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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 dangerous and they can go away by themselves Doctors will listen to your heartbeat and check other vital signs They may order an Holter monitor a device that records your hearts electrical impulses over the course of 24 hours They can also order blood tests to check 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 delay the next heartbeat causing the feeling of fluttering or skipped beats in the chest PVCs can occur in one pattern or in repeated patterns Doublets are two consecutive PVCs Ventricular tachycardia can be described as three or more consecutive ones Some people have no symptoms while others experience heart palpitations It can be felt as an unsteady heartbeat or a slurred heartbeat Other symptoms are dizziness fatigue or a feeling of being unwell Many people with occasional PVCs dont require any treatment If a patient has frequent episodes a physician may recommend a change to diet or lifestyle For instance limiting caffeine stress and alcohol They might prescribe medication such as betablockers or calcium channel blockers that can lower blood pressure and slow the heart rate Doctors will ask about the persons medical history and conduct a physical exam to determine their general health They may also use a Holter monitor to record the hearts rhythms for longer durations or an electrocardiogram which takes a snapshot at the electrical activity within the heart Doctors may request blood tests in some instances to determine if there are electrolyte imbalances or toxic effects of drugs Sometimes a pvc doctor will refer someone to a specialist in heart rhythm problems or an electrophysiologist for further evaluation This doctor can confirm the diagnosis of PVCs and determine whether they are benign or not PVCs are fairly common and rarely cause any issues unless they happen frequently over a long time This can lead to a weakening of the heart muscle or a condition referred to as pvcinduced cardiomyopathy This is most prevalent for people over the age of 65 or those with any form of heart disease It can also happen in healthy people with an uninvolved heart however this is more likely for those who exercise regularly Usually this isnt an issue to worry about however it is crucial to consult your doctor if you experience symptoms like fainting or fatigue Treatment For many people occasional PVCs arent likely to cause symptoms or are harmless and require no treatment If you notice that your heart is racing or skipping an entire beat you need to consult a doctor immediately A cardiologist begins by conducting an interview and then perform a a physical exam monitoring your heart using a stethoscope for any irregular beats Additionally you will undergo an electrocardiogram which records the electrical signals of your heart to detect any arrhythmias If an arrhythmia is detected you will require a 24hour Holter monitor or a portable ECG will be needed to detect the irregular rhythm over longer durations of time These devices can help doctors determine if you suffer from PVCs and the reason for them such as an imbalance in electrolytes drug toxicity or other causes An echocardiogram or an ultrasound of your heart could be ordered to assess if your heart is healthy and check for signs of structural problems that can lead to PVCs You could also be required to undergo an exercise test to find out how your heart reacts to exercise Exercise can increase your frequency of PVCs You can also have blood tests to test your thyroid hormone and magnesium potassium and other hormones to see whether theyre insufficient This could lead to PVCs After your doctor confirms that you have PVCs and has ruled any serious illness out the decision to treat them is based on the impact they have on your life and the frequency they occur If they only occur occasionally and dont cause any symptoms your doctor is unlikely to prescribe any medication that can reduce their frequency or severity If you have frequent PVCs that cause palpitations or other symptoms such as feeling lightheaded or fainting your physician might prescribe medications like beta blockers and calcium channel blockers Changing your lifestyle to stay clear of triggers such as smoking caffeine and excessive stress can also help lower the number of times you experience these abnormal pulses The following is a list with preventions There are people who do not experience symptoms at all from PVCs or heart palpitations irregular heartbeats that can be felt as skipped beats or fluttering in the chest Sometimes these episodes can cause an increase in pressure or fullness in the chest and other occasions they may make a person feel faint These episodes happen because the heart isnt pumping as efficiently as it normally does PVCs are associated with a higher chance of developing dilated cardiomyopathy This is a condition in which the heart expands and becomes is unable to pump blood PVCs often are caused by changes in the bodys chemistry This includes the release of adrenaline and thyroid hormones and alcohol consumption or caffeine Inactivity can trigger these symptoms like stress or excess weight Certain people find that altering their diet may help to reduce PVCs For instance they can avoid foods that are preservativeladen which can cause a disturbance of the heart rhythm These include disodium guanylate diazole and disodium inosinate sodium E282283 Eat more fruits and veggies to ensure that you get enough magnesium Regular health checks are important including yearly physicals These can help diagnose any underlying heart conditions that could be causing your PVCs It is also recommended to adhere to an eathealthy diet and avoid smoking which could increase the frequency of your episodes A survey of healthcare professionals on 14 normal hospital wards found that they were mostly aware of the preventive measures to avoid infections caused by vascular catheters but that their selfassessed compliance with these guidelines was poor Compliance improved after feedback interventions but was still low on a few of the wards surveyed This suggests that education on how to implement the preventive measures is required and that the areas that are not as welladjusted should be targeted for surveillance of infection These data can be used to inform quality improvement initiatives in these wards This will likely require more education and training for personnel It will also involve making sure that the correct tools are available for implementing of the preventive measures Symptoms If you feel that your heart is skipping beats or fluttering it could be a sign of premature ventricular contractions window doctor can be harmless or they could be a sign that you have serious heart problems In healthy people sporadic PVCs arent an issue and they usually disappear by themselves If youre suffering from a lot of them they could cause weakness or dizziness Talk to your doctor if you are worried They might need to diagnose the problem by taking an history of your medical condition and performing an examination They may also want to conduct an electrocardiogram or other tests A quick ECG test will allow your doctor to observe the heartbeat signal moving through your body over an extremely short time If you have PVCs they will show in the test Your doctor may also decide to do a 24 or 48hour Holter monitor which monitors your heartbeat over longer periods of time These tests can help differentiate PVCs from arrhythmias that cause heart palpitations You might also wear a portable device that can record your hearts rhythm over the course of 30 days which is known as an event monitor Other tests for the heart may be required depending on the reason behind your PVCs A cardiologist may check your blood pressure or conduct an echocardiogram ultrasound of the heart These tests can reveal if you have a issue that could be the cause of your PVCs like mitral valve prolapse cardiomyopathy or heart failure Your doctor might also need to run an analysis of your blood to determine what the problem is in your electrolytes like low potassium or high levels of calcium This could be an indication of PVCs or other conditions that may cause them including anxiety disorders and anemia You might be referred to an electrophysiologist one of the specialists who specialize in treating irregular heart rhythms If you suffer from structural heart disease the doctor may need to do other tests like 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 cases the specialist might suggest an implantable pacemaker or ICD to treat the condition that is causing your PVCs