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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a type of irregular heartbeat These extra beats are generally not harmful and will go away by themselves Doctors will listen to your heartbeat and check other vitals signs They might order a Holter Monitor which captures the electrical impulses of your heart over a span of between 24 and 48 hours They may also order blood tests to determine your thyroid hormones and electrolyte levels Diagnosis PVCs are caused by electrical impulses that reverberate through the SA node a structure found in the lower chambers of the heart This delays the next heartbeat and causes a feeling of skipped beats or fluttering in the chest PVCs can occur in isolation or in repeated patterns Two consecutive PVCs are referred to as doublets whereas three or more consecutive PVCs constitute the term ventricular tachycardia VT Some people have no symptoms while others experience heart palpitations It can be felt as the sound of a beating heart or a rapid heartbeat Other symptoms are dizziness fatigue or feeling unwell A lot of people who have occasional PVCs dont require any treatment If a patient has frequent episodes a physician might suggest a change in the diet or lifestyle For example the restriction of caffeine stress and alcohol They can also prescribe medications like calcium channel blockers or betablockers that can reduce the heart rate and lower blood pressure Doctors will ask the patient about their medical history and perform an examination to check on their general health They may also use a Holter monitor to track the hearts rhythms for a longer period of time or an electrocardiogram which takes a snapshot at the electrical activity in the heart Doctors may require blood tests in some instances to check for electrolyte imbalances or toxic effects of drugs A pvc physician may refer the patient to an electrophysiologist or specialist in heart rhythm disorders for further evaluation This doctor can confirm the diagnosis of PVCs and determine whether they are benign or malignant PVCs are all over the place and are generally not harmful unless they are used regularly or for a long time This could lead to a weakening of the heart muscle or a condition called pvcinduced cardiomyopathy It is more common in people who are older or those suffering from some type of heart disease It can also happen in healthy people with normal heart function but this is more likely for those who exercise regularly Its not a serious concern but its important to speak with your doctor if you experience symptoms such as fainting or fatigue Treatment PVCs are not harmful and do not cause any symptoms in the majority of people They do not require treatment However for those who do feel their heart has skipped an beat or is racing its vital to see a doctor as soon as possible A cardiologist begins by interviewing you and performing a an examination of your body listening to your heart with the stethoscope to look for irregular heartbeats Youll also undergo an electrocardiogram that records the electrical impulses of your heart to detect any arrhythmias If an arrhythmia is found it is recommended to have a 24hour Holter monitor or another portable ECG will be needed to record the irregular rhythm for longer durations of time These devices can help doctors determine whether you have PVCs and the reason for them such as an imbalance in electrolytes toxicity of drugs or other factors An echocardiogram an ultrasound of your heart may be ordered to assess if your heart is healthy and check for signs of structural problems that could lead to PVCs You might also be asked to undergo a stress test in order to assess the response of your heart to exercise Physical activity can increase your frequency of PVCs You may also be able to have blood tests to assess your magnesium potassium and thyroid hormone levels to find out whether they are insufficient and can cause the development of PVCs If your doctor confirms that you suffer from PVCs and has ruled any serious illnesses out the treatment you choose to take depends on how they impact your life and how frequently they occur If they happen only infrequently and dont cause any symptoms the doctor is not likely to recommend any treatment to reduce their frequency or severity If you have frequent PVCs that can trigger pulses or other symptoms such as feeling lightheaded or fainting your physician might prescribe medications like beta blockers and calcium channel blockers Making changes to your lifestyle in order to stay clear of triggers such as smoking caffeine and excess stress can also reduce 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 These episodes can create a feeling of pressure or fullness or they can make you feel faint These episodes are caused by the heart not pumping as effectively as it should Regular PVCs increase the risk of developing dilated Cardiomyopathy a condition in which the heart enlarges and becomes ineffective at pump blood PVCs are often caused by changes in the bodys chemistry This is due to the release of adrenaline and thyroid hormones and alcohol consumption or caffeine Inactivity can also trigger these episodes like 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 E282283 They can also take in more fruits and vegetables to ensure theyre getting enough magnesium and potassium It is crucial to undergo regular health checks including yearly physicals and lab tests These tests can help identify any heart issues that could be causing your PVCs It is also recommended to avoid smoking and follow an appropriate diet program This can increase your frequency of episodes A survey of 14 normal hospital wards revealed that healthcare staff were generally aware of preventive measures against infections caused by vascular catheters however their selfassessment of compliance to these practices was low Compliance improved after a feedback intervention however it was still very low on some of the wards that were surveyed This suggests that training on how to implement preventive measures is required and that wards that are not complying should be targeted for surveillance of infection This information can be used to guide the implementation of further quality improvement initiatives on these wards This could involve further training and education for staff It will also be important to ensure that the correct tools to implement the preventive measures are readily available Symptoms The premature contraction of the ventricular muscle can cause your heartbeat to skip beats or flutter These arrhythmias could be harmless or they could indicate that you are suffering from serious heart issues In healthy individuals PVCs that occur occasionally are not an issue They typically disappear by themselves However if you suffer from a lot of them they could lead to dizziness or weakness Consult your doctor if youre worried You may need to give an medical history and they might also perform an examination to diagnose the problem Theyll likely also need to perform an electrocardiogram ECG or EKG or other tests An ECG is a quick test that lets your health care provider detect the signal of your heartbeat moving through your heart for a short duration The test will determine whether you have PVCs Your doctor may also suggest to perform a 24 or 48hour Holter monitor which monitors your heartbeat for longer durations of time These tests can help differentiate PVCs from arrhythmias causing heart palpitations You may also be wearing a device that records your heart rate over 30 days called an event monitor Other heart tests may be required based on the reason behind your PVCs For example a cardiologist could check your blood pressure and perform an ultrasound of the heart echocardiogram These tests will determine if you suffer from a condition like heart failure or mitral valve prolapse or cardiomyopathy Your doctor may also be required to run a blood test to determine the problem with electrolytes For instance a low level of potassium or high levels of calcium This could indicate that you have PVCs or a different problem such as anemia or anxiety disorders You may be referred to an electrophysiologist who can treat irregular heart rhythms If you have heart disease that is structural the doctor may need to perform additional tests such as an MRI or CT scan of your chest window doctor can determine whether your heart is damaged and the severity of the damage In certain cases a doctor may suggest a pacemaker or ICD to treat the condition that is creating your PVCs