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arrow_back Conditions & Treatments

Premature Atrial Contractions (PACs)

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When an upper chamber of the heart contracts early

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Premature atrial contractions (PACs) occur when the electrical pulse for one of the heart’s two upper chambers, the atria, comes before the normal heartbeat and causes the heart to contract early. The normal heartbeat following an early contraction may feel like a stronger, pounding beat.

PACs are one of the most common types of abnormal heart rhythms (arrhythmias). A PAC may cause a fluttering sensation or make you feel like your heart skipped a beat. Most people will experience PACs at some point in their lives, and they are often a result of stress, caffeine or alcohol. They are often be noticeable while at rest. Premature atrial contractions occasionally may be caused by heart disease but usually happen spontaneously and without apparent cause.

Many premature atrial contractions go away without treatment. However, they can precipitate other, more serious, heart rhythm disorders, such as:

  • Atrial flutter
  • Atrial fibrillation
  • Supraventricular tachycardia

Our Center for Complex Arrhythmias specializes in treatment of such conditions. You may be evaluated to determine if your arrhythmia is the result of a heart condition such as hypertension or heart disease.

Electrophysiology Program

We are leaders in developing and using the latest procedures and technologies to treat heart rhythm disorders, and our cardiac electrophysiology laboratory is one of the most sophisticated in North America.

Learn More

Tests

Diagnosing premature atrial contractions is the first step to determining if treatment is needed. Our specialists may recommend one or more diagnostic and imaging procedures.

Echocardiogram

An echocardiogram uses high-frequency sound waves to create images of your heart.

Electrocardiogram (ECG)

An electrocardiogram, also known as an ECG, measures the heart’s electrical activity.

Event Monitors

An event monitor is a small device that records the heart’s electrical activity. It’s similar to an electrocardiogram, but where an electrocardiogram takes place over a few minutes, an event monitor measures heart rhythms over a much longer time.

Holter Monitors

A Holter monitor is a small device that records the heart’s electrical activity. It’s similar to an electrocardiogram, but whereas an electrocardiogram records over a few minutes, a Holter monitor records over the course of a day or two.

Loop Recorder

A loop recorder is a device that’s implanted underneath the skin of your chest to record your heart rhythm for up to three years.

Treatments

Treatment for PACs may be focused on alleviating symptoms if no cause is identified. If your premature atrial contractions are the result of an underlying heart condition or put you at risk for developing more serious rhythm disorders, your doctor will determine a treatment plan for your unique condition.

Arrhythmia Treatments (Heart Rhythm)

Treatments for arrhythmias, or heart rhythm disorders, such as minimally invasive procedures, implantable devices and surgery, vary based on the type and severity of your condition.

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410-574-1330
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(703) 208-7257
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Cardiology
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Electrophysiology
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301-877-5677
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Cardiology
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(202) 877-5800
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Cardiology
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Cardiology
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. William Guy Weigold, III, MD
Cardiology
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202-877-7777
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Dr. Rahul Malik, MD
Cardiology
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Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
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Dr. Mansoor Mozayan, MD
Cardiology
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9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Dawn Warner Kershner, DO
Cardiology
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(410) 366-5600
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Dr. Roquell E. Wyche, MD
Cardiology
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(202) 499-6999
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Dr. Michael S. Goldstein, MD
Electrophysiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
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Dr. Anil K. Shah, MD
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Dr. Sumbal Ashraf Janjua, MD
Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Ebony Rebecca Alston, MD
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Jose D. Vargas, MD
Cardiology
(231)
3800 Reservoir Road Northwest Building 5 Washington, DC 20007
(202) 444-5111
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Dr. John J. Kennedy, MD
Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Zayd Adnan Eldadah, MD, PhD
Dr. Zayd Adnan Eldadah, MD, PhD
Electrophysiology
(405)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 877-7685
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Dr. Kerunne S. Ketlogetswe, MD
Dr. Kerunne S. Ketlogetswe, MD
Cardiology
(217)
3001 South Hanover Street Outpatient Center Floor 2 Baltimore, MD 21225
(410) 350-2106
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Dr. Seth J. Worley, MD
Dr. Seth J. Worley, MD
Electrophysiology
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-7685
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Dr. Hitesh Chawla, MD
Dr. Hitesh Chawla, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Orest B. Bartoszyk, MD
Dr. Orest B. Bartoszyk, MD
Cardiology
(451)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Andrew Y. Chen, MD
Dr. Andrew Y. Chen, MD
Cardiology | Cardiac Imaging
110 Irving Street Northwest Room 1105 Washington, DC 20010
(202) 877-7777
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Dr. Bernard Wagman, MD
Dr. Bernard Wagman, MD
Cardiology
(403)
106 Irving Street Northwest Suite 4800N Washington, DC 20010
(202) 877-5800
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Dr. John Clayton Patterson, MD
Dr. John Clayton Patterson, MD
Cardiology
(169)
10403 Hospital Drive Suite 102 Clinton, MD 20735
(301) 292-7270
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Dr. David J. Schamp, MD
Dr. David J. Schamp, MD
Electrophysiology
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-554-6727
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Dr. William Clarence Maxted, Jr., MD
Dr. William Clarence Maxted, Jr., MD
Cardiology
(443)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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