
Symptoms of PACs are virtually indistinguishable from those of PVCs as the physiological effects are identical.
Incidentally, the beat after the PAC usually occurs with stronger contraction than usual and can be associated with an urge to cough. Therefore, no heartbeat is felt until the next regularly-timed heartbeat occurs after a pause (so-called compensatory pause). Some patients even feel that the heart has “stopped” while others describe a sensation of “flip-flop.” This is due to the fact that the PAC comes too early (prematurely) in the cardiac cycle to have resulted in an effective pulse or heartbeat.

However, rather than reporting sustained racing heartbeat, they usually describe “missing” or “skipping” of the heartbeat.

Most often, patients with PACs complain of palpitations.
Symptoms of PACs
