Introduction: Premature ventricular contractions (PVCs) are early ventricular depolarizations that, if frequent, can be associated with PVC-induced cardiomyopathy (PVC-CM). PVC-CM in our translational model is characterized by LV systolic dysfunction and eccentric hypertrophy. However, the mechanisms involved in this LV remodeling remain unknown. Objectives: Evaluate changes in cardiomyocyte size and sarcomere shortening, along with classical molecular pathways involved in pathological or physiological hypertrophy in the PVC-CM model. Methods: Pacemakers were implanted in healthy canines to reproduce 3 months of bigeminal PVCs (50% burden at 200-220 ms coupling interval). Isolated ventricular cardiomyocytes were electrically paced to measure sarcomere length. Formaldehyde-fixed LV sections were stained with WGA-AF633. Expression of β-MHC, ACTA1, ANP, calcineurin, AKT, mTOR, S6, 4EBP1, NFAT and their phosphorylated forms were measured by Western blot. Calcineurin activity was determined by colorimetry. Results: Cardiomyocyte area was larger in PVC group vs. sham (357.4 ± 12.9 μm 2 n= 121 vs. 271.8 + 7 μm 2 n = 161, p<0.001). Time to peak sarcomere contraction was longer in the PVC group (124.9 + 25.2 ms, n=101 vs 116.2 + 27.4 ms, n=61, p<0.05), whereas maximal cell shortening was similar between groups. Western blot analyses (n=6) showed significant increases in AKT expression (1 + 0.18 vs 1.6 + 0.43, p<0.001), and in its downstream effectors, S6 (1 + 0.26 vs 1.46 + 0.4, p<0.05) and 4EBP1 (1 + 0.3 vs 1.57 + 0.38, p<0.001) in the PVC group, without changes in mTOR. On the contrary, PVC group displayed a reduction in phosphorylated AKT (Ser473, 1 + 0.14 vs 0.77 + 0.26, p<0.05) and 4EBP1 (Thr37/46, 1 + 0.15 vs 0.75 + 0.1, p<0.001) without changes in S6 (Ser235/236) or mTOR (Ser2448) phosphorylation. The activity and expression of calcineurin, total and phospho- NFAT, and the expression of β-MHC, ACTA1, and ANP were not different. Conclusion: The pathological calcineurin/NFAT/fetal genes pathway was unchanged in the PVC-induced eccentric hypertrophy. Thus, this hypertrophy is “atypical” characterized by an upregulation of the AKT/mTOR pathway and cellular hypertrophy, together with a paradoxical decrease in contractility and LV systolic dysfunction.