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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a type of irregular heartbeat These extra beats are typically not dangerous and may disappear on their own Doctors will monitor your heartbeat and check other vitals signs They might order an Holter Monitor which records the electrical impulses generated by your heart over a period of between 24 and 48 hours They may also order blood tests to determine your electrolyte levels and thyroid hormones Diagnosis PVCs happen when electrical impulses from the lower chambers of the heart ventricles misfire through a structure known as the SA node This causes the next heartbeat to delay which can cause an experience similar to fluttering or skipped beats PVCs can be seen as a single event or in repeated patterns Doublets are PVCs that occur in a series of Ventricular tachycardia refers to three or more consecutive PVCs While some people dont show any symptoms whatsoever Others experience heart palpitations that can be felt as the heart beating faster or slower Other typical symptoms include fatigue dizziness or a sensation of being unwell Many people who suffer from occasional PVCs dont need any treatment If someone is experiencing frequent episodes doctors might suggest a change in diet or lifestyle like limiting caffeine alcohol and stress They may also prescribe medication such as betablockers and calcium channel blockers that can reduce the heart rate and lower blood pressure Doctors will inquire about the persons medical history and do a physical exam to determine their general health They may also use a Holter monitor to track the hearts rhythms for longer periods of time or an electrocardiogram which captures a picture of the electrical activity in the heart In certain instances doctors may order blood tests to check for an electrolyte imbalance or toxic effects from drugs Sometimes a pvc doctor may refer a patient to a specialist in heart rhythm problems or an electrophysiologist to conduct a further examination This specialist can confirm the diagnosis of PVCs and determine whether they are benign or not PVCs are common and rarely cause any problems except when they are frequent over a long time This could lead to a weakening in the heart muscle or a condition called pvcinduced cardiomyopathy It is more prevalent in older adults or people suffering from heart disease It can also occur in healthy people with a normal heart although it is more likely to occur in those who exercise regularly Its not an issue that is serious but it is important to speak with your doctor if you experience symptoms like fainting or fatigue Treatment For many occasional PVCs might not cause symptoms or need no treatment However for those who do feel your heart is lagging the beat or is racing its vital to speak to a doctor as soon as you can A cardiologist will then interview you and perform physical examinations by listening to your heart through an stethoscope to identify any irregular heartbeats You will also have an electrocardiogram ECG performed to record the electrical impulses that occur in your heart and reveal any arrhythmias If an arrhythmia has been detected it is recommended to use a portable ECG or 24hour Holter monitor is required to capture the abnormal rhythm for longer periods of time These devices will help doctors determine whether you have PVCs and their cause like an imbalance in electrolytes toxic drugs or other factors An echocardiogram also known as an ultrasound of your heart could be ordered to determine whether your heart is healthy and look for any indications of structural issues that can lead to PVCs You may also undergo a stress test to see how your heart reacts to exercise since 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 see if theyre too low This could lead to PVCs If your doctor confirms that you have PVCs and has ruled any serious illness out the decision to treat them is based on the impact they have on your life and how often they occur If they occur only occasionally and dont cause any symptoms its unlikely your doctor will prescribe any medication to decrease their frequency or severity If however you suffer from frequent PVCs that cause heart palpitations as well as other symptoms such as lightheadedness or feeling like youre going to faint your doctor might recommend medications like beta blockers or calcium channel blockers Altering your lifestyle to avoid triggers such as smoking caffeine and excess stress can also aid in reducing the frequency of instances of these irregular pulses The following is a list with preventions PVCs can cause no symptoms or heart palpitations which can feel like skipped beats or flutters in your chest These episodes can create a feeling of pressure or fullness or make you feel faint These episodes occur because the heart is not pumping as effectively as normal Regular PVCs increase a persons risk of developing dilated Cardiomyopathy a condition wherein the heart enlarges and becomes ineffective at pump blood PVCs are often caused by changes in body chemistry This includes the release of adrenaline and thyroid hormones and drinking caffeine or alcohol Lack of exercise can trigger these symptoms and stress as well as excessive weight Some people have found that a change in diet can reduce their PVCs They can for example avoid foods that contain preservatives which can cause a disturbance of the heart rhythm These include disodium Guanylate disodium Inosinate and diazole Sodium E282283 Eat more fruits and vegetables to ensure that you get sufficient magnesium It is important to get regular health checkups which include annual physicals and laboratory tests They can aid in identifying any heartrelated conditions that could be causing your PVCs Also you should adhere to an appropriate diet and avoid smoking which can increase the frequency of your episodes A survey of healthcare staff on 14 normal hospital wards found that they were mostly aware of the preventive measures for vascular catheterrelated infections but that their selfassessed compliance with these measures was poor After a feedback program that improved compliance on certain areas but was still very low This suggests that training on how to implement preventive measures is necessary and that the areas that are not as welladjusted should be targeted for surveillance of infection These data can be used to guide quality improvement initiatives in these wards It is likely that this will require further education and training for personnel It will also be necessary to ensure that the appropriate materials for implementing the preventive measures are readily available Signs and symptoms If you feel like your heart is racing or fluttering it could be premature ventricular contractions wwwrepairmywindowsanddoorscouk arent necessarily dangerous or they can be the sign of heart issues In healthy individuals PVCs that occur occasionally are not any problem They typically disappear by themselves If youre suffering from many of them they may lead to dizziness or weakness Speak to your doctor if worried You may need to give an medical history and they may also conduct an examination of the body to identify the issue They might also perform an electrocardiogram or other tests A short ECG test will allow your doctor to observe the signal of your heartbeat moving through your body over an extremely short time The test will determine if you have PVCs Your doctor may also recommend the use of a Holter monitor that records your heartbeat over a longer amount of time These tests can help differentiate PVCs from arrhythmias causing heart palpitations You can wear an event monitor a portable device that tracks your hearts rhythm over 30 days Other heart tests might be needed depending on the cause of your PVCs For example a cardiologist could check your blood pressure and do an ultrasound of your heart echocardiogram This can help determine whether you suffer from a condition that may be causing your PVCs or heart valves such as mitral valve prolapse or heart failure Your doctor may also be required to run a blood test to determine the problem with electrolytes For example low potassium levels or high levels of calcium This can be an indication of PVCs or other conditions that could cause them like anemia and anxiety disorders You could be referred to an electrophysiologist who can treat irregular heart rhythms If you suffer from structural heart disease the doctor may need to do other tests like an MRI or CT scan of your chest These tests will determine if your heart is damaged and the severity of the damage In some cases the specialist might suggest the use of a pacemaker or ICD to treat the condition that is causing your PVCs