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| Premature heart beat | |
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| A premature ventricular contraction marked by the arrow | |
| Specialty | Cardiology |
Apremature heart beat orextrasystole[1] is a heart rhythm disorder corresponding to a premature contraction of one of the chambers of the heart. Premature heart beats come in two different types:premature atrial contractions andpremature ventricular contractions. Often they cause no symptoms but may present with fluttering in the chest or a skipped beat. They typically have no long-term complications.
They most often happen naturally but may be associated with caffeine, nicotine, or stress. Usually no treatment is needed. They are the most commonarrhythmia.[2]
The normal heart contraction comes from a cyclic membranedepolarization (reversal of the electrical polarity of the cell membrane) of a group of cells located on the upper part of the rightatrium, thesinoatrial node. This depolarization spreads to the whole heart and causes muscle cells to contract. It is followed by a "refractory period", a short time when the cells are no longer stimulable. The heart rate is controlled by this node.
Premature heart beats can be asymptomatic (the patient does not complain about anything). The subject may experiencepalpitations, a feeling of cardiac "pause". Taking (prolonged)pulse may result in a rhythm that seems irregular.Electrocardiography andlaser Doppler imaging[3] allow to visualize premature heart beats. From their appearance, their location can be assessed. TheHolter monitor allows to quantify them, to specify their characteristics and their repetition.
