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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a form of irregular heartbeat These extra beats usually arent risky and they may go away by themselves Doctors will listen to your heartbeat and look for other vitals indicators They might order an Holter Monitor that records the electrical impulses generated by your heart over a span of between 24 and 48 hours They might also order blood tests to check your thyroid and electrolyte levels hormones Diagnosis PVCs are caused by electrical impulses that misfire through the SA node which is a structure located in the lower chambers of the heart This causes the next heartbeat to be delayed causing the sensation of the heart is fluttering or skips beats PVCs can occur in one pattern or repeated patterns Two consecutive PVCs are known as doublets while three or more consecutive PVCs constitute ventricular tachycardia VT While some people dont show any symptoms whatsoever others feel palpitations which can feel like an irregular heartbeat or a pounding Other signs are dizziness fatigue or feeling unwell Many people who have occasional PVCs dont require any treatment If a patient is experiencing frequent episodes a doctor might recommend a change in diet or lifestyle For instance the restriction of caffeine or stress as well as alcohol window doctor may also prescribe medications such as calcium channel blockers or betablockers which can lower the heart rate and lower blood pressure Doctors will inquire about the persons medical history and perform a physical examination to check their general health They may also use an electrocardiogram ECG to capture an image of the hearts electrical activity or a Holter monitor that is worn for longer durations and captures the hearts rhythms over time Doctors may require blood tests in some instances to determine if there are electrolyte imbalances or drug toxicity Occasionally a pvc doctor will refer someone to a specialist in heart rhythm problems or an electrophysiologist for further evaluation The doctor will confirm the diagnosis of PVCs and determine if they are benign or not PVCs are fairly common and rarely cause any problems unless they occur frequently over a long period of time This can lead to a weakening of the heart muscle or a condition called pvcinduced cardiomyopathy This is most common in older people or those with some type of heart disease It can also occur in healthy people with an uninvolved heart however this is more likely for those who exercise regularly Usually this isnt an issue to worry about but its important to consult an expert if you notice symptoms like fainting or fatigue Treatment PVCs are not harmful or cause any symptoms in the majority of people They dont require treatment But for those who do feel their heart has skipped the beat or is racing its vital to speak to a doctor as soon as you can A cardiologist will start by interviewing you and performing a a physical exam monitoring your heart using an stethoscope to detect any irregular beats Additionally you will have an electrocardiogram ECG done which will record the electrical impulses that occur in your heart and reveal any arrhythmias If an arrhythmia is discovered it is recommended to use a portable ECG or 24hour Holter monitor will be required to record the abnormal rhythm for longer periods of time These devices can help doctors determine whether you have PVCs and the reason for them which could be due to an imbalance in electrolytes toxicity of drugs or other factors You might be asked to undergo an echocardiogram an ultrasound of your heart to determine if your heart health is in good shape and to check for structural problems that could cause PVCs You might also be asked to undergo a stress test in order to find out how your heart reacts to exercise Physical activity can increase the frequency of pvcs You may also be able to have blood tests to check your thyroid potassium and magnesium hormone levels to find out whether they are low which could contribute to the development of PVCs If your doctor has confirmed that you suffer from PVCs and has ruled any serious illnesses out the treatment option you choose depends on how they impact your life and how often they occur If they only occur occasionally and dont cause any symptoms its unlikely that your doctor will recommend any medication to decrease the frequency or severity of them If however you suffer from frequent PVCs that trigger the sensation of palpitations or other symptoms such as feeling lightheaded or like youre going to faint your doctor might recommend medications for you such as beta blockers or calcium channel blockers Changes in lifestyle such as avoiding caffeine smoking and stress can also reduce the frequency of these irregular pulses Prevention PVCs can cause no symptoms or heart palpitations which can feel like skipped beats or flutters in the chest Sometimes these episodes can cause an increase in pressure or fullness in the chest and other times they can cause a person to feel faint These episodes are caused by the heart not pumping as efficiently as it should The frequent PVCs increase the risk of developing dilated cardiomyopathy a condition where the heart expands and becomes ineffective at pump blood PVCs are usually caused by changes in the bodys chemical chemistry This includes the release of thyroid and adrenaline hormones in addition to drinking alcohol or caffeine Lack of exercise can also trigger these episodes and stress as well as excess weight Certain people find that altering their diet can help reduce the amount of PVCs For example they can avoid foods which contain preservatives that could cause a disturbance in the heart rhythm such as disodium guanylate E621 disodium inosinate E627 and diazole sodium E282283 Eat more fruits and veggies to get sufficient magnesium It is essential to have regular health checkups which include yearly physicals and lab tests They can aid in identifying any underlying heart conditions which could be causing your PVCs Also you should not smoke and adhere to a healthy diet program This could increase the frequency of episodes A survey of healthcare staff on 14 wards of a normal hospital revealed that they were aware of the preventive measures to avoid vascular catheterassociated infections however their selfassessment of compliance with these practices was not great After a feedback intervention the compliance level improved on a few wards but it was still not as high This suggests that education is required to implement preventive measures and those wards that are less compliant need to be targeted for infection monitoring This information could be used to guide the implementation of additional quality improvement initiatives on these wards This will most likely require additional education and training of personnel It will also require making sure that the correct materials are in place for the implementation of the preventive measures Signs and symptoms The premature contraction of the ventricular muscle can cause your heartbeat to skip beats or flutter These arrhythmias can be harmless or they could indicate that you have heart issues that are serious In healthy people occasional PVCs arent a problem and they usually disappear by themselves But if you have many of them they can lead to dizziness or weakness Talk to your doctor if you are worried You may need to give an medical history and they may also conduct a physical examination in order to diagnose the problem They may also conduct an electrocardiogram ECG or EKG or other tests An ECG is a test thats quick that will allow your doctor to observe the signal generated by your heartbeat moving through your heart for the course of a brief period of time If you have PVCs theyll be visible in the test Your doctor may also suggest a Holter monitor that tracks your heartbeat for a longer period of time They can help distinguish PVCs from other arrhythmias that cause heart palpitations You can wear an event monitor a handheld device that records your heart rhythm for 30 days Other heart tests may be required based on the reason for your PVCs For example a cardiologist could check your blood pressure and do an ultrasound of the heart echocardiogram These tests can tell whether you are suffering from an illness like heart failure mitral valve prolapse or cardiomyopathy Your doctor might also need to do an analysis of your blood to determine what the problem is with your electrolytes for example low potassium levels or high levels of calcium This could indicate that you suffer from PVCs or a different health issue such as anemia or anxiety disorders You could be referred to an electrophysiologist an expert who specializes in treating irregular heart rhythms If you have heart disease that is structural this specialist might need to do other tests such as an MRI or CT scan of your chest These tests will tell you whether youve damaged your heart and how serious it is In some cases the specialist might suggest the use of a pacemaker or ICD to treat the underlying condition thats the cause of your PVCs