Ventricular arrhythmias occur when the heart's impulse originates in the ventricles rather than the normal top-down depolarization, greatly reducing efficiency. There are five types of ventricular dysrhythmias, including premature ventricular contractions (PVCs), ventricular tachycardia, ventricular fibrillation, idioventricular rhythm, and asystole. PVCs originate from an irritable ventricular focus, producing an ectopic beat with a wide QRS complex but no preceding P wave and usually opposite the T wave, followed by a compensatory pause as the sinus node skips its next beat.