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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a form of irregular heartbeats These extra beats are typically not harmful and will go away by themselves To determine PVC Doctors will listen to your heartbeat and check other vital signs They might recommend a Holter monitor a device that records your hearts electrical impulses over a period of 24 to 48 hours They can also order blood tests to check your thyroid hormones and electrolyte levels Diagnosis PVCs occur when electrical impulses coming from the hearts lower chambers or ventricles misfire through a structure known as the SA node This delays the next heartbeat which can cause a feeling of skipped beats or fluttering in the chest PVCs can be seen in one pattern or repeated patterns Two consecutive PVCs are referred to as doublets Three or more consecutive PVCs are referred to as the condition known as ventricular tachycardia VT Some people dont experience any symptoms Others experience heart palpitations which can feel like an irregular heartbeat or a pounding Other symptoms are dizziness fatigue or a feeling of being unwell Many people who have occasional PVCs dont require any treatment If a patient experiences frequent episodes a doctor may recommend a change to the diet or lifestyle For instance restricting caffeine or stress as well as alcohol They may also prescribe medication like betablockers and calcium channel blockers that can reduce the heart rate and lower blood pressure Doctors will inquire about their medical history and then perform an examination of the body to check on their general health They can also perform an electrocardiogram ECG to take a snapshot of the hearts electrical activity or a Holter monitor which is worn for longer durations and monitors the hearts rhythms over time Doctors may request blood tests in some cases to look for imbalances in electrolytes or drug toxicity Sometimes a pvc physician will refer someone to a specialist for heart rhythm issues or an electrophysiologist to conduct a further examination This specialist can confirm the diagnosis of PVCs and determine whether they are benign or not PVCs are quite common and dont usually cause any problems except when they are frequent over a long time This can cause a weakening in the heart muscle or a condition known as pvcinduced cardiomyopathy It is more common in older people or those who have some type of heart disease It can also occur to healthy people with normal normal heart However it is more common in those who exercise regularly Usually this isnt an issue that is serious but it is important to speak with your doctor if you experience symptoms like fainting or fatigue Treatment PVCs are not harmful and do not cause symptoms in many people They do not require treatment However when you do experience a sensation like your heart is lagging the beat or is racing its important to speak to a doctor as soon as you can A cardiologist begins by interviewing you and performing a an examination of your body monitoring your heart using an stethoscope to detect any irregular beats Youll also undergo an electrocardiogram that captures the electrical impulses of your heart to detect any arrhythmias If an arrhythmia is identified it is recommended to have you will require a 24hour Holter monitor or a portable ECG is required to detect the irregular rhythm over longer durations of time These devices can assist doctors determine if you suffer from PVCs and their cause which could be due to an imbalance in electrolytes toxicity of drugs or other factors You may be asked to undergo an echocardiogram an ultrasound of your heart to determine the health of your heart is in good order and to look for structural problems that could lead to PVCs You may also undergo an exercise test to determine how your heart responds to physical exercise can increase the frequency of your PVCs wwwrepairmywindowsanddoorscouk may also undergo blood tests to check your thyroid magnesium and potassium hormone levels to determine whether they are low and can cause the development of PVCs After your doctor has confirmed that you suffer from PVCs and has ruled out any serious illness the decision on whether to treat them will be contingent on the degree to which theyre affecting your life and how frequently they occur If they happen only on occasion and dont trigger any symptoms its unlikely your doctor will recommend any medication to reduce their frequency or severity If you are experiencing 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 Changes in your lifestyle such as avoiding caffeine smoking and excessive stress can also reduce the frequency of these abnormal pulses Prevention A person might not experience any symptoms whatsoever from PVCs or heart palpitations irregular heartbeats that can appear as skipped beats or a fluttering sensation in the chest Sometimes these episodes cause a fullness or pressure in the chest Other times they can make someone feel faint These episodes are caused by the heart is not functioning as efficiently as it should The frequent PVCs increase the risk of developing dilated Cardiomyopathy a condition in which the heart gets larger and is unable to pump blood PVCs are usually caused by changes in the bodys chemistry This is due to the release of thyroid hormones and adrenaline as well as drinking alcohol or caffeine A lack of exercise can also trigger these episodes and stress as well as excessive weight Some people find that changing their diet can help reduce the number 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 They can also take in more fruits and vegetables to ensure that they get sufficient magnesium and potassium It is important to get regular health checks including annual physicals and lab tests These can help diagnose any heartrelated conditions that could be the cause of your PVCs You should also follow an appropriate diet and refrain from smoking which can increase the frequency of your episodes A survey of 14 regular hospital wards showed that healthcare workers were generally aware of preventive measures for vascular catheterassociated infection but their selfassessed conformity to these guidelines was low After a feedback intervention the compliance level improved on a few areas but was still very low This suggests that training is required to implement preventive measures and those wards that are less than compliant should be targeted for infection monitoring This information can be used to guide the implementation of further quality improvement initiatives on these wards This will likely require further education and training for personnel It will also involve making sure that the correct materials are available for the implementation of the preventive measures Symptoms If you feel like your heart is skipping beats or fluttering it could be a sign of premature ventricular contractions These arrhythmias can be harmless or they may be a sign of serious heart issues In healthy people occasional PVCs arent an issue and they generally disappear on their own However if you suffer from several of them they can lead to dizziness or weakness If youre worried about them consult your doctor about them You may need to give your medical history and they may also conduct an examination to identify the issue They may also want to conduct an electrocardiogram or other tests An ECG is a quick test that will allow your doctor to see the signal from your heartbeat as it travels through your heart for an extremely short period of period of time If you have PVCs they will show on the test Your doctor may also suggest the use of a Holter monitor that tracks your heartbeat over a longer period of time This can help distinguish PVCs from other types of arrhythmias that cause heart palpitations You can wear an event monitor a portable device which records your heart rhythm for 30 days Other heart tests might be needed depending on the cause of your PVCs A cardiologist can check your blood pressure or perform an echocardiogram ultrasound of the heart These can help find if you have a condition that is the cause of your PVCs such as cardiomyopathy mitral valve prolapse or heart failure Your doctor may also be required to run a blood test to determine the problem with your electrolytes For example low potassium levels or a high level of calcium This can be an indication of PVCs or other conditions that can cause them like anemia and anxiety disorders You may be directed to an electrophysiologist one of the specialists who specialize in treating irregular heart rhythms If you suffer from structural heart disease 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 is damaged and how severe it is In some cases a specialist may recommend an implanted pacemaker to treat the issue which is causing the PVCs