PACs occur when your upper chambers contract prematurely from an area different from the sinus node and briefly interrupt your heart’s normal rhythm. When the premature, or early, signal tells your heart to contract, there may not be much blood in your heart at that moment. Premature atrial contractions (PACs) are usually harmless and not a cause for concern.

Understanding the Context

People with PACs may feel skipped or extra heartbeats, but often there are no symptoms. PACs are common and can be caused by heart disease, stress, or certain medications. Premature beats that start in your heart’s upper chambers are premature atrial contractions, or PACs. Those that start in the lower chambers are premature ventricular contractions, or PVCs.

Key Insights

Treatment What are premature atrial contractions (PACs)? PACs are an interruption in your heart rhythm. PACs happen when your heart gets an early signal to pump. PACs are common and usually have no cause. Most people have skipped heartbeats from time to time.

Final Thoughts

Follow up with your healthcare provider so the cause of your PAC can be diagnosed and ... 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. Premature atrial contractions (PACs) are premature heartbeats that are similar to PVCs, but occur in the upper chambers of the heart, an area known as the atria. PACs do not typically cause damage to the heart and can occur in healthy individuals with no known heart disease. If you feel like your heart occasionally skips a beat, you could actually be having an extra heartbeat. One condition that causes this extra beat is premature atrial contractions.

On an electrocardiogram (ECG), PACs are characterized by an abnormally shaped P wave in different ECG leads. Since the premature beat initiates outside the sinoatrial node, the associated P wave appears different from those seen in normal sinus rhythm.