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Why It's Important to See a Doctor Premature ventricular contractions (PVCs) are a form of irregular heartbeats. These extra beats usually aren't risky, and they may go away on their own. Doctors will listen to your heartbeat and also check other vitals indicators. They might order a Holter Monitor which records the electrical impulses of your heart over a span of 24 to 48 hours. They may also order blood tests to determine your electrolyte levels and thyroid hormones. Diagnosis PVCs are caused by electrical impulses that reverberate through the SA node, which is a structure found in the lower chambers of the heart. This causes the next heartbeat to be delayed, leading to an experience similar to racing or skipped beats. PVCs can occur in a single pattern or in repeated patterns. Doublets are PVCs that occur in a series of. Ventricular tachycardia can be described as three or more consecutive PVCs. Some people are not experiencing any symptoms, whereas others experience palpitations. This can feel like the sound of a beating heart or a rapid heartbeat. Other typical symptoms include fatigue or dizziness, or a feeling of being unwell. Many people who suffer from occasional PVCs don't require any treatment. If a patient experiences frequent episodes, a physician might recommend a change in diet or lifestyle. For example the restriction of caffeine and stress as well as alcohol. They may also prescribe medications, such as beta-blockers or calcium channel blockers which can lower the heart rate and lower blood pressure. Doctors will inquire about their medical history and conduct an examination of the body to assess their general health. They can also employ a Holter monitor to track the heart's rhythms over longer durations or an electrocardiogram which records a snapshot of the electrical activity of the heart. In certain instances doctors may request blood tests to determine if there is an electrolyte imbalance or toxic effects from drugs. Sometimes, a pvc doctor may refer a patient to a specialist for heart rhythm problems or an electrophysiologist for further evaluation. This doctor can confirm the diagnosis of PVCs and determine if they are benign or malignant. PVCs are everywhere and aren't usually harmful when used frequently or for a long time. This can cause a weakening in the heart muscle or a condition known as pvc-induced cardiomyopathy. This is most prevalent for people over the age of 65 or those suffering from some type of heart disease. This can happen to healthy people with a normal, normal heart. However, it is more prevalent among those who exercise regularly. It is not a major problem, but it is important to tell your doctor if symptoms like fatigue or fainting occur. Treatment For many, occasional PVCs might not cause symptoms or are harmless and need no treatment. If you notice that your heart is racing or slurring a beat, it's best to seek out a physician immediately. A cardiologist begins by interviewing you and doing an examination of your body, monitoring your heart using the stethoscope to look for irregular heartbeats. You'll also undergo an electrocardiogram, which records the electrical signals of your heart to determine any arrhythmias. If the window doctor has been detected it is recommended to use the use of a portable ECG or a 24-hour Holter monitor will be required to record the abnormal rhythm for longer durations of time. These devices can help doctors determine whether you have PVCs and their causes which could be due to an imbalance in electrolytes, toxicity of drugs or other factors. An echocardiogram, or an ultrasound of your heart, can be ordered to assess if your heart is healthy and check for signs of structural problems that could lead to PVCs. You may also be asked to undergo an exercise test to find out how your heart reacts to exercise. Exercise can increase your frequency of PVCs. You may also be able to have blood tests to check your thyroid, potassium, and magnesium hormone levels to find out if they are too low and can cause the development of PVCs. Once your doctor has confirmed that you're suffering from PVCs and has eliminated any serious diseases, the decision of how to treat them will be based on how much they're impacting your life and the frequency at which they occur. If they occur only occasionally and don't cause any symptoms the doctor is not likely to recommend any treatment to decrease their frequency or severity. If you have frequent PVCs, which can cause pulses or other symptoms, like feeling lightheaded or fainting, your doctor may prescribe medications such as beta blockers and calcium channel blockers. Altering your lifestyle to avoid triggers, such as smoking, caffeine, and excessive stress, can also aid in reducing the frequency of occurrences of these abnormal pulses. Prevention PVCs can cause no symptoms or heart palpitations which may feel like “skipped beats” or flutterings in the chest. Sometimes, these episodes trigger an increase in pressure or fullness in the chest. Other times they can make someone feel faint. These episodes happen because the heart is not pumping as efficiently as it normally does. The frequent PVCs increase the chance of developing dilated cardiomyopathy, a condition in which the heart enlarges and becomes ineffective at pump blood. PVCs are often caused by changes in body chemistry. They can be caused by the release of thyroid and adrenaline hormones, and drinking alcohol or caffeine. Stress or weight gain, as well as a lack of exercise, can trigger these episodes. Some people have found that a change in their diet helps to reduce their PVCs. They can, for instance avoid foods that contain preservatives that can disrupt the heart rhythm. These include disodium guanylate and diazole, and disodium inosinate sodium (E282-283). Eat more fruits and vegetables to get enough magnesium. It is essential to have regular health check-ups, which include yearly physicals and lab tests. They can aid in identifying any heart-related conditions that could be causing your PVCs. It is also recommended to not smoke and adhere to a healthy diet plan. This can increase the frequency of episodes. A survey of healthcare workers on 14 normal hospital wards found that they were mostly aware of the preventive measures for vascular catheter-related infections However, their self-assessed compliance with these measures was low. The compliance improved following feedback interventions, but was still lower on some of the observed wards. This suggests that education on the best ways to implement preventive measures is required and that the wards that are not complying should be targeted for infection surveillance. This information can be used to help in the implementation of quality improvement initiatives for these wards. This will likely require further education and training for personnel. It is also necessary to ensure that the correct materials for implementing the preventive measures are available. Symptoms Premature ventricular contractions can cause your heartbeat to skip beats or to flutter. These arrhythmias may be harmless or they could be a sign of serious heart issues. In healthy individuals, PVCs that occur occasionally are not any problem. They generally disappear on their own. If you have many of them, they can cause dizziness or weakness. Speak to your doctor if you are concerned. They might need to diagnose the issue by taking an history of your medical condition and giving you a physical exam. They may also perform an electrocardiogram (ECG or EKG) or other tests. An ECG is a test that's quick that lets your health care provider see the signal from your heartbeat moving through your heart in a short duration. The test will determine whether you have PVCs. Your doctor may also decide to perform an overnight or 24-hour Holter monitor which monitors your heartbeat for longer durations of time. This can help distinguish PVCs from other types of arrhythmias that cause heart palpitations. You can also wear an event monitor, a handheld device that keeps track of your heart's rhythm for 30 days. Other tests for the heart may be required, depending on the cause of your PVCs. A cardiologist will test your blood pressure, or perform an echocardiogram (ultrasound of the heart). This can help determine the presence of a medical condition that is responsible for your PVCs, such as cardiomyopathy, mitral valve prolapse or heart failure. Your doctor might also need to run an examination of your blood to determine what's wrong with your electrolytes like low potassium or high levels of calcium. This can be an indication of PVCs or other conditions that could cause them, like anxiety disorders and anemia. You could be referred to a specialist in electrophysiology, who is able to treat abnormal heart rhythms. If you suffer from heart disease that is structural, this specialist might need to perform additional tests, such as an MRI or CT scan of your chest. These tests will help determine whether your heart has been damaged and how severe it is. In some cases doctors may suggest a pacemaker to treat the condition which is causing the PVCs.