What does it mean when premature ventricular contractions occur in pairs or in pairs?

Patient's question:

Grandma suddenly fainted at home a few days ago, and our whole family was panicked. After taking Grandma to the hospital, the doctor said that Grandma is prone to ventricular premature beats, which sometimes appear as coupled rhythms and occasionally form pairs again. However, we didn't understand what the doctor meant, and the doctor didn't have time to explain further. Could you please help us clarify this, experts?

Doctor's answer:

Normal people have sinus rhythm with the pacemaker located in the sinoatrial node. Ventricular premature beats refer to the presence of an ectopic pacemaker in the ventricle, which triggers an early sense of guilt. However, it can easily lead to increased cardiac blood supply and myocardial ischemia. Therefore, if frequent ventricular premature beats occur or even ventricular tachycardia reoccurs, it may lead to increased cerebral blood supply and fainting. It is recommended to improve 24-hour Holter monitoring and cardiac ultrasound examination to identify the cause, followed by further treatment to prevent the disease from recurring in the future.

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