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Why Its Important to See a Doctor Premature ventricular contracts PVCs are a type of irregular heartbeat These extra beats are usually not risky and they may disappear on their own To diagnose PVC doctors listen to your heartbeat and also check other vital signs They may also order a Holter Monitor which records the electrical impulses generated by your heart over a span of between 24 and 48 hours They can also order blood tests to check your electrolyte levels and thyroid hormones Diagnosis PVCs are caused by electrical impulses that reverberate through the SA node a structure found in the lower chambers of the heart This causes the next heartbeat to delay which can cause an experience similar to the heart is fluttering or skips beats PVCs can be seen as a single event or in repeated patterns Two consecutive PVCs are referred to as doublets whereas three or more consecutive PVCs are referred to as the term ventricular tachycardia VT While some people dont show any symptoms whatsoever Some experience palpitations that can be felt as the heart beating faster or slower Other common symptoms are tiredness or dizziness or a feeling of being sick Many people who experience occasional PVCs dont need any treatment If a patient has frequent episodes a physician might suggest a change in diet or lifestyle For instance restricting caffeine stress and alcohol They can prescribe medications such as betablockers or calcium channel blockers that lower blood pressure and slow down the heart rate Doctors will ask the patient about their medical history and perform an examination to check on their general health They may also employ an electrocardiogram ECG to capture a snapshot of the hearts electrical activity or a Holter monitor that is worn for longer durations and captures the hearts rhythms over time Doctors may order blood tests in some cases to determine if there are electrolyte imbalances or toxic effects of drugs Sometimes a pvc doctor may refer a patient to a specialist for heart rhythm problems or an electrophysiologist for further evaluation The doctor will confirm the diagnosis of PVCs and determine whether they are benign or not PVCs are all over the place and are generally not harmful when used frequently or for long periods of time This can cause a weakening in the heart muscle or a condition known as pvcinduced cardiomyopathy It is more prevalent in older adults or those with heart disease It can also occur in healthy people with normal heart function but this is more likely for those who exercise regularly Its not an issue that is serious but it is important to speak with a doctor if you notice symptoms such as fainting or fatigue Treatment For many people occasional PVCs might not cause symptoms or are harmless and require no treatment However for those who feel their heart has skipped the beat or is racing its crucial to speak to a doctor immediately A cardiologist will first interview you and conduct a physical examination and listen to your heart using the stethoscope in order to detect any irregular heartbeats Youll also undergo an electrocardiogram which records the electrical impulses of your heart to determine any arrhythmias If an arrhythmia is identified then you will require a 24hour Holter monitor or other portable ECG is required to capture the abnormal rhythm over longer durations of time These devices will help doctors determine if 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 requested to undergo an echocardiogram an ultrasound of your heart to determine whether your heart health is good and to look for structural problems that could cause PVCs You may also be asked to take stress tests to assess the response of your heart to exercise Exercise can increase the frequency of pvcs You can also have blood tests to determine your thyroid potassium and magnesium hormone levels to determine whether they are insufficient which can contribute to the development of PVCs After your doctor has determined that youre suffering from PVCs and has ruled out any serious diseases the decision on whether or not to treat them will depend on how much theyre impacting your life and the frequency at which they occur If they only occur occasionally and dont trigger any symptoms its unlikely that your doctor will recommend any medication to decrease their frequency or severity If however you suffer from frequent PVCs that trigger the sensation of palpitations or other symptoms such as lightheadedness or feeling like youre going to faint your doctor may suggest medications such as beta blockers or calcium channel blockers Altering your lifestyle to avoid triggers like smoking caffeine and excess stress can reduce the frequency of times you experience these unusual pulses Prevention PVCs can cause no symptoms or heart palpitations that can be described as skipped beats or flutters in the chest Sometimes these episodes cause the chest to feel full or swollen in the chest Other times they can make someone feel faint These episodes happen because the heart is not functioning as efficiently as it should PVCs are associated with an increased risk of dilated cardiomyopathy This is a condition in which the heart gets larger and unable to pump blood PVCs often are caused by changes in body chemical balance They can be caused by the release of adrenaline and thyroid hormones and drinking alcohol or caffeine Stress or excess weight or an insufficient amount of exercise can trigger these episodes Some people find that changing their diet may help to reduce PVCs For example they can avoid foods that contain preservatives that can cause a disturbance in the heart rhythm such as disodium Guanylate E621 disodium inosinate E627 and diazole sodium E282283 It is also recommended to consume more fruits and vegetables to ensure theyre getting enough potassium and magnesium It is important to get regular health checks which include annual physicals and laboratory tests These tests can help you identify any heart issues that could cause your PVCs You should also follow a healthy eating plan and avoid smoking which could increase the frequency of your episodes A survey of healthcare staff on 14 normal hospital wards showed that they were generally aware of the preventive measures for vascular catheterassociated infections however their selfassessment of compliance with these guidelines was low The compliance improved following feedback interventions however it was still very lower on some of the observed wards This suggests that education 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 inform quality improvement initiatives in these wards This will likely require further training and education for personnel It will also involve making sure that the appropriate materials are available for the implementation of the preventive measures Signs and symptoms If you feel like your heart is skipping beats or fluttering it could be due to premature ventricular contractions These arrhythmias arent necessarily dangerous or they can be a sign of serious heart problems In healthy people PVCs that occur occasionally are not any problem They usually disappear by themselves If youve got many of them they can cause dizziness or weakness If youre concerned talk to your doctor about them You might be required to provide an medical history and they may also conduct a physical examination in order to determine the cause They may also want to conduct an electrocardiogram or other tests An ECG is a quick test that allows your health care provider see the signal from your heartbeat as it moves through your heart in an extremely short period of period of time wwwrepairmywindowsanddoorscouk will show if you have PVCs Your doctor might also suggest the use of a Holter monitor that tracks your heartbeat for a longer period of time This can help distinguish PVCs from other arrhythmias which cause heart palpitations You can wear an event monitor a handheld device that keeps track of your hearts rhythm for 30 days Other tests for your heart might be required depending on the cause of your PVCs For example an cardiologist may test your blood pressure and do an ultrasound of your heart echocardiogram These tests can tell if you suffer from an issue such as heart failure mitral valve prolapse or cardiomyopathy Your doctor might also need to conduct a blood test to see what the problem is in your electrolytes such as low potassium or high levels of calcium This could indicate that you have PVCs or a different 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 The doctor may be required to perform other tests if you have heart problems that are structural such as a CT or MRI scan of your chest These tests can tell whether youve suffered damage to your heart and how serious it is In certain cases a specialist might suggest an implantable pacemaker or ICD to treat the underlying condition thats creating your PVCs