A member asked:

Is there a difference between pac's/pvc's and atrial flutter/fib on holter monitors? when i got tested, had a few skipped beats, more frequent now?

3 doctors weighed in across 2 answers

Yes, there is!: It is essential to distinguish between atrial flutter/fib and PACs/PVCs because one carries a risk of stroke and the other does not. PACs and PVCs are extra beats that sneak into an otherwise sinus rhythm. Atrial flutter or fibrillation are a more fundamental disruption to sinus rhythm. A large number of PACs and/or PVCs can cause symptoms and need to be treated. Essential to distinguish.

Answered 2/5/2017

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Dr. Larry Eastburn answered

Specializes in Family Medicine

Big difference,: PAC's originate in the atrium as the PVC's originate from the ventricle. Both can be normal but the PVC can become more problematic with the type and frequency. Atrial fib is where the atrium fires irregularly and needs to be treated. Almost always with a medication to stop blood clots and for regulation. Atrial flutter is a more regular rate and less common than fib. Your EKG will be diagnostic.

Answered 9/18/2018

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