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Feel random “skipped” or extra beats and worry it’s atrial fibrillation (AFib) or something dangerous? You’re not alone. In this video, Dr. Scott Lee breaks down the real difference between AFib and premature beats (PVCs and PACs), and explains why most skipped beats are annoying but not life-threatening in people with a healthy heart. Premature beats can feel dramatic, but they don’t always mean your heart rhythm is truly abnormal or that you’re in AFib. Once you understand how PVCs and PACs work inside the heart, when they’re benign, and when they’re a warning sign, you can stop guessing and start making informed decisions about your care. You’ll learn: What premature beats (PVCs and PACs) really are How “skipped” or “extra” beats can feel without being AFib When premature beats are usually harmless vs when they can signal trouble Why PVCs/PACs often don’t change your true heart rate or blood pressure When treatment is optional for symptoms vs when we take them more seriously How premature beats can sometimes be an early marker of future AFib When to ask your doctor about monitoring, medications, or ablation 👉 Missed the companion video? If your watch or blood pressure cuff is just calling your heartbeat “irregular” and you’re not sure it’s AFib, watch my companion video in this AFib FAQ playlist: “Irregular Heartbeat: Is It Really AFib Or Just Normal Rhythm?” to understand when irregularity is actually an arrhythmia and when it’s just your normal rhythm or premature beats. 📌 Continue Your Learning Path: Watch the full playlist here:👉 • AFib FAQs: Real Answers to Your Most Commo... ✨ Want to Know Your AFib Stage? Take the free AFib Stage of Progression Quiz:👉 https://heart.drscottlee.com/quiz 💬 Need Clarity About Your AFib? Request a Second Opinion Clarity Consult (telemedicine available): 👉 https://heart.drscottlee.com/review 👨⚕️ About Dr. Scott Lee Dr. Scott Lee is a board-certified cardiac electrophysiologist with over 20 years of experience specializing in the treatment of complex and advanced atrial fibrillation. Stanford-trained and nationally recognized for his high single-procedure success rates in late-stage AFib, Dr. Lee is known for bringing honesty, transparency, and elite technical skill to a field where many patients feel rushed, dismissed, or confused. Through his AFibEducation YouTube channel and his direct-pay consultation practice, Dr. Lee focuses on what most doctors don’t have time to explain: how AFib truly progresses, why treatments succeed or fail, and how patients can make informed, confident decisions about their care. He is committed to ethics, patient advocacy, and clear education—empowering people to take back control of their health instead of getting lost in a broken system. 🌐 More resources at www.drscottlee.com 👍 Like this video if it helped you. 💬 Got questions? Drop them in the comments—Dr. Lee reads them all. 🔔 Subscribe for more expert-level AFib breakdowns every week. Check out more videos on our Channel: / @afibeducation ⏱️ CHAPTERS 00:00 — Are Irregular Beats Always AFib? 00:21 — The Most Common Cause: Premature Beats (PACs/PVCs) 01:34 — How We Actually Diagnose Your Rhythm 03:14 — What Counts as a “True” Abnormal Heart Rhythm 03:52 — Why Premature Beats Are “Abnormal Rhythm Junior” 05:10 — How a Normal Rhythm Works 06:16 — What Happens During a Real Abnormal Rhythm 07:23 — What a Premature Beat Actually Does 08:29 — Why You Feel a “Pause” and Then a Harder Beat 09:31 — Why Premature Beats Don’t Raise or Lower Heart Rate 10:47 — Why They Don’t Affect Blood Pressure Either 11:19 — The One Thing Premature Beats Do Change 12:36 — Why Some People Feel Them and Others Don’t 13:35 — Treatment Options (and When We Even Need Them) 14:46 — When PVCs Are NOT Benign 15:31 — When PACs Might Indicate Early AFib 15:54 — Final Summary: Benign vs Concerning Skipped Beats #SkippedBeats #PACsPVCs #AFib