Atrial premature contractions

Atrial premature contractions are not treated unless they are believed to precipitate atrial tachycardia, flutter, or fibrillation. Removing precipitating factors, including drugs such as caffeine and theophylline as well as metabolic abnormalities, may decrease atrial premature contractions. Congestive heart failure and infection may also precipitate atrial premature contractions that will resolve as the patient's condition improves. Occasionally, digitalis may be helpful, particularly if congestive heart failure is a factor. However, the most effective medication is an antiarrhythmic class IA drug such as quinidine or procainamide.

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