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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a kind of irregular heartbeat These extra beats arent usually dangerous and they can disappear on their own To determine PVC doctors will listen to your heartbeat and look for other vital indicators They might recommend a Holter monitor a device that records the electrical impulses your heart produces over 2448 hours They can also request blood tests for checking your thyroid hormones and electrolyte levels Diagnosis PVCs are caused by electrical impulses which misfire through the SA node which is a structure located in the lower chambers of the heart This causes the heartbeat to be delayed which can cause a feeling of fluttering or skipped beats in the chest PVCs can be seen as a single event or in repeated patterns Two consecutive PVCs are known as doublets while three or more consecutive PVCs are referred to as the term ventricular tachycardia VT Some people have no symptoms but others experience palpitations This can feel like an unsteady heartbeat or a slurred heartbeat Other symptoms include fatigue dizziness or feeling unwell A lot of people who have occasional PVCs dont need any treatment If a person experiences frequent episodes doctors may suggest a change in the way of life or diet including a reduction in caffeine alcohol and stress They may also prescribe medication like betablockers and calcium channel blockers which can lower the heart rate and lower blood pressure Doctors will ask the patient about their medical history and then perform an examination to check on their general health They may also employ an electrocardiogram ECG to capture an image of the hearts electrical activity or a Holter monitor that is worn for longer periods and captures the hearts rhythms over time Doctors may require blood tests in some cases to determine if there are electrolyte imbalances or drug toxicity Sometimes a pvc physician may refer a patient to a specialist in heart rhythm issues or an electrophysiologist for further evaluation This doctor can confirm a diagnosis of PVCs and determine whether they are malignant or benign PVCs can be found everywhere and arent usually harmful unless they are used regularly or for a long period of time This can cause a weakening in the heart muscle or a condition known as pvcinduced cardiac myopathy It is more common in older people or those with some type of heart disease This can happen to healthy individuals with a normal normal heart However its more prevalent among those who exercise regularly This is not a serious issue but you should inform your doctor if symptoms such as fatigue or fainting occur Treatment For many people occasional PVCs might not cause symptoms or are harmless and require no treatment If you feel like your heart is racing or slurring an entire beat you need to seek out a physician immediately A cardiologist will first interview you and then perform physical examinations and listen to your heart through a stethoscope to detect any irregular heartbeats You will also have an electrocardiogram ECG performed to record the electrical impulses in your heart and identify any arrhythmias If an arrhythmia is identified a 24hour Holter monitor or a portable ECG is required to capture the irregular rhythm for longer durations of time These devices will help doctors determine if you suffer from PVCs and the cause of them like an electrolyte imbalance a drug toxicities or other causes An echocardiogram an ultrasound of your heart may be ordered to determine whether your heart is in good health and look for any signs of structural problems which could cause PVCs You might also have a stress test to check how your heart reacts to exercise as physical exercise can increase the frequency of your pvcs You may also undergo blood tests to assess your thyroid magnesium and potassium hormone levels to determine whether they are low and can cause the development of PVCs If your doctor confirms that you suffer from PVCs and has ruled any serious diseases out the treatment option you choose is based on the impact they have on your life and the frequency they occur If they occur only occasionally and dont cause any symptoms then your doctor is unlikely to recommend any treatment that can reduce their frequency or severity If you experience frequent PVCs which can cause heart palpitations or other symptoms such as feeling lightheaded or fainting your doctor may prescribe medication such as beta blockers and calcium channel blockers Altering your lifestyle to avoid triggers like caffeine smoking and excessive stress can help lower the number of occurrences of these abnormal pulses Prevention PVCs can cause no symptoms or heart palpitations which can be described as skipped beats or flutterings in the chest These episodes can cause feelings 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 The frequent PVCs increase the risk of developing dilated Cardiomyopathy a condition wherein the heart gets larger and is not able to pump blood PVCs are often caused by changes in the bodys chemical chemistry This can be caused by the release of thyroid hormones and adrenaline as well drinking alcohol or caffeine Stress or weight gain or an insufficient amount of exercise can trigger these symptoms Certain people find that a change in diet can reduce their PVCs For instance they can avoid foods that are preservativeladen which could cause disturbances to the heart rhythm These include disodium guanylate and diazole and disodium Inosinate sodium E282283 Consume more fruits and vegetables to ensure that you get enough magnesium Regular health checks are important including yearly physicals These tests can help identify any heartrelated conditions which could be causing your PVCs Also you should adhere to an eathealthy diet and refrain from smoking which can increase the frequency of your episodes A survey of healthcare workers on 14 wards of a normal hospital found that they were mostly aware of the preventive measures for infections caused by vascular catheters However their selfassessed compliance with these measures was not great Compliance improved after feedback interventions however it was still very low on some of the wards surveyed This suggests that training is required to implement preventive measures and those wards that are not conforming should be targeted for monitoring of infection These data can be used to guide quality improvement initiatives in these wards This will likely require further training and education for personnel It will also require making sure that the correct materials are available for the implementation of the preventive measures Symptoms Involuntary ventricular contractions that are premature can cause your heartbeat to skip or be fluttering These arrhythmias can be harmless or they could be a sign that you have heart issues that are serious In healthy individuals occasional PVCs arent an issue and they usually go away by themselves If youve got a lot of them it can cause dizziness or weakening Talk to your doctor if you are concerned They might need to diagnose the issue by taking a medical history and giving you a physical exam Theyll likely also need to perform an electrocardiogram ECG or EKG or other tests A short ECG test lets your doctor see the pulse of your heart moving through your body over a short 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 records your heartbeat over a longer amount of time These tests can help distinguish PVCs from arrhythmias that cause heart palpitations You can also wear an event monitor a handheld device that tracks your hearts rhythm over 30 days Other heart tests may be required based on the cause of your PVCs For example an cardiologist may test your blood pressure and perform an ultrasound of your heart echocardiogram These tests can reveal if you have a condition that is causing your PVCs like mitral valve prolapse or heart failure wwwrepairmywindowsanddoorscouk may also have to run an analysis of your blood to determine the problem with electrolytes For instance you may have low potassium levels or high levels of calcium This could indicate that you have PVCs or another condition such as anemia or anxiety disorders You might be directed to an electrophysiologist a specialist who specializes in treating heart rhythms that are abnormal If you have structural heart disease the doctor may need to perform additional tests such as an MRI or CT scan of your chest These tests will help determine if your heart is damaged and the severity of the damage In some instances the doctor may suggest the use of a pacemaker or ICD to treat the condition that is creating your PVCs