Premature Ventricular Contraction - causes, symptoms, diagnosis, treatment, pathology
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- เผยแพร่เมื่อ 26 ส.ค. 2024
- What is a premature ventricular contraction? A premature ventricular contraction happens when an abnormal contraction signal, called a depolarization, originates from somewhere in the ventricles rather than coming from the pacemaker cells. Find our full video library only on Osmosis: osms.it/more.
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As a doctor, I can say, you guys... are super. Viewing your work, shows how much you study to put together medical knowledge and make it feel so easy and pleasant ... That's talent. GJ!
Thank you for the kind words, Bestmsp! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
bestmsp he said that pvcs can rarely trigger ventricular fibrillation! is that also include normal hearts?
i guess it's kind of randomly asking but do anybody know a good place to watch new movies online ?
Hi! What determins if VT is pulsed or pulsless?@osmosis
Was just diagnosed with this and docs did a poor job explaining it. This video is exactly what I was looking for! Thanks so much!
We're glad that we were able to shed some light on the disease. If you remember, next time you see your doctor please let them know about us as a reference for future patients. Take care.
Very helpful. Please read. I had been having PVC's for a few weeks, but didn't know what they were. I was under some pretty aggressive stress in life and drank a lot of coffee at the time. My wife finally took me to the ER when I almost fainted in the kitchen one morning. I was in the hospital for 2 days while they ran tests, including that damn treadmill. Happy to say that we've downsized life. We moved, I quit that job and calmed things w-a-y down. Also switched to decaf. :-( Anyway, thank you very much for putting this together. I'm no doctor, but I try really hard to find education for things that go wrong. This was the best one for PVC's that I've found.
how are you? still have PVCs?
Bro these pvcs are no joke. Like they may be just "annoying", but man they make you feel a certain way. Almost like you dying. It sucks. Glad you can get yourself into a better situation though.
@@rooksilva21 Very true. Not to scare you or anything, but I had the opportunity to actually watch them happen on an ultrasound. The heart actually stops - like as in - a full stop, then a moment or two later, the great 'reset' happens and we begin going again. It's really something to see. never in a million years did I ever think that I would be able to see my heart stop, while I'm still alive.
@@rooksilva21 Oh, and to add another thing - people can have hundreds to thousands of these per day. I'm still in the high 80's. So, to think about it, my heart actually stops for a brief moment just about a hundred times a day. Even while sleeping.
@@murgero1 did you ever consider an ablation?
This was an excellent video explaining PVCs and their causes and identifying factors. I am a monitor tech so you have given me great language to help explain to others what I see on their rhythm strips. I also had a history of PRVT (premature right ventricular tachycardia) that I had an ablation for in December. Usually it was just smallish episodes of a few seconds of VT but this one lasted 8 long agonizing hours! I finally converted myself, with the help of 4 cardiac IV drugs, and no longer have to take meds to stabilize my arrhythmia.
Hi, Leah, we're happy that you're finding the video useful! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
I'm an electrical engineer who has dealt with frequent palpitations/PVCs for at least 20 years. I've had multiple RF and Cryo ablations to try and control them, but they've been met with limited success. Your video was very enlightning. I acually stopped it several times to compare my ECG to the topic at hand. Knowledge is king, and understanding the cardiac electrical systems has made me much more understanding of my cardiac health. THANK YOU!
Hi, is the medications working for you? And what’s your age
@@ronalynnecuran118 Metoprolol Tartrate will knock down the PVC's pretty quick. I'm 66.
@@ZonaJim I see.. I am 33 and suffering from palpitations for 4 months.. Bisoprolol doesn’t work for me.. however, cardiologist asked me to stop Bisoprolol and repeat Holter Monitor instead. I’ve got 68 Supraventricular Ectopic beats in 24hours. I’m not sure wether it’s normal. My cardiologist appointment is tomorrow.. I’m hoping and praying that’s okay. 🙏🙏🙏 what exercise do you do?
@@ZonaJim did metoprolol keep your pvcs lowered or got them away for good ?
@@leovargas760 I went from 20 PVCs per minute to 3-4 with Metroprolol. And some days, I don't have any.
I was diagnosed with PVCs about 12 years ago. The doctors put me on 25mg of beta blockers, Atenolol which I take at bedtime. I'm fit, exercise very regularly, don't smoke. I still get the odd skip now and then but they no longer bother me.
how are you?
How often do you get PVCs?
@@louistournas120 Hi Louis. It's hard to tell the frequency they occur. They are mostly un-noticeable. Those that I do sense are fleeting. It's like a mis beat of my heart.
@@harryhall197 Is it something intermittent for you or do you get it all the time. Have you measured your pulse and to see how many PVCs you are able to detect in a minute?
Hows your quality of life been? Have just been diagnosed with PVCs 😔
This does a good job explaining why some of my PVC's really jolt my chest and others I could barely notice and wouldn't have noticed had I not been sensitive to them. So some fire off so close to in sync with the normal heart beat that they don't interrupt it and others kind of backfire back into the atriums and creates that horrible jolt that scares the heck out of you.
Same here.
Had a catheter ablation 3 days ago, the only regret I have is, why didn't I get it sooner, I feel great, I can see the quality of my life changing for the better.
Please let me know how it is going for you? I was just diagnosed and i feel horrible
Were you diagnosed pic's?
If so you need to see a heart rhythm specialist.
I'm feeling like a million bucks, I haven't had an episode since I got the procedure, it was a breeze.
You'll be fine, take care of it as soon as you can, you'll feel great! Good luck!
I meant to say pvc's
What were your symptoms before this procedure ? :(
@@maribunny8461 my heart rhythm was out of wack, I had skipped heart beat, and also had tachycardia... my bpm was 35 sometimes. Go see a heart physiologist
I had these since I was a child and it feels like your heart is turning around in your chest. I can literally feel it against my rib cage. It’s scary
How are you now?
Thank you, thank you, thank you!! More cardiac related videos would be fantstic!
Hi Lovena, thanks for tuning in! Have you checked out our Cardiovascular Pathology playlist? th-cam.com/play/PLY33uf2n4e6PNPzVph7rNUwGPuhVxl2XY.html
Thank you. I just went to the ER and they told me this is what I have then sent me home. This explains what is going on. At least now I understand better what's happening to me. So yeah, thanks for that.
You are welcome. We wish you the best!
Beer Adventure Diaries Q
I just spent 3 hours at the hospital for the same issues
so what....its like you felt your heart paused and then go?
ive been there..ive had them for years ..not 1 doctors knows what to do about them ..but they tell me not to worry about it?
Thank you Dc. Tanner
You have given me the missing piece , & l really appreciate your job.
I have those and i had a catheter ablation at 2015 and 2017 for WPW treatment which i was born with it. My cardiologist has seen all those premature beats,although they don't pose any risk like he said they are SUPER ANNOYING,which can make you get scared.
Your ablation was sucsess plz reply
Was your ablation successful did the pvcs stopped ?
How do you know when PVCs are dangerous? I have an electronic blood pressure monitor that also tracks my heart rate. Sometimes it’ll say that I have an irregular heartbeat. I take my blood pressure again and then I start to worry. I was diagnosed with PVCs a couple of years ago and my doctor said it was nothing to worry about. Other than feeling lightheaded sometimes, I don’t really have any symptoms. I also have low blood pressure.
PVC Simplified!
Thank you So Much Osmosis!
This is Osmosis @ it's BEST!
KEEP UP THE GR8 WORK!!
Thank you for the kind words, Anand! If you’re interested in getting early access to our videos, check us out on Facebook: bit.ly/2u35D6J, or, even better, get exclusive access to dozens of our unreleased videos now at our website: bit.ly/2ut5ZEJ.
A lot of good information here. Although, I would've liked to see potential causes from the vagus nerve.
just like all your videos , Short And Clear And the best information in the easiest way , seriously you are a gift may god bless osmosis
SAYING JUST THANK YOU IS NOTHING compared to this you offered me mannnn.. fantastic.. :)
It is really helpful and you guys keep up the good work. Thank you so much.
This is great! Thank you so much. I could understand it perfectly with your video.
Great explanation. Kudos
But you forgot the Roemheld syndrome or gastro-cardiac syndrome as a cause.
It isn't only anxiety, mineral (electrolyte) imbalance, thyroid issue.
I have pvc..
This. The beats started after a serious bout of indigestion with feelings of food in my throat.
How could heartburn have trigger PVCs
@@alabitimilehin7608 Because of the nervus vagus being triggered if I'm not mistaken.
These videos are awesome!!! these explanations are exactly what i needed to understand my condition and relieve the anxiety they create. Thank you so much!
Glad we could help SuperMikeAttack. Take care.
I was just diagnosed and i live scared and anxious, i will have a holter monitor for 24 hrs and i was sent to do some blood test, can you tell me about your experience? Do you still suffer from it?
@@abrilgjbm hi. I had lots of test and it seemed like after each test they were. Eventually they just stopped. No idea what happened. 3 cardiologist never figured out what was going on. They just stopped. My advice is to just be aware of how you feel, but dont freak out over them. I never got faint or passed out or anything like that. As long as you aren't losing consciousness, you are fine.
Incredibly good video. Absolutely impressive. THANK YOU!!!
Thank you, Cycling SJH! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
Love the amount of effort you put into your videos! Could you do a video on Toxic Epidermal Necrolysis (TEN)? I recently survived TEN and would like to know more information about it, as well as spread awareness about this medical condition as it is quite rare. Thank you!
Thanks for the suggestion, Amanda! You can vote for upcoming videos by becoming an Osmosis Prime subscriber. You can sign up for a free trial at bit.ly/2ut5ZEJ.
Wow. Excellent explanation. Thank you.
Thank you! This is what I needed.
Thanks for watching, Celine! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
How are you under 1 million subscriptions? SO good, thanks
Loving your cardiovascular vids
Thanks!
Yes now I understand my PVC I just still don’t know what to do about it 😂
i've been to many doctors and nobody could help me. you just have to live with it.
Try taking magnesium
I've had pvcs since I was 17 , im 42 years old now.. ive been to many doctors and not 1 could help me my friends???
@@jaysonallen8030 The positive side is that you are still alive and it's not killing you. But yeah the Psychological effects is another story. Get well soon to us.
My PVC's are reduced,from 1000 PVC's a day to 50PVC's or less,
You are having a fear which you people dont even know,
You think too much.
My General Physician gave me Medicines of BP control and normal heart rate.
After 4 days of quitting medicines,only 50 or less PVC'S,
Doctor said me overcome your fear or stress in these four days,
I stopped thinking and stopped gaming stress.
Feeling better. Alhamdulilah.
Your videos are amazing. Very helpful for nurses like me.
Excelent content! This video helps me a lot. A hundred percent aproved. Whatching from Brazil!
♥ We love that we're being watched in Brazil! If you’re interested in getting early access to our videos, check us out on Facebook: bit.ly/2u35D6J, or, even better, get exclusive access to dozens of our unreleased videos now at our website: bit.ly/2ut5ZEJ.
I’m always afraid of having a heart attack and it scares me everyday
@Depressed Unwanted Man Did you or your doctor ever consider a catheter ablation?
@Depressed Unwanted Man Thanks for replying, Ive been getting PVCs every day for a couple of months now and I'm getting some tests done next week. Are you still on Zoloft? Do your palpitations start again if you stop taking it?
@Depressed Unwanted Man Sorry to hear that dude, they really are annoying, worrying, thought-consuming and frustrating. Hope you can be cured of them one day.
May I ask which software do you use for those videos ?
Thanks a lot for creating this channel, you content is sick !! (No pun intended) :P
Hi Nanou, thanks for the interest! We have a video on that. Check it out! th-cam.com/video/rALOCwzv4zQ/w-d-xo.html
Thank you very much ! I think it's a brilliant way to convey the informations.
Keep it coming guys and good luck
Cheers from Algeria :)
I am so thankful to you people that I might cry of joy....thankew for making my life easier😍😍😍
How are u now
I'm a mechanic and it sounding to me like you're saying my heart has a misfire from hotspots on the piston face or combustion chamber being damaged from pre-ignition and detonation.
Thank you for this very informative video. I think my problem started when I had to go to ER twice and once to my doctor because I would become severely short of breath and all they told me at the ER is that I was not having a heart attack where I was given the old Troponin Assay each time.
I was still having severe breathing problem and I finally insisted on a heart scan just to find calcium building on my heart arteries and after that I researched vitamins that would get rid of this build up which turned out to be Cod Liver Oil. So I got another heart scan about a month later and got a clean bill of health from the cardiologist.
But because of the doctor's negligence I wonder if this was the reason I started getting these PVCs? Right after I had a touch of the flu, they got worse but they aren't quite as bothersome now. However I have an appointment with a cardiologist March 12.
How you're dealing with your PVC and shortness of breath?
How you keeping ...I got those PVC after a flu and the PVC showed on an ECG...Dr. prescribed me beta blockers but it is not helping
@@KhaledKhaled-fo9zb how are you now?
Thank you osmosis💪
Thanks, it is really helpful for understanding the PVC. Thanks alot, can't wait for the next videos
Thanks folks for great explanation god blessed you guys
Can you make a video on gangrene please.. Thanks
We will eventually, Pallavi! You can vote for upcoming videos by becoming an Osmosis Prime subscriber. You can sign up for a free trial here: bit.ly/2ut5ZEJ
God Bless and may our Lord heal us all!🙏🏼❤️🙌🏼✝️
There's an entire Subreddit discussing PVCs and how most doctors dismiss them and aren't capable of finding clear causes. Most patients feel neglected and ignored and they suffer from these horrible ectopics. Mostly people report that triggers are lack of sleep, too much caffeine, exercise, bending over, standing up, bulky meals, alcohol such as wine, talking loudly, stomach issues, anxiety.
great content great illustration
thanks guys
Thanks, Hamza! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
I have 30 pvcs daily which I only feel once in a while really lightly , started taking melatonin 5mg daily to sleep and my pvcs got WAY WORSE, 200 a day feeling nearly all of them extremely scary , holter and ecg normal , stopped melatonin pvcs got back to normal range , thank god , there is a connection prob my trigger was melatonin
Thankyou! Pathophys MT in two days and ya saved me
Very helpful.u have made it simple and interesting. Thank you.
You are welcome! 😊
Please make some videos on SVTs together with treatment
We will eventually, Zain! In the meantime, you can see all of our exclusive and unreleased videos, access thousands of flashcards and board-style quiz questions, and much, much more by becoming an Osmosis Prime subscriber. Check us out! bit.ly/2ut5ZEJ
i will donate to you once i start making money
what is unifocal premature ventricular contractions? is it dangerous?
Superb work, thank you for this!!
I wore a 24hr monitor and had a bunch of these (3 big mountains in a row) every 20 minutes between 5 and 6am (while sleeping). Scary.
Any update?
I had wpw syndrome, and had ablation procedure and now it's gone the ecg is normal now. However, I still have some extrasystoles and my cardiologist says and shouts at me, to stop getting stressed and have anxiety and also to watch my food. They are mostly have to do with lifestyle 95%
I have wpw too but My doctor said to me U dont need a ablation . And I have extrasystol too He only give me pills (Darob)
How are you now ?
I am male 56 years old. had heart attack three years ago..underwent angioplasty and a stent is placed in one of my arteries. I am doing good. but was taking 30 ml of brandy everywhere just to keep me warm. Now after completion of three years i went for echo cardio gram and diagnosed with few PVCs. ECG also showes slight missing beats...showed cardiologist..he asked me to do tread mill test which i did fine. So he said to stop even that small amounts of alcohol and come after a year...i feel okay...initially when i stopped alcohol had terrible chest tightness due to withdrawal. but just within a week i am fine. i do walk for 35 minutes at moderate speed in the mornings. and do yoga for 30 minutes in the evening...I have two tablets aspirin and one more callled Prolomet R 25
Are you able to lift heavy weights?
Amazing job
Thank you doctors
Thank you so much
arthmias in general are so confusing and difficult wah!!!
Again thank you Osmosis
Dr: Are you having palpitations?
Me: Nah, I'm having a steak soon as I get outa here!
Seriously though, I do appreciate these videos!
I recently discovered (12 lead EKG) that I do have a form of tachycardia, likely PVC, everything fits, just waiting on a cardiologist to diagnose and provide treatment plan if any.
I've searched for many hours looking for answers and clear explanations to this VENTRICULAR TACHYCARDIA thing. This channel was just the thing I personally needed and to share with others. Great to have discovered these clear easy to understand highly detailed illustrations, providing clarity in a confusing time.
It's also great to see that 3.2M people have subbed to the channel, you've earned it!
Thanks for sharing your feedback! ❤️
Beautiful as always. Random Suggestion: ACLS Protocool
Hi, Tman DudeGuy! Thanks for the comment. We've been discussing how we can best approach teaching protocols. Stay tuned!
Excellent video!
Is pvcs basically ectopic beats in lower chamber
Thank u for great videos. Regards from Iran.
I have read in guyton that AV node allows unidirectional conduction , so how can depolarising wave enter from ventricle to atria?
Thanks... 2 thumbs up for this!!!
Try one teaspoon of Benadryl to calm PVC's. Especially, if they are bothersome at night.
More than amazing, very helpful 🤍
Great explanation it would seem
Guys your videos are amazing! But please change you Prime plans as it is very expensive for us students. It would be a lot easier to pay monthly than the whole year at once. :(
28 years old...n having pvc......
Waiting for pvc to go away........so ... irrigating.....
Amazing work.
Would surgical intervention ever be appropriate for removing ectopic foci? My ex had a huge scar from open heart surgery, but he only ever described it as PVC...
I have as many as 30 in a row one right after the other every now and then.....Usually my PVC's range from 1every 3 beats to 1 every 30 beats.....happening for hours or maybe 10 mins or less here and there.
Ive had pvcs for nearly a year now and they’ve always been happening when i lay down and im not sure if the panic attacks or antihistamines have caused it or it’s something else. Is there any way i can stop these from happening when i lay down?
Suppression of the vagus nerv. It happens to me too. Just stay on it until you get answers.
Try a teaspoon of Benadryl (25mg). Calms them right down. Then, go see a cardiologist.
Thank you
Thanks for watching Osams!
so much useful!! thanks to you guys
Thanks, Harsh! Did you know that if you like & review us on Facebook then you’ll get access to our videos a day before they’re published on TH-cam? Check it out here: bit.ly/2u35D6J
Great explanation
Thanks, Sikandar! 🙏🏼
Are there statistics about this? I know that everyone gets a pvc. How many get 5 pvc/min? How many get them all the time? Does it get worst over time?
At what side you feel pvc beat
Plz rply
Love it. Writing a late night paper on arrhythmia and i got everything I need =)
#futureMA
Glad we could help, Sara! If you haven't yet checked out our educational platform we’re working hard to be a one-stop shop for educating future clinicians. We have unreleased videos, thousands of flashcards and board-style practice questions, study workspaces, and daily study scheduling tools to help you learn, retain and apply medical knowledge. Check us out here! bit.ly/2ut5ZEJ.
I went to the hospital for some palpitations in my chest, and when the nurses heard that I ingest medical cannabis, they almost blew me off. I had to nurse follow my graph and I called out my palpitation, her eyes lit up and said "you have pvc's". I feel every one of them, all day long.
Any better ?
I learned the hard way that some docs love to blame cannabis when they can't figure out a genuine diagnosis.
Magnesium magnesium magnesium. In my case it made all the difference ❤️
what kind of magnesium and how much ?
What kind of magnesium?
Post COVID very common I believe.
Please can you make cardiomyopathy videos?
How can PVC depolarize atria? Doesn't the av node stop the current reentry back from ventricle to atria ?
Why don't beta blockers stop PVCs?
In my case beta blockers didnt stop pvcs , my pvcs got better finding the trigger which in my case was melatonin 5mg to sleep.
James Boss james cause my pvcs began when i started taking melatonin , once i stopped they subsided , if i take melatonin again they come back full throttle , clearly there is a link !!
this is sooooo good
Thank you a lot
Quick question! Shouldn't the ectopic focal point @6:10 be drawn at the left ventricle since the "R" is so large (based on what you mentioned earlier)? Am I missing something, or was it just drawn inaccurate to move on with the next lesson? Thanks in advance!
well done!
Thanks
so this is what they mean when heart skips a beat?
Yes. I've had them since I was 12 and I'm 51 now. I've been having them a lot here lately. Not sure why either.
@@helloyall4355 how many of these you have per minute?
@@hanisaleem6329 All the time for the past 2 months. No alcohol, tobacco or caffeine. I get the palpitations and the afib beats like 1000 times per minute.
@@helloyall4355 My heart constantly skips beats specially when I pay attention to it. I have thyroid and I'm an overthinker 😔
@@helloyall4355 I literally can feel my pulse pause for a moment and this is so scary
you keep saving my life !
P wave doesn't equal atrial contraction! The contraction comes after the depolarizing wave, as the contraction coupling happens.
Does anybody ever experience chest pain or that their left arm hurts ? Due to the pvc
Sounds like angina. My PVC feels painless but weird fluttering in my chest and neck. Angina is painful and affects my left arm and sometimes my lower jaw and teeth.
@@hollyhocks7360 is their any specific way to test for them?
thank you so much guys
keep it up
You got it, Jay! If you’re interested in getting early access to our videos, check us out on Facebook: bit.ly/2u35D6J, or, even better, get exclusive access to dozens of our unreleased videos now at our website: bit.ly/2ut5ZEJ.
GREAT , can u plz explain the Acid bade Balance
We will eventually, Fatemah! You can vote for upcoming videos by becoming an Osmosis Prime subscriber. You can sign up for a free trial at bit.ly/2ut5ZEJ.
My patient recently presented with ventricular bigeminy? recorded on ECG and he complaint of lightheadednes. On pulse palpation and heart ascultation concordant rate at 48 bpm ....so what doesn't mean ?
I have had PVC"s for over 50 years, but they only become problematic if I have over 1 cup of coffee per day. Before watching this video I never really understood what was happening.
We're glad that our video was able to help 🙏🏼
Isn't it the opposite way
Compensatory pause is in case of late pvc and non compensatory in early pvc..
Reference braunwald
Can I use beta blockers with calcium channel blockers sir
These go away people ! You need to take note of what you are eating! It's the heavy metals in foods that cause an electrolyte imbalance! For me , I narrowed it down, it was seafood such as albacore tuna (mercury) and green bell peppers (pesticides). Once I cut that out I noticed a drastic decline. There are also foods that help -cilantro (helps remove heavy metals) and 100% coconut juice (electrolytes). And lastly, what I noticed really, really helped was jogging for about 5 min daily on treadmill, set my rhythm back to normal. Try what I just mentioned for about 2-3 weeks and again, take note of what you are consuming. Hope this helps anyone dealing with this!