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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a type of irregular heartbeats These extra beats are usually not hazardous and they could disappear by themselves Doctors will monitor your heartbeat and check other vital indicators They might recommend a Holter monitor which records the electrical impulses your heart produces over a period of 24 to 48 hours They can also order blood tests to determine your thyroid and electrolyte levels hormones Diagnosis PVCs are caused by electrical impulses from the lower chambers of the heart ventricles or lower chambers fail to pass through a structure known as the SA node This delay the next heartbeat causing a feeling of skipped beats or fluttering in the chest PVCs can occur in a single pattern or in repeated patterns Doublets are PVCs that occur in a series of Ventricular tachycardia refers to three or more consecutive ones repairmywindowsanddoors are not experiencing any symptoms but others experience palpitations It could be a pounding heartbeat or a slurred heartbeat Other typical symptoms include fatigue and dizziness as well as a feeling of being sick A lot of people who have occasional PVCs dont need any treatment If a patient is experiencing frequent episodes a doctor may recommend a change to the diet or lifestyle For example the restriction of caffeine and stress as well as alcohol They may also prescribe medication like betablockers and calcium channel blockers which can slow the heart rate and lower blood pressure Doctors will inquire about their medical history and perform a physical examination to assess their general health They may also utilize a Holter monitor to record the hearts rhythms over longer periods of time or an electrocardiogram which captures a picture of the electrical activity in the heart Doctors may request blood tests in certain cases to look for imbalances in electrolytes or toxic substances in the body A pvc physician may refer the patient to an electrophysiologist or a specialist in heart rhythm disorders for further examination The doctor can confirm a diagnosis of PVCs and determine whether they are malignant or benign PVCs are everywhere and are generally not harmful unless they are used regularly or for long periods of time This can cause weakening of the heart muscle or a condition referred to as pvcinduced cardiomyopathy This is more common in older people or people suffering from heart disease It can also occur in healthy people with normal heart function but it is more likely to occur in those who exercise regularly It is not a major problem but it is important to tell your doctor if symptoms such as fainting or fatigue occur Treatment For many people occasional PVCs may not cause any symptoms or need no treatment But for those who feel your heart is lagging an beat or is racing its crucial to consult a physician immediately A cardiologist will interview you and then perform an examination of your body by listening to your heart with a stethoscope to detect any irregular heartbeats You will also undergo an electrocardiogram which records the electrical impulses of your heart to determine any arrhythmias If an arrhythmia has been discovered then the use of a portable ECG or a 24hour Holter monitor will be required to capture the abnormal rhythm for longer periods of time These devices will help doctors determine if you have PVCs and the cause of them like an electrolyte imbalance or drug toxicities or other causes An echocardiogram an ultrasound of your heart could be ordered to assess whether your heart is healthy and check for signs of structural problems which could cause PVCs You may also be asked to undergo a stress test in order to determine how your heart reacts to exercise Physical activity can increase the frequency of PVCs You can also get blood tests to determine your thyroid hormone magnesium potassium and other hormones to see if theyre too low This could cause PVCs If your doctor confirms that you have PVCs and has ruled any serious diseases out the decision to treat them depends on how they impact your life and how often they occur If they happen only infrequently and dont cause any symptoms your doctor is unlikely to recommend any treatment that will reduce their frequency or severity If however you suffer from frequent PVCs that trigger palpitations and other symptoms such as lightheadedness or feeling like youre about to faint your doctor might recommend medications for you such as beta blockers or calcium channel blockers Changes in lifestyle such as avoiding caffeine smoking and stress can also decrease the frequency of these abnormal pulses The following is a list of preventatives PVCs can cause no symptoms or heart palpitations which can feel like skipped beats or flutters in the chest Sometimes these episodes can cause the chest to feel full or swollen in the chest and other times they can make someone feel faint These episodes result from the heart not pumping as effectively as it should PVCs are associated with an increased risk of dilated cardiomyopathy This is a condition in which the heart becomes enlarged and in a position to not pump blood PVCs are often caused by changes in the bodys chemical This includes the release of adrenaline and thyroid hormones and drinking alcohol or caffeine Lack of exercise can trigger these episodes and stress as well as excess weight Certain people find that changing their diet can reduce PVCs They can for example avoid foods that are preservativeladen which can disrupt the heart rhythm These include disodium Guanylate disodium Inosinate and diazole Sodium E282283 It is also recommended to take in more fruits and vegetables to ensure they are getting enough magnesium and potassium It is crucial to undergo regular health checkups which include annual physicals and laboratory tests These tests can help identify any underlying heart conditions that could be causing your PVCs Also you should adhere to a healthy eating plan and avoid smoking which could increase the frequency of your episodes A survey of 14 typical hospital wards revealed that healthcare staff were generally aware of preventive measures against vascular catheterassociated infection but their selfassessment of compliance to these practices was low After a feedback intervention compliance improved on some areas but was still very low This suggests that training is required to implement preventive measures and those wards that are not conforming should be targeted for infection monitoring These data can be used to guide quality improvement initiatives in these wards It is likely that this will require more education and training for personnel It will also involve making sure that the appropriate materials are in place for the implementation of the preventive measures Signs and symptoms If you feel your heart beats are erratic or fluttering it may be due to premature ventricular contractions These arrhythmias can be harmless or they could indicate that you are suffering from serious heart issues In healthy people sporadic PVCs arent a problem and they usually go away by themselves If youve got many of them they can cause dizziness or weakness Consult your doctor if worried You may need to give a medical history and they may also conduct a physical examination in order to diagnose the problem They might also need to conduct an electrocardiogram or other tests An ECG is a test thats quick that lets your health care provider observe the signal generated by your heartbeat moving through your heart over an extremely short period of period of time The test will reveal if you have PVCs Your doctor may also suggest to conduct a 24 or 48hour Holter monitor which records your heartbeat for longer durations of time This can help distinguish PVCs from other arrhythmias that cause heart palpitations You can also wear an event monitor a handheld device which keeps track of your hearts rhythm for 30 days Other heart tests might be required depending on the reason for your PVCs For example a cardiologist might check your blood pressure and do an ultrasound of the heart echocardiogram These tests can determine whether you have an illness such as heart failure or mitral valve prolapse or cardiomyopathy Your doctor may also need to perform an analysis of your blood to determine the problem with your electrolytes For example low potassium levels or a high level of calcium This could indicate that you have PVCs or another problem such as anemia or anxiety disorders You could be directed to an electrophysiologist a specialist who specializes in treating abnormal heart rhythms If you have structural heart disease the doctor may need to do other tests such as an MRI or CT scan of your chest These tests can determine whether youve damaged your heart and how serious it is In some instances the doctor may suggest the use of a pacemaker or ICD to treat the condition that is the cause of your PVCs