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A 30-year-old female asked:

Why is it i feel forceful ectopics beats when i lay supine? i have head echos that are normal except trace mitral, tricuspid, and pulmonic regurgitation, and holter that showed benign pvcs 152 and 256 pacs in 48 hours. like heart is jumping up?

2 doctor answers4 doctors weighed in
Dr. Hunter Handsfield
Infectious Disease 54 years experience
Forceful heartbeat is common in people with extra beats like PVC and PACs. Following an early beat, the next one often is a bit delayed, so the heart fills with more blood than usual. Ejecting more blood makes that next beat feel strong, like the heart "jumping". Some people with PCs feel most such beats; others never do. Either way, it's harmless. Discuss with your doctor if still concerned.
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It is not uncommon to become aware of premature beats while you are at rest. Holter monitor has revealed premature beats the significance of which should be evaluated further. Arrhythmias such as these could be caused by anxiety, a thyroid disorder, medications or recreational drugs. A full evaluation by a cardiologist who should also be given hard copies of the Holter recordings would be next.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 7, 2021


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