It depends - okay, this is going to be a little complicated...
When your heart muscles are overstimulated, be it by caffeine, anxiety, cocaine, excess electrical activity, electrolytes out of whack, whatever, sometimes there are extra beats. Your heart is split into two halves - top and bottom. The top are the atria, and the bottom are the ventricles. When a ventricle contracts before it's supposed to because of this overstimulation, that's called a premature ventricular contraction, or PVC. PVCs (so long as there are less than 6 a minute), are considered pretty normal. When your heart rhythm is a PVC alternating with a regular beat, that is called bigeminy. When it's a PVC alternating with two regular beats (so two beats, PVC, two beats, etc) that's trigeminy. If the PVCs are non-perfusing (meaning you can't feel the pulse of them in the wrists or carotid artery) and they make up half or more of the regular beats (so if your heart rate is 90 with the PVCs, and half of them are PVCs, you're only getting circulation with 45 beats a minute), then that can be serious IF the person develops symptoms. So if you're feeling weak/faint, dizzy, nauseous, cold, short of breath, etc., you may need treatment for it. Treatment for trigeminy/bigeminy depends on the cause. Usually, it's not a continuous heart rhythm - it comes and goes. However, if the person has problems with their potassium, calcium, or other electrolyte levels, whether too much or too little, they may be treated for that. If it's caused by anxiety, then the anxiety is treated, etc. Treatment is REALLY based on the cause. If you've had an abnormal EKG and the cause hasn't been treated, I would seek a second opinion from a doctor (preferably a cardiologist).
2007-01-11 20:25:22
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answer #1
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answered by Julia L. 6
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