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Premature ventricular contractions — ABFM Board MCQ

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EasyCardiovascularPremature ventricular contractionsABFM Board

A 36-year-old man reports intermittent skipped beats for 2 weeks. He has no syncope, chest pain, or family history of sudden death. ECG shows isolated premature ventricular complexes; examination and electrolytes are normal. Which of the following would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Reassure him and reduce caffeine if symptoms correlate

Isolated premature ventricular complexes in a structurally normal heart are often benign; reassurance and trigger reduction are reasonable when red flags are absent.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html