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Why It's Important to See a Doctor Premature ventricular contractures (PVCs), are a type of irregular heartbeat. These extra beats are usually not dangerous and may disappear on their own. Doctors will listen to your heartbeat and look for other vitals signs. They might recommend an Holter monitor, a device that records the electrical impulses your heart produces over the course of 24 hours. They can also request blood tests to determine your thyroid hormones and electrolyte levels. Diagnosis PVCs occur when electrical impulses from the lower chambers of the heart ventricles, or lower chambers, fail to pass through a structure referred to as the SA node. This causes the next heartbeat to be delayed, causing an experience similar to fluttering or skipped beats. PVCs can occur in isolation or in repeated patterns. Doublets are PVCs that occur in a series of. Ventricular tachycardia is three or more consecutive ones. Some people are not experiencing any symptoms, whereas others experience palpitations. This can feel like a pounding heartbeat or a slurred heartbeat. Other signs include dizziness, fatigue, or a feeling that you're unwell. Many people who suffer from occasional PVCs don't require any treatment. If someone is experiencing frequent episodes, doctors might suggest a change to diet or lifestyle, such as limiting caffeine, alcohol and stress. They may also prescribe medication such as beta-blockers or calcium channel blockers that can reduce the heart rate and lower blood pressure. Doctors will ask the patient about their medical history and conduct a physical examination to check on their general health. They may also utilize a Holter monitor to record the heart's rhythms for longer periods of time or an electrocardiogram which captures a picture of the electrical activity of the heart. Doctors may request blood tests in some cases to check for electrolyte imbalances or toxic substances in the body. A pvc doctor might refer patients to an electrophysiologist or specialist in heart rhythm disorders for further evaluation. This specialist can confirm the diagnosis of PVCs and determine if they are benign or not. PVCs are quite common and rarely cause any issues, unless they occur frequently over a long time. This can cause weakening of the heart muscle, or a condition called pvc-induced cardiomyopathy. This is more common in older people or people suffering from heart disease. It can also happen in healthy people with an uninvolved heart, however this is more likely in those who exercise regularly. It is not a major condition, but you should inform your doctor if symptoms like fatigue or fainting occur. Treatment For many people, occasional PVCs might not cause symptoms or are harmless and require no treatment. If you feel that your heart is racing or skipping a beat, it's best to seek out a physician immediately. A cardiologist will begin by interviewing you and doing an examination of your body, listening to your heart with a stethoscope for any irregular heartbeats. You'll also undergo an electrocardiogram that captures the electrical impulses of your heart to detect any arrhythmias. If an arrhythmia is discovered it is recommended to use the use of a portable ECG or a 24-hour Holter monitor will be required to capture the irregular rhythm for longer periods of time. These devices can help doctors determine if you have PVCs, and their cause, such as an imbalance in electrolytes, drug toxicity or other factors. An echocardiogram, or an ultrasound of your heart, may be ordered to assess whether your heart is in good health and to look for indications of structural issues which could cause PVCs. You may also be required to undergo an exercise test to determine the response of your heart to exercise. repairmywindowsanddoors can increase the frequency of pvcs. You may also be able to have blood tests to determine your thyroid, magnesium, and potassium hormone levels to find out if they are too low, which can contribute to the development of PVCs. If your doctor has confirmed that you have PVCs, and has ruled any serious diseases out, the treatment you choose to take depends on how they impact your life and how frequently they occur. If they only occur occasionally and don't cause any symptoms, it's unlikely your doctor will prescribe any medication to lessen the frequency or severity of them. If you are experiencing frequent PVCs that can trigger palpitations or other symptoms like feeling lightheaded or fainting, your doctor may prescribe medications such as beta blockers and calcium channel blockers. Making changes to your lifestyle in order to avoid triggers, like smoking, caffeine, and excessive stress, can help lower the number of times you experience these irregular pulses. Prevention PVCs can cause no symptoms or heart palpitations, that can be described as “skipped beats” or flutters in your chest. Sometimes, these episodes trigger the chest to feel full or swollen in the chest, and other times, they can make a person feel faint. These episodes result from the heart not pumping as effectively as it should. PVCs are associated with a higher risk of dilated cardiomyopathy. This is a condition in which the heart expands and becomes is unable to pump blood. PVCs are usually caused by changes in the body's chemical balance. This includes the release of adrenaline and thyroid hormones, as well drinking alcohol or caffeine. Lack of exercise can also trigger these episodes, as can stress or excessive weight. Some people can find that a change in diet helps to reduce their PVCs. For instance, they can avoid foods that contain preservatives that can disrupt the heart rhythm. These include disodium guanylate, diazole, and disodium Inosinate sodium (E282-283). Eat more fruits and veggies to get enough magnesium. Regular health checks are crucial and include annual physicals. These tests can help identify any heart conditions that may cause your PVCs. You should also avoid smoking and follow a healthy diet plan. This could increase the frequency of episodes. A survey of healthcare professionals on 14 normal hospital wards revealed that they were aware of the preventive measures that could be used to treat infections caused by vascular catheters However, their self-assessed compliance with these guidelines was poor. After a feedback intervention that improved compliance on certain wards, but it was still not as high. This suggests that education on the best ways to implement preventive measures is essential and that wards that are not complying should be targeted for surveillance of infection. These data can be used to guide quality improvement initiatives in these wards. It is likely that this will require more education and training for personnel. It will also be necessary to ensure that the right tools to implement the preventive measures are in place. Signs and symptoms If you feel that your heart beats are erratic or fluttering, it may be due to premature ventricular contractions. These arrhythmias aren't necessarily dangerous or they can be the sign of heart issues. In healthy people, PVCs that occur occasionally are not a problem. They typically disappear on their own. If you're suffering from a lot of them, they can lead to dizziness or weakness. If you're concerned you might be experiencing dizziness or weakness, talk to your doctor about the symptoms. They may have to identify the problem by taking an medical history and performing a physical exam. They'll also probably want to perform an electrocardiogram (ECG or EKG) or other tests. An ECG is a test that's quick that allows your health care provider see the signal from your heartbeat as it travels through your heart over a short duration. The test will reveal whether you have PVCs. Your doctor may also decide to perform a 24- or 48-hour Holter monitor which monitors your heartbeat over longer periods of time. This can help distinguish PVCs from other arrhythmias that cause heart palpitations. You can wear an event monitor, a portable device that keeps track of your heart's rhythm for 30 days. Other tests for the heart may be required, based on the reason behind your PVCs. For example, a cardiologist might check your blood pressure and perform an ultrasound of the heart (echocardiogram). These tests can reveal the presence of a medical issue that could be responsible for your PVCs, such as cardiomyopathy, mitral valve prolapse or heart failure. Your doctor may also have to run a blood test to determine the issue with electrolytes. For example, low potassium levels or high levels of calcium. This could be a sign of PVCs or other conditions that can cause them, including anemia and anxiety disorders. You might be directed to an electrophysiologist, one of the specialists who specialize in treating abnormal heart rhythms. This specialist may need to conduct additional tests if you are suffering from heart problems that are structural, such as a CT or MRI scan of your chest. These tests can determine if your heart is damaged and the severity of the damage. In some cases doctors may suggest an implanted pacemaker to treat the issue that is causing the PVCs.