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This is called as Ventricular premature complexes (VPCs) or beats. Typical symptoms associated with them can be palpitations, light-headedness, syncope (faintness), atypical chest pain, or fatigue. But many times they are asymptomatic. EKG is necessary for the evaluation. If the missed beats/pulse is less than 6 per minute with no symptoms; they are considered as benign. The approach to VPCs depends on the frequency of VPCs, attributable symptoms, the presence or absence of underlying structural heart disease, and the estimated risk of sudden cardiac problems. Asymptomatic VPCs require no therapy. For symptomatic VPCs, recommended treatment is;
2) avoidance of aggravating factors (stress, caffeine),
3) anxiolytic drugs
4) Beta-blockers and calcium channel blockers.
Medications many times may not be needed.
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