Skip to main content

Atrial Ectopic Beats

Atrial Ectopic Beats


Atrial ectopic beats (AEB) refers to a contraction of the upper heart chamber which occurs before it would be expected. Atrial ectopic beats are also known as premature atrial beats, premature atrial complex (PAC), or atrial extrasystole.


An AEB is usually a harmless disturbance in the normal rhythm of the heart. It can occur only occasionally, in a regular pattern, or several may occur in sequence and then disappear. Most often, the person is unaware of the event.

Causes and symptoms

As people age, extra beats tend to happen more frequently even in perfectly healthy individuals. AEB may be triggered or increased by stress, caffeine, smoking, and some medicines. Cold remedies containing ephedrine or pseudoephedrine have been known to increase the incidence of atrial ectopic beats. AEB may also be the result of an enlarged atria, lung disease, or the result of reduced blood supply to that area of the heart.

If a person is aware of the event, the first symptom of AEB is usually a feeling that the heart has skipped or missed a beat. This is often accompanied by a feeling that the heart is thumping or pounding in the chest. The thumping or pounding is caused by the fact that when there is an AEB, the pause before the next beat is usually longer than normal. The next beat must be stronger than usual to pump the accumulated blood out of the chamber.


Diagnosis of AEB is often suspected on the basis of the patient's description of the occurrence. An electrocardiogram (ECG) can confirm the diagnosis. An ECG shows the heart beat as three wave forms. The first wave is called P, the second is called QRS, and the last is T. An atrial ectopic beat will show up on the ECG as a P wave that occurs closer than usual to the preceding T wave.


Atrial ectopic beats do not usually require treatment. If treatment is necessary because the beats occur frequently and cause intolerable discomfort, the doctor may prescribe medication.


Occasional AEB usually have no significance. If they increase in frequency, they can lead to atrial tachycardia or fibrillation and to a decrease in cardiac output.


AEB cannot usually be prevented. Aggravating factors can be addressed, like excessive stimulants, and uncontrolled pulmonary disorders.



American Heart Association. 7320 Greenville Ave. Dallas, TX 75231. (214) 373-6300.

Cite this article
Pick a style below, and copy the text for your bibliography.

  • MLA
  • Chicago
  • APA

"Atrial Ectopic Beats." Gale Encyclopedia of Medicine, 3rd ed.. . 20 Jan. 2019 <>.

"Atrial Ectopic Beats." Gale Encyclopedia of Medicine, 3rd ed.. . (January 20, 2019).

"Atrial Ectopic Beats." Gale Encyclopedia of Medicine, 3rd ed.. . Retrieved January 20, 2019 from

Learn more about citation styles

Citation styles gives you the ability to cite reference entries and articles according to common styles from the Modern Language Association (MLA), The Chicago Manual of Style, and the American Psychological Association (APA).

Within the “Cite this article” tool, pick a style to see how all available information looks when formatted according to that style. Then, copy and paste the text into your bibliography or works cited list.

Because each style has its own formatting nuances that evolve over time and not all information is available for every reference entry or article, cannot guarantee each citation it generates. Therefore, it’s best to use citations as a starting point before checking the style against your school or publication’s requirements and the most-recent information available at these sites:

Modern Language Association

The Chicago Manual of Style

American Psychological Association

  • Most online reference entries and articles do not have page numbers. Therefore, that information is unavailable for most content. However, the date of retrieval is often important. Refer to each style’s convention regarding the best way to format page numbers and retrieval dates.
  • In addition to the MLA, Chicago, and APA styles, your school, university, publication, or institution may have its own requirements for citations. Therefore, be sure to refer to those guidelines when editing your bibliography or works cited list.