Premature Ventricular Contractions (PVCs): Causes and Risk Factors

Introduction

Premature Ventricular Contractions (PVCs) are extra heartbeats that originate in the ventricles, disrupting the normal heart rhythm. While they are common and often benign, frequent PVCs may indicate underlying heart conditions.

Causes of PVCs

1. Heart-Related Causes

  • Coronary artery disease (CAD) – Reduced blood supply to the heart can irritate the ventricles.
  • Previous heart attack (myocardial infarction) – Scarred tissue can trigger abnormal electrical impulses.
  • Heart failure – Enlarged or weakened heart muscle increases the likelihood of PVCs.
  • Structural heart disease – Cardiomyopathies and valvular diseases affect heart function.

2. Electrolyte Imbalances

  • Low levels of potassium, magnesium, and calcium can disrupt heart rhythm and trigger PVCs.

3. Stimulants and Lifestyle Factors

  • Excessive caffeine, alcohol, and nicotine can provoke PVCs.
  • Illicit drugs (e.g., cocaine, amphetamines) can overstimulate the heart.
  • High levels of stress and anxiety can increase PVC occurrence.

4. Hormonal Changes

  • Thyroid disorders (hyperthyroidism) can make the heart more prone to PVCs.
  • Menstrual cycle fluctuations may trigger PVCs in some individuals.

5. Medication Side Effects and Medical Conditions

  • Certain medications, such as decongestants, asthma medications, or some antidepressants, can increase PVC risks.
  • Sleep disorders (e.g., sleep apnea) are associated with an increased frequency of PVCs.

When to See a Doctor?

PVCs are often harmless, but you should seek medical attention if: - You experience frequent PVCs (thousands per day). - You have symptoms like dizziness, fainting, or chest pain. - You have a history of heart disease.

Conclusion

While occasional PVCs are relatively common, persistent or symptomatic PVCs require medical evaluation. A healthy lifestyle, electrolyte balance, and regular cardiovascular check-ups can help manage and reduce PVCs.

Source recommendations

1. American Heart Association Guidelines on Arrhythmias

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  5. https://pubmed.ncbi.nlm.nih.gov/29084733/

2. European Society of Cardiology Guidelines on Ventricular Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.sciencedirect.com/science/article/pii/S2405500X22010945

Our advantages:

patient2376100
Best practices from USA, EU and Japan
Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
prescription18648039
Always up-to-date information
On a daily basis, we monitor for you all new scientific research publications in leading scientific journals on medical issues of interest to you.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
fvfflf7q
Get second opinion
Here you can learn everything that even your doctor may not know about cardiology (if he does not speak English and he does not read 117 leading medical journals on cardiology every month).
1xr4duup
The most comprehensive and up-to-date collection of free cardiology materials
Our website contains the most comprehensive and up-to-date collection of free cardiology materials in your country.
Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.
arrow
Please register in order to receive information regarding possible complications and new approaches to treatment of cardiovascular diseases via email in our Newsletters.
arrow