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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a form of irregular heartbeat These extra beats arent usually risky and they may disappear by themselves To diagnose PVC Doctors will listen to your heartbeat and check other vital signs They may order an Holter monitor a device that tracks your hearts electrical impulses over the course of 24 hours They may also order blood tests to determine your electrolyte levels and thyroid hormones Diagnosis PVCs happen when electrical impulses coming from the lower chambers of the heart or ventricles misfire through a structure referred to as the SA node This causes the next heartbeat to delay which can cause an experience similar to fluttering or skipped beats PVCs can occur in a single pattern or in repeated patterns Two consecutive PVCs are known as doublets Three or more consecutive PVCs are referred to as ventricular Tachycardia VT Some people dont experience any symptoms whatsoever Some experience palpitations which can feel like a pounding or skipping heartbeat Other symptoms that are common are fatigue and dizziness as well as a feeling of being unwell Many people with occasional PVCs do not require treatment If a patient has frequent episodes a doctor might suggest a change in diet or lifestyle For example limiting caffeine and stress as well as alcohol They may also prescribe medications like betablockers or calcium channel blockers which can lower the heart rate and lower blood pressure Doctors will inquire about their medical history and perform an examination of the body to determine 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 captures a picture of the electrical activity within the heart In some cases doctors may order blood tests to look for an electrolyte imbalance or drug toxicity A pvc physician may refer the patient to an electrophysiologist or specialist in heart rhythm disorders for further evaluation This doctor will confirm a diagnosis of PVCs and determine if they are benign or malignant PVCs are common and rarely cause any problems unless they occur frequently over a long period of time This can cause a weakening in the heart muscle or a condition known as pvcinduced cardiac myopathy This is most prevalent for people over the age of 65 or those suffering from some type of heart disease It can also happen to healthy people who have normal normal heart However its more prevalent among those who regularly exercise It is not a major problem but it is important to inform your doctor if symptoms such as fainting or fatigue occur Treatment For many people sporadic PVCs might not cause symptoms or need no treatment If you feel like your heart is racing or skipping the beat its best to consult a doctor immediately A cardiologist will interview you and perform an examination of your body and listen to your heart through a stethoscope to detect any irregular heartbeats Additionally you will undergo an electrocardiogram that records the electrical signals of your heart to detect any arrhythmias If an arrhythmia has been discovered it is recommended to use a portable ECG or a 24hour Holter monitor is required to capture the abnormal rhythm for longer periods of time These devices can help doctors determine if you suffer from PVCs and the cause of them like an electrolyte imbalance drug toxicities or any other cause An echocardiogram or an ultrasound of your heart may be ordered to determine if your heart is healthy and to look for signs of structural problems which could cause PVCs You might also have a stress test to check how your heart reacts to exercise since physical activity can increase the frequency of your pvcs You may also undergo blood tests to determine your thyroid potassium and magnesium hormone levels to find out whether they are low and can cause the formation of PVCs Once your doctor has confirmed that you suffer from PVCs and has eliminated any serious illnesses and has made a decision about whether or not to treat them will be contingent on how much theyre impacting your life and how often they occur If they happen only on occasion and dont cause any symptoms its unlikely your doctor will suggest any medication to lessen their frequency or severity If you experience frequent PVCs that do cause the sensation of palpitations or other symptoms such as lightheadedness or feeling like youre about to faint your doctor might suggest medication such as beta blockers or calcium channel blockers Changing your lifestyle to avoid triggers such as smoking caffeine and excess stress can aid in reducing the frequency of times you experience these abnormal pulses The following is a list with preventions There are people who do not experience symptoms whatsoever from PVCs or feel heart palpitations irregular heartbeats which can be felt as skipped beats or fluttering in the chest These episodes can trigger feelings of fullness or pressure or they may cause you to feel faint These episodes are caused by the heart not pumping as well as it should Regular PVCs increase the risk of developing dilated Cardiomyopathy a condition wherein the heart expands and is unable to pump blood PVCs are usually caused by changes in the bodys chemical chemistry They can be caused by the release of thyroid and adrenaline hormones in addition to drinking caffeine or alcohol Lack of exercise can trigger these symptoms and stress as well as excess weight Certain people find that changing their diet can reduce PVCs For instance they could avoid foods with preservatives which can cause a disturbance to the heartbeat for example disodium guanylate E621 disodium inosinate E627 diazole sodium E282283 Eat more fruits and veggies to ensure that you get enough magnesium Regular health checks are essential including yearly physicals These tests can help diagnose any heartrelated conditions that could cause your PVCs You should also refrain from smoking and adhere to an appropriate diet plan This can increase the frequency of episodes A survey of 14 typical hospital wards found that healthcare staff were generally aware of preventive measures to avoid the infection caused by vascular catheters but their selfassessment of compliance to these practices was low The compliance improved following an intervention to improve feedback however it was still low on some of the wards surveyed This suggests that education is required on how to implement preventive measures and those wards that are less conforming should be targeted for monitoring of infection This information can then be used to help in the implementation of quality improvement initiatives for these wards It is likely that this will require additional education and training of personnel It will also involve making sure that the right materials are available for the implementation of preventive measures Symptoms If you feel your heart is skipping beats or fluttering it could be a sign of premature ventricular contractions These arrhythmias arent necessarily dangerous or they may be the sign of heart problems In healthy people PVCs that occur occasionally are not a problem They generally disappear on their own If you have many of them it can cause dizziness or weakening If youre concerned you might be experiencing dizziness or weakness talk to your doctor about them They may have to identify the issue by taking a medical history and performing an examination They may also want to conduct an electrocardiogram or other tests A quick ECG test lets your doctor see the signal of your heartbeat moving through your body for a an extremely short time The test will reveal if you have PVCs Your doctor might also want to do an overnight or 24hour Holter monitor which monitors your heartbeat for longer periods of time the window doctor can help distinguish PVCs from arrhythmias that cause heart palpitations You can also wear an event monitor a portable device which tracks your hearts rhythm over 30 days Other heart tests might be required depending on the cause of your PVCs A cardiologist may check your blood pressure or perform an echocardiogram ultrasound of the heart This can help determine if you have a condition that may be causing your PVCs like mitral valve prolapse or heart failure Your doctor might also need to do a blood test to see what the problem is with your electrolytes like low potassium or high calcium levels This could indicate that you suffer from PVCs or a different health issue such as anemia or anxiety disorders You could be directed to an electrophysiologist one of the specialists who specialize in treating abnormal heart rhythms If you have structural heart disease this specialist might need to perform additional tests such as an MRI or CT scan of your chest These tests will tell you if you have damage to your heart and how serious it is In some instances the doctor might suggest an implantable pacemaker or ICD to treat the condition that is creating your PVCs