How are frequent PACs usually managed?
a. Defibrillation
b. Synchronized cardioversion
c. Correcting the underlying cause
d. Administration of medications such as atropine or epinephrine
C
PACs usually do not require treatment if they are infrequent. The patient may complain of a "skipped beat" or occasional "palpitations" if PACs are frequent or may be unaware of their occurrence. In susceptible individuals, frequent PACs may induce episodes of atrial fibrillation or paroxysmal supraventricular tachycardia (PSVT). Frequent PACs are treated by correcting the underlying cause (e.g., correcting electrolyte imbalances, reducing stress, reducing or eliminating stimulants, treating heart failure). If the patient is symptomatic, frequent PACs may be treated with beta-blockers, such as atenolol or metoprolol.
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