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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 To diagnose PVC doctors will listen to your heartbeat and check other vital signs They may order a Holter Monitor which records the electrical impulses of your heart over a span of between 24 and 48 hours They can also request blood tests to check your electrolyte levels and thyroid 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 referred to as the SA node This causes the next heartbeat to be delayed causing the sensation of fluttering or skipped beats PVCs can occur in isolation or in repeated patterns Two consecutive PVCs are referred to as doublets whereas three or more consecutive PVCs are referred to as ventricular Tachycardia VT Some people are not experiencing any symptoms but others experience palpitations It can be felt as the sound of a beating heart or a skipping heartbeat Other symptoms include fatigue dizziness or feeling unwell Many people who have occasional PVCs dont require any treatment If a patient experiences frequent episodes a doctor might suggest a change in the diet or lifestyle For example the restriction of caffeine and stress as well as alcohol They might prescribe betablockers and calcium channel blockers to lower blood pressure and slow the heart rate Doctors will ask about the persons medical history and do a physical exam to determine their general health They can also employ a Holter monitor to record the hearts rhythms for longer durations or an electrocardiogram which records a snapshot of the electrical activity within the heart In certain cases doctors may request blood tests to determine if there is an electrolyte imbalance or toxic effects from drugs A pvc doctor might refer a patient 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 quite common and dont usually cause any issues unless they occur frequently over a long time This could lead to a weakening in the heart muscle or a condition known as pvcinduced cardiac myopathy This is more prevalent in older adults or people suffering from heart disease It can also occur to healthy individuals with normal normal heart However its more prevalent in people who regularly exercise It is not a major issue but you should tell your doctor if symptoms such as fatigue or fainting occur Treatment For many people sporadic PVCs arent likely to cause symptoms or require no treatment However for those who feel your heart is lagging a beat or is racing its crucial to see a doctor as soon as you can A cardiologist will then interview you and conduct a physical examination by listening to your heart using an stethoscope to identify any irregular heartbeats Additionally you will undergo an electrocardiogram which captures the electrical impulses of your heart allowing you to identify any arrhythmias If an arrhythmia is detected an allday Holter monitor or another portable ECG is required to capture the irregular rhythm for longer periods of time These devices will help doctors determine whether you have PVCs and the underlying cause for them such as an electrolyte imbalance a drug toxicities or any other cause You might be required to undergo an echocardiogram an ultrasound of your heart to determine if your heart health is in good shape and to check for structural problems that could cause PVCs You may also undergo a stress test to see how your heart reacts to physical exercise can increase the frequency of your PVCs You can also get blood tests to check your thyroid hormone as well as potassium magnesium and other hormones to determine if theyre too low This can lead to PVCs Once your doctor has confirmed that youre suffering from PVCs and has eliminated any serious diseases the decision of how to treat them will be contingent on how much theyre impacting your life and how often they occur If they occur only occasionally and do not cause symptoms your doctor is unlikely to prescribe any medication that will reduce their frequency or severity However if you have frequent PVCs that cause palpitations and other symptoms like lightheadedness or feeling like youre about to faint your doctor might suggest medication like beta blockers or calcium channel blockers Lifestyle changes like avoiding caffeine smoking and excessive stress can reduce the frequency of these irregular pulses Prevention PVCs can cause no symptoms or heart palpitations that can be described as skipped beats or flutterings in the chest These episodes can trigger an feeling of pressure or fullness or make you feel faint These episodes result from the heart not pumping as well as it should PVCs are associated with a higher risk of developing dilated cardiac myopathy This is a condition in which the heart expands and becomes in a position to not pump blood PVCs are often caused by changes in the bodys chemistry This includes the release of adrenaline and thyroid hormones as well as drinking alcohol or caffeine window doctors of exercise can trigger these symptoms and stress as well as excessive weight Some people can find that a change in their diet helps reduce their PVCs For instance they could avoid foods with preservatives which can cause disturbances in the heart rhythm such as disodium Guanylate E621 disodium inosinate E627 diazole sodium E282283 You can also take in more fruits and vegetables to ensure they are getting sufficient magnesium and potassium It is important to get regular health checks which include yearly physicals and lab tests They can aid in identifying any heartrelated conditions that could be causing your PVCs You should also follow an appropriate diet and refrain from smoking which can increase the frequency of your episodes A survey of healthcare workers on 14 normal hospital wards found that they were mostly aware of the preventive measures that could be used to treat infections caused by vascular catheters However their selfassessed compliance with these measures was not great After a feedback intervention compliance improved on some wards but was still low This suggests that education on how to implement preventive measures is necessary and that areas that are not as welladjusted should be targeted for surveillance of infection This information could be used to help in the implementation of quality improvement initiatives on these wards This will most likely require more education and training for staff It is also necessary to ensure that the right materials for implementing the preventive measures are available Symptoms Involuntary ventricular contractions that are premature can cause your heart to skip beats or be fluttering These arrhythmias can be harmless or they could indicate you have serious heart problems In healthy people occasional PVCs arent a problem and they usually go away on their own If youre suffering from several of them they may cause dizziness or weakness Speak to your doctor if concerned You may need to give an medical history and they may also conduct an examination of the body to diagnose the problem Theyll also probably want to conduct an electrocardiogram ECG or EKG or other tests An ECG is a test thats quick that will allow your doctor to detect the signal of your heartbeat as it travels through your heart in a short period of time If you have PVCs theyll be visible on the test Your doctor might also suggest a Holter monitor that tracks your heartbeat over a longer amount of time These can help differentiate PVCs from other arrhythmias which cause heart palpitations You can wear an event monitor which is a portable device which records your heart rhythm for 30 days Other tests for the heart may be required depending on the reason behind your PVCs For example a cardiologist might check your blood pressure and perform an ultrasound of your heart echocardiogram These tests can reveal if you have a condition that may be responsible for your PVCs like mitral valve prolapse cardiomyopathy or heart failure Your doctor might also need to run an analysis of your blood to determine whats wrong in your electrolytes like low potassium or high levels of calcium This could indicate that you suffer from PVCs or another health issue such as anemia or anxiety disorders You may be directed to an electrophysiologist one of the specialists who specialize in treating heart rhythms that are abnormal If you have heart disease that is structural the doctor may need to perform additional tests like an MRI or CT scan of your chest These tests can tell if you have damage to your heart and how serious it is In certain cases a specialist may recommend pacemakers to treat the condition that causes the PVCs