Ventricular premature complexes may be due to numerous etiologies, which includes; cardiac disease, pericardial effusion, metabolic disease and electrolyte disturbances, tickborne disease, fever, pain, anemia, altered autonomic tone, trauma, sepsis, DIC, splenic disease, hepatic disease, gastrointestinal disease, and pheochromocytoma.  

Additional diagnostics with these general differentials may be indicated based on this patient’s clinical presentation and examination.