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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 typically not harmful and will be cured by themselves To diagnose PVC doctors will listen to your heartbeat and check other vital signs They might order an Holter monitor a device that records the electrical impulses your heart produces over 2448 hours They might also order blood tests to assess your electrolyte levels and thyroid hormones Diagnosis PVCs are caused by electrical impulses which misfire through the SA node which is a structure found in the lower chambers of the heart This causes the next heartbeat to be delayed causing the sensation of racing or skipped beats PVCs may occur alone or in repeated patterns Doublets are two consecutive PVCs Ventricular tachycardia refers to three or more consecutive PVCs While some people dont show any symptoms at all others feel palpitations that can be felt as an irregular heartbeat or a pounding Other symptoms that are common are fatigue and dizziness as well as a feeling of being sick Many people who experience occasional PVCs dont need any treatment If a patient is experiencing frequent episodes a physician might recommend a change in diet or lifestyle For instance restricting caffeine stress and alcohol They can prescribe medication such as betablockers and calcium channel blockers to lower blood pressure and slow down the heart rate Doctors will ask about the medical history of the patient and conduct a physical exam to check their general health They may also use an electrocardiogram ECG to capture an image of the hearts electrical activity or a Holter monitor which is worn for longer periods and records the hearts rhythms over time In some cases doctors may request blood tests to check for an electrolyte imbalance or drug toxicity A pvc doctor may refer the patient to an electrophysiologist or a specialist in heart rhythm disorders for further evaluation This doctor will confirm a diagnosis of PVCs and determine whether they are benign or malignant PVCs are fairly frequent and usually dont cause any issues unless they occur frequently over a long period of time This can cause weakening of the heart muscle or a condition known as pvcinduced cardiomyopathy It is more common in people who are older or those who have some form of heart disease It can also occur in healthy people with an uninvolved heart however this is more likely for those who exercise regularly This is not a serious condition but you should tell your doctor if symptoms such as fatigue or fainting occur Treatment PVCs are not harmful or cause symptoms in many people They dont require treatment If you feel that your heart is racing or slurring the beat its best to see a doctor right away A cardiologist will start by conducting an interview and then perform a a physical exam monitoring your heart using an stethoscope to detect any irregular beats Youll also get an electrocardiogram ECG done to record the electrical signals in your heart and detect any arrhythmias If an arrhythmia is identified it is recommended to have an allday Holter monitor or other portable ECG will be needed to capture the abnormal rhythm over longer periods of time These devices will help doctors determine whether you have PVCs and their cause such as an imbalance in electrolytes drug toxicity or other factors You may be asked to undergo an echocardiogram an ultrasound of your heart to determine the health of your heart is in good shape and to check for structural problems which could lead to PVCs You may also undergo a stress test to check how your heart responds to exercise as physical activity can increase the frequency of your PVCs You can also get blood tests to check your thyroid hormone magnesium potassium and other hormones to see whether theyre insufficient This could cause PVCs After your doctor confirms that you suffer from PVCs and has ruled any serious diseases out the treatment you choose to take is based on the impact they have on your life and the frequency they occur If they occur only occasionally and do not cause symptoms the doctor is not likely to recommend any treatment to reduce their frequency or severity However if you have frequent PVCs that trigger heart palpitations as well as other symptoms like lightheadedness or feeling like youre going to faint your physician may suggest medications like beta blockers or calcium channel blockers Changes in lifestyle such as avoiding caffeine smoking and stress can reduce the frequency of these irregular pulses The following is a list of preventions A person may experience no symptoms whatsoever from PVCs or experience heart palpitations irregular heartbeats that may appear as skipped beats or a fluttering sensation in the chest Sometimes these episodes trigger the chest to feel full or swollen in the chest Other times they can make someone feel faint These episodes are caused by the heart not pumping as effectively as it should PVCs are associated with a higher chance of developing dilated cardiomyopathy This is a condition where the heart expands and becomes unable to pump blood PVCs are usually caused by changes in body chemistry This is due to the release of thyroid hormones and adrenaline as well drinking alcohol or caffeine Lack of exercise can trigger these episodes like stress or excess weight Some people find that changing their diet may help to reduce the number of PVCs They can for example avoid foods that are preservativeladen which could cause disturbances to the heart rhythm These include disodium guanylate diazole and disodium inosinate Sodium E282283 Eat more fruits and vegetables to get enough magnesium Regular health checks are essential as are annual physicals These tests can help you identify any heart conditions that may cause your PVCs Also you should adhere to an appropriate diet and refrain from smoking which can increase the frequency of your episodes A survey of 14 normal hospital wards found that healthcare staff were generally aware of preventive measures to avoid infections caused by vascular catheters however their selfassessed conformity to these procedures was not high Compliance improved after an intervention to improve feedback however it was still lower on some of the wards that were surveyed This suggests that training is required to implement preventive measures and that wards that are less compliant need to be targeted for monitoring of infection window doctor can be used to inform quality improvement initiatives in these wards This will likely involve further education and training for staff It is also necessary to ensure that the appropriate tools for implementing the preventive measures are available Symptoms If you feel like your heart beats are erratic or fluttering it could be due to premature ventricular contractions These arrhythmias may be harmless or they can be a sign of serious heart issues In healthy people occasional PVCs arent a problem and they generally disappear on their own But if you have a lot of them they may cause dizziness or weakness Speak to your doctor if you are concerned They may have to identify the problem by taking an medical history and conducting a physical exam They may also do an electrocardiogram ECG or EKG or other tests A quick ECG test will allow your doctor to observe the pulse of your heart moving through your body over an extremely short time If you have PVCs theyll be visible on the test Your doctor may also suggest a Holter monitor that records your heartbeat for a longer period of time These tests can help differentiate PVCs from arrhythmias that cause heart palpitations You might also wear a portable device that records your hearts rhythm over 30 days called an event monitor Other tests for the heart may be required depending on the reason for your PVCs A cardiologist may check your blood pressure or conduct an echocardiogram ultrasound of the heart These can help find the presence of a medical condition that is causing your PVCs or heart valves such as cardiomyopathy mitral valve prolapse or heart failure Your doctor may also be required to perform tests on your blood to identify the problem with your electrolytes For example 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 could be directed to an electrophysiologist an expert who specializes in treating heart rhythms that are abnormal If you suffer from heart disease that is structural 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 some instances an expert may recommend a pacemaker to treat the condition that causes the PVCs