Frequent ventricular ectopics in a healthy adult woman – is it associated with sudden cardiac death?

  • CL Teng
  • Kunjapan SR


History. Puan N, a 45 year-old housewife, presented to herfamily doctor with the complaint of palpitation for two days.She described it as occasional rapid beating in her chest whichoccurred for a few seconds, about 10 times a day. She wasotherwise well; there was no fever, breathlessness or chestpain.

Physical examination. Blood pressure 110/70 mmHg. Pulse64/min with irregular beats. Heart: dual rhythm (with irregularitynoted), no murmur. Lungs: clear. No other physical findings. (copied from article)


Writing Committee. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines. Europace. 2006; 8(9):746-837.

Zwietering PJ, Knottnerus JA, Rinkens PELM, Kleijne MAWJ, Gorgels APM. Arrhythmias in general practice: diagnostic value of patients’ characteristics, medical history and symptoms. Fam Pract. 1998; 15(4):343-53.

Bikkina M, Larson MG, Levy D. Prognostic implications of asymptomatic ventricular arrhythmias: the Framingham Heart Study. Ann Intern Med 1992; 117(12):990-6.

Frolkis JP, Pothier CE, Blackstone EH, Lauer MS. Frequent ventricular ectopy after exercise as a predictor of death. N Engl J Med. 2003; 348(9):781-90.

Echt DS, Liebson PR, Mitchell LB, et al. Mortality and morbidity in patients receiving encainide, flecainide, or placebo. The Cardiac Arrhythmia Suppression Trial. N Engl J Med. 1991;324:781-8.

How to Cite
TengC., & SRK. (2008). Frequent ventricular ectopics in a healthy adult woman – is it associated with sudden cardiac death?. Malaysian Family Physician, 3(3), 2. Retrieved from
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