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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a form of irregular heartbeat These extra beats are usually not dangerous and they can disappear on their own To determine PVC doctors will listen to your heartbeat and look for other vital signs They might order a Holter monitor a device that records your hearts electrical impulses over 2448 hours They may also order blood tests to check your thyroid hormones and electrolyte levels Diagnosis PVCs are caused by electrical impulses coming from the lower chambers of the heart ventricles misfire through a structure referred to as the SA node This delay the next heartbeat and causes a feeling of skipped beats or fluttering in the chest PVCs may occur alone or in repeated patterns Doublets are two consecutive PVCs Ventricular tachycardia is three or more consecutive PVCs Some people dont experience any symptoms at all Others experience heart palpitations that can be felt as the heart beating faster or slower Other common symptoms are tiredness or dizziness or a feeling of being unwell Many people with occasional PVCs dont need any treatment If someone is experiencing frequent episodes doctors may suggest a change to diet or lifestyle such as limiting caffeine alcohol and stress They can prescribe medication such as betablockers or calcium channel blockers to lower blood pressure and slow down 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 an electrocardiogram ECG to take a snapshot of the hearts electrical activity or a Holter monitor that is worn for longer time periods and monitors the hearts rhythms over time In certain cases doctors may require blood tests to look for an electrolyte imbalance or toxic effects from drugs A pvc physician 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 common and dont usually cause any problems unless they happen frequently over a long period of time This could lead to a weakening in the heart muscle or a condition known as pvcinduced cardiomyopathy It is more common in people who are older or those with any form of heart disease It can also occur to healthy individuals with normal normal heart However it is more prevalent in people who regularly exercise Usually this isnt a serious concern but its important to consult a doctor if you notice symptoms like fainting or fatigue Treatment For many occasional PVCs might not cause symptoms or require no treatment If you feel that your heart is racing or not making an entire beat you need 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 window doctors near me will also undergo an electrocardiogram that captures the electrical impulses of your heart to detect any arrhythmias If an arrhythmia has been identified a portable ECG or a 24hour Holter monitor is required to capture the irregular rhythm for longer periods of time These devices can assist doctors determine whether you have PVCs and the reason for them like an imbalance in electrolytes toxic drugs or other causes You might be requested to undergo an echocardiogram an ultrasound of your heart to determine the health of your heart is in good order and to look for structural issues which could lead to PVCs You may also undergo a stress test to see how your heart reacts to exercise as physical exercise can increase the frequency of your pvcs You may also be able to have blood tests to check your thyroid potassium and magnesium hormone levels to determine if they are too low which could contribute to the formation of PVCs If your doctor has confirmed that you have PVCs and has ruled any serious diseases out the treatment option you choose depends on how they impact your life and how often they occur If they occur only occasionally and dont trigger any symptoms its unlikely that your doctor will suggest any medication to lessen the frequency or severity of them If you experience frequent PVCs that trigger heart palpitations as well as other symptoms like lightheadedness or feeling like youre going to faint your doctor may suggest medications 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 irregular pulses Prevention PVCs can cause no symptoms or heart palpitations which can be described as skipped beats or flutterings in the chest These episodes can create a feeling of pressure or fullness or they may cause you to feel faint These episodes occur because the heart isnt pumping as effectively as normal Regular PVCs increase the risk of developing dilated Cardiomyopathy a condition wherein the heart enlarges and becomes ineffective at pump blood PVCs are usually caused by changes in body chemistry They can be caused by the release of adrenaline and thyroid hormones as well as drinking caffeine or alcohol Inactivity can trigger these episodes as can stress or excess weight Some people have found that a change in their diet helps to reduce their PVCs For instance they can avoid foods that contain preservatives that could cause disturbances to the heart rhythm These include disodium guanylate and diazole and disodium inosinate sodium E282283 Eat more fruits and veggies to ensure that you get sufficient magnesium Regular health checks are important including yearly physicals They can aid in identifying any heartrelated conditions that could be the cause of your PVCs It is also recommended to not smoke and adhere to the healthy eating program This could increase the frequency of episodes A survey of healthcare professionals on 14 wards of a normal hospital showed that they were generally aware of the preventive measures that could be used to treat infections caused by vascular catheters however their selfassessment of compliance with these measures was poor After a feedback program the compliance level improved on a few areas but was still very low This suggests that training on how to implement the preventive measures is necessary and that wards that are not complying should be targeted for infection surveillance This information could be used to guide the implementation of further quality improvement initiatives on these wards It is likely that this will require additional education and training of personnel It will also involve making sure that the appropriate materials are available for the implementation of preventive measures Symptoms Premature ventricular contractions can cause your heart to skip beats or to flutter These arrhythmias may be harmless or they may be a sign of serious heart issues In healthy people sporadic PVCs arent a problem and they generally disappear by themselves If youre suffering from a lot of them they may cause dizziness or weakness If youre worried you might be experiencing dizziness or weakness talk to your doctor about them You might be required to provide your medical history and they might also perform an examination of the body to determine the cause They might also need to perform an electrocardiogram or other tests A quick ECG test lets your doctor see the pulse of your heart going through your body over a a short period of time If you have PVCs theyll be visible in the test Your doctor may also suggest a Holter monitor that records your heartbeat over a longer amount of time They can help distinguish PVCs from other arrhythmias that cause heart palpitations You can wear an event monitor which is a portable device that tracks your hearts rhythm over 30 days Other tests for the heart may be needed depending on the cause of your PVCs A cardiologist can check your blood pressure or perform an echocardiogram ultrasound of the heart This can help determine whether you suffer from a issue that could be responsible for your PVCs like mitral valve prolapse cardiomyopathy or heart failure Your doctor may also have to conduct an analysis of your blood to determine the issue with electrolytes For instance you may have low potassium levels or high levels of calcium This can be a sign of PVCs or other conditions that can cause them including anemia and anxiety disorders You may be referred a specialist in electrophysiology who is able to treat abnormal heart rhythms This specialist may need to perform other tests if you suffer from heart conditions that cause structural damage such as an CT or MRI scan of your chest These tests can determine whether youve damaged your heart and how serious it is In some instances the specialist might suggest the use of a pacemaker or ICD to treat the underlying condition thats creating your PVCs