions. Here is an edited email I received from an athletic colleague:Ī 50 year-old male healthy athlete has the new problem of occasional periods of premature beats.
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