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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a kind of irregular heartbeat These extra beats are usually not risky and they may go away on their own Doctors will monitor your heartbeat and look for other vital signs They might order an Holter monitor which is a device that records your hearts electrical impulses over the course of 24 hours They might also order blood tests to assess your thyroid and electrolyte levels hormones Diagnosis PVCs are caused by electrical impulses that reverberate through the SA node a structure in the lower chambers of the heart This delays the next heartbeat 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 referred to as doublets whereas three or more consecutive PVCs constitute ventricular Tachycardia VT While some people dont show any symptoms at all Some experience palpitations which can feel like the heart beating faster or slower Other signs include dizziness fatigue or a feeling that youre unwell Many people who experience occasional PVCs do not require any treatment If a patient has frequent episodes a doctor may recommend a change to diet or lifestyle For instance the restriction of caffeine or stress as well as alcohol They might prescribe medication such as betablockers or calcium channel blockers that lower blood pressure and slow down the heart rate Doctors will inquire about their medical history and conduct an examination to determine their general health They may also employ an electrocardiogram ECG to capture an image of the hearts electrical activity or a Holter monitor which is worn for longer time periods and records the hearts rhythms over time In some cases doctors may order blood tests to look for an electrolyte imbalance or toxic effects from drugs A pvc doctor may refer patients to an electrophysiologist or a specialist in heart rhythm disorders for further examination The doctor will confirm the diagnosis of PVCs and determine if 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 could lead to a weakening in the heart muscle or a condition known as pvcinduced cardiomyopathy It is more prevalent in older people or those suffering from heart disease It can also occur in healthy people with a normal heart although this is more likely for those who exercise regularly Its not an issue to worry about but it is important to consult a doctor if you notice symptoms such as fainting or fatigue Treatment For many occasional PVCs arent likely to cause symptoms or are harmless and require no treatment If you feel like your heart is racing or not making an entire beat you need to see a doctor right away A cardiologist will interview you and conduct a physical examination by listening to your heart through an stethoscope to identify any irregular heartbeats You will also undergo an electrocardiogram that records the electrical signals of your heart to detect any arrhythmias If an arrhythmia is found then a 24hour Holter monitor or other portable ECG is required to record the abnormal rhythm over longer durations of time These devices will help doctors determine if you have PVCs and their causes like an imbalance in electrolytes toxic drugs or other factors An echocardiogram or an ultrasound of your heart can be ordered to determine whether your heart is in good health and check for indications of structural issues which could cause PVCs You could also be required to undergo stress tests to assess how your heart reacts to exercise double glazing doctor can increase your frequency of PVCs You can also have blood tests to determine your thyroid magnesium and potassium hormone levels to find out if they are too low which could contribute to the formation of PVCs After your doctor has confirmed that youre suffering from PVCs and has ruled out any serious illness the decision of how to treat them will depend on how much theyre impacting your life and how frequently they occur If they only occur occasionally and dont cause any symptoms its unlikely your doctor will suggest any medication to decrease the frequency or severity of them If you are experiencing frequent PVCs that cause pulses or other symptoms such as feeling lightheaded or fainting your doctor may prescribe medications such as beta blockers and calcium channel blockers Changes in your lifestyle like abstaining from smoking caffeine and stress can also decrease the frequency of these abnormal pulses Prevention PVCs can cause no symptoms or heart palpitations which may be described as skipped beats or flutterings in the chest Sometimes these episodes cause the chest to feel full or swollen in the chest and at other times they can make someone feel faint These episodes are caused by the heart not pumping as efficiently as it should Regular PVCs increase the chance of developing dilated Cardiomyopathy a condition in which the heart expands and is unable to pump blood PVCs are usually caused by changes in body chemical chemistry These include the release of adrenaline and thyroid hormones as well as drinking alcohol or caffeine Lack of exercise can also trigger these episodes as can stress or excess weight Some people find that changing their diet may help to reduce the number of PVCs For instance they can avoid foods that contain preservatives which can disrupt the heart rhythm These include disodium guanylate diazole and disodium Inosinate sodium E282283 It is also recommended to take in more fruits and vegetables to ensure theyre getting sufficient magnesium and potassium Regular health checks are crucial as are annual physicals These can help diagnose any heart issues that could be the cause of your PVCs You should also refrain from smoking and adhere to an appropriate diet plan This could increase the frequency of episodes A survey of 14 typical hospital wards found that healthcare staff were generally aware of preventive measures to avoid infections caused by vascular catheters however their selfassessment of conformity to these practices was low After a feedback intervention compliance improved on some wards but was still low This suggests that training is needed on how to implement preventive measures and those wards that are less conforming should be targeted for monitoring of infection This information can be used to guide the implementation of additional quality improvement initiatives for these wards This could involve more education and training for staff It will also be important to ensure that the appropriate materials for implementing the preventive measures are readily available Signs and symptoms The premature contraction of the ventricular muscle can cause your heartbeat to skip beats or to flutter These arrhythmias may be harmless or they may be the sign of heart problems In healthy people PVCs that occur occasionally are not any problem They typically disappear on their own If you have many of them they can cause dizziness or weakness Speak to your doctor if concerned They might need to diagnose the problem by taking an medical history and conducting a physical exam Theyll also probably want to conduct an electrocardiogram ECG or EKG or other tests A short ECG test lets your doctor see the heartbeat signal moving through your body over an extremely short time The test will reveal if you have PVCs Your doctor might also suggest a Holter monitor that records your heartbeat for a longer period of time These tests can help distinguish PVCs from arrhythmias that cause heart palpitations You might also be wearing a device that can record your heart rate over 30 days called an event monitor Other tests for your heart might be required based on the reason for your PVCs For example an cardiologist may test your blood pressure and also perform an ultrasound of your heart echocardiogram These tests can tell whether you are suffering from a condition such as heart failure or mitral valve prolapse or cardiomyopathy Your doctor may also need to conduct a blood test to determine the issue with your electrolytes For instance you may have low potassium levels or a high level of calcium This can be a sign of PVCs or other conditions that may cause them like anemia and anxiety disorders You might be referred to an electrophysiologist a specialist who specializes in treating heart rhythms that are abnormal If you suffer from structural heart disease this specialist might need to perform additional tests like an MRI or CT scan of your chest These tests will tell you whether youve suffered damage to your heart and how serious it is In certain cases a doctor might recommend a pacemaker or ICD to treat the underlying issue causing your PVCs