Ectopic Beats: Understanding the Common Cause of Palpitations
Ectopic beats are one of the most common heart rhythm disturbances and are often the primary cause of palpitations that people experience. At Dr Li's private cardiology clinic in London, we frequently see patients who report sensations like their heart "skipping a beat" or feeling a forceful pounding heart. While ectopic beats are often benign, they can sometimes cause distressing symptoms or indicate a higher risk of future heart conditions like atrial fibrillation (AF).
What Are Ectopic Beats?
Ectopic beats are extra heartbeats that occur outside the regular rhythm of the heart. These can arise from either the top chambers (atria) or bottom chambers (ventricles) of the heart.
Atrial ectopic beats (AEs), also called atrial extrasystoles or atrial premature beats (APBs), originate from the top chambers of the heart (atria).
Ventricular ectopic beats (VEs), also referred to as ventricular extrasystoles (VPCs) or ventricular premature beats, originate from the bottom chambers (ventricles).
These extra beats can happen as isolated events or in regular patterns, such as every second or third beat, and are typically felt as a fluttering or skipping sensation in the chest.
Symptoms of Ectopic Beats
Most people describe ectopic beats in one of two ways:
A feeling of missed beats or skipped heartbeats
A forceful pounding of the heart
Some patients report subtle symptoms, like fatigue, or feel a lack of energy during physical activity. Others may experience no symptoms at all, but still have the condition.
Ectopic beats can occur sporadically or in patterns, and in some cases, they may happen frequently throughout the day and night.
Are Ectopic Beats Dangerous?
In most cases, ectopic beats are benign and don’t lead to serious health issues. Many people with ectopic beats live normal lives and may not need treatment beyond reassurance.
However, in some instances, when the number of ectopic beats is high or persistent, it can fatigue the heart and potentially weaken it over time. Frequent atrial ectopic beats have been linked to an increased risk of developing atrial fibrillation (AF), a more serious arrhythmia that can cause strokes if not properly managed.
Treatment Options for Ectopic Beats
In many cases, ectopic beats do not require specific treatment. However, if you experience persistent or troublesome symptoms, there are several options available:
Lifestyle modifications: Reducing stress, limiting caffeine and alcohol, staying hydrated, and getting enough rest can help reduce the frequency of ectopic beats.
Medications: If needed, medications may be prescribed to control the heart's rhythm or alleviate symptoms.
Catheter ablation: In cases where ectopic beats are frequent or causing significant symptoms, a catheter ablation may be recommended. This minimally invasive procedure helps to target and eliminate the abnormal electrical pathways responsible for ectopic beats.
Why Choose Dr Li?
Dr Li has a specialist interest in ectopic heartbeats and spent three years researching ways to better predict where these extra beats originate in patients needing catheter ablation. His post-doctoral thesis focused on this work, and he further developed his expertise at the world-renowned UCLA Cardiac Arrhythmia Center in the United States. Driven by a passion to improve outcomes for patients with ectopic beats, Dr Li is committed to advancing techniques in this complex area of cardiology where current treatment options can be limited.
When to See Dr Li, Private Cardiologist in London
While most ectopic beats are harmless, if you’re experiencing frequent palpitations or symptoms like dizziness, fatigue, or shortness of breath, it’s important to see a private cardiologist in London for further evaluation. Dr Li, a specialist in heart rhythm disorders, can provide:
A thorough assessment of your symptoms
Diagnostic tests, such as an ECG or Holter monitor, to track your heart's rhythm over time
A tailored treatment plan to address your concerns, whether it's reassurance, lifestyle changes, or medical intervention
If your ectopic beats are linked to a higher risk of atrial fibrillation (AF) or other heart conditions, Dr Li’s expertise can guide you through the next steps, which may include advanced treatments like catheter ablation for rhythm correction.
Book Your Appointment with Dr Li
If you're concerned about ectopic beats or experiencing palpitations, Dr Li is here to help. As an expert in heart rhythm disorders, Dr Li offers personalized care and advanced diagnostic services to ensure your heart health is thoroughly evaluated.