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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 hazardous and they could disappear on their own To determine PVC doctors will listen to your heartbeat and also check other vital signs They may order a Holter monitor which is a device that tracks your hearts electrical impulses over a period of 24 to 48 hours They can also order blood tests to check your electrolyte levels and thyroid hormones Diagnosis PVCs are caused by electrical impulses that misfire through the SA node which is a structure located in the lower chambers of the heart This causes the next heartbeat to be delayed causing an experience similar to the heart is fluttering or skips beats PVCs can be seen in one pattern or repeated patterns Doublets are two consecutive PVCs Ventricular tachycardia is three or more consecutive PVCs Some people dont experience any symptoms Others experience heart palpitations that can be felt as an irregular heartbeat or a pounding Other signs include dizziness fatigue or a feeling that youre unwell Many people who experience occasional PVCs dont require any treatment If a patient experiences frequent episodes a doctor may recommend a change to diet or lifestyle For instance the restriction of caffeine stress and alcohol 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 their medical history and perform an examination to check on their general health They can also employ a Holter monitor to record the hearts rhythms over longer durations or an electrocardiogram which takes a snapshot at the electrical activity of the heart In certain cases doctors may request blood tests to determine if there is 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 doctor can confirm a diagnosis of PVCs and determine if they are benign or malignant PVCs are all over the place and are generally not harmful unless they are used regularly or for long periods of time This can cause a weakening in the heart muscle or a condition known as pvcinduced cardiac myopathy This is more common in older people or those suffering from heart disease This can happen to healthy individuals with normal normal heart However its more common in those who exercise regularly Its not an issue to worry about but its important to consult your doctor if you experience symptoms such as fainting or fatigue Treatment PVCs are not harmful or cause symptoms in many people They do not require 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 an examination of your body monitoring your heart using a stethoscope for any irregular beats Additionally you will have an electrocardiogram ECG performed which will record the electrical signals in your heart and detect any arrhythmias If an arrhythmia is detected then a portable ECG or a 24hour Holter monitor will be required to capture the abnormal rhythm for longer periods of time These devices can help doctors determine if you suffer from PVCs and their cause like an imbalance in electrolytes toxic drugs or other factors An echocardiogram or an ultrasound of your heart may be ordered to assess if your heart is healthy and to look for indications of structural issues which could cause PVCs You could also have an exercise test to determine how your heart reacts to exercise as physical activity can increase the frequency of your PVCs You may also be able to have blood tests to determine your thyroid magnesium and potassium hormone levels to find out if they are too low which can contribute to the development of PVCs After your doctor has confirmed that you suffer from PVCs and has eliminated any serious illness and has made a decision about whether to treat them will depend on how much theyre impacting your life and the frequency at which they occur If they occur only occasionally and do not cause symptoms then your doctor is unlikely to recommend any medication that will decrease their frequency or severity If however you suffer from frequent PVCs that trigger the sensation of palpitations or other symptoms such as feeling lightheaded or like youre going to faint your physician might suggest medication for you such as beta blockers or calcium channel blockers Lifestyle changes such as avoiding caffeine smoking and stress can also decrease the frequency of these abnormal pulses The following is a list with preventions A person may experience no symptoms whatsoever from PVCs or feel heart palpitations irregular heartbeats that can be felt as skipped beats or fluttering in the chest These episodes can create an feeling of pressure or fullness or they can make you feel faint These episodes happen because the heart isnt pumping as efficiently as it normally does Frequent PVCs increase the chance of developing dilated cardiomyopathy a condition in which the heart expands and is not able to pump blood PVCs are often caused by changes in the bodys chemical They can be caused by the release of adrenaline and thyroid hormones in addition to drinking alcohol or caffeine Stress or weight gain as well as a lack of exercise can trigger these episodes Certain people find that altering their diet can reduce the number of PVCs repairmywindowsanddoorscouk can for instance avoid foods that are preservativeladen which can cause a disturbance of the heart rhythm These include disodium guanylate disodium Inosinate and diazole Sodium E282283 It is also recommended to consume more fruits and vegetables to ensure theyre getting sufficient magnesium and potassium Regular health checks are important as are annual physicals They can aid in identifying any heartrelated conditions which could be causing your PVCs Also you should adhere to a healthy eating plan and avoid smoking which can increase the frequency of your episodes A survey of healthcare professionals on 14 wards of a normal hospital found that they were mostly aware of the preventive measures for vascular catheterassociated infections However their selfassessed compliance with these practices was not great After a feedback program that improved compliance on certain wards but it was still not as high This suggests that training on the best ways to implement preventive measures is required and that those areas that are not as welladjusted should be targeted for infection surveillance These data can be used to inform quality improvement initiatives in these wards It is likely that this will require additional education and training of personnel It will also mean making sure that the appropriate materials are in place for the implementing of the preventive measures Symptoms The premature contraction of the ventricular muscle can cause your heart to skip beats or flutter These arrhythmias could be harmless or they could be a sign that you have serious heart problems In healthy people PVCs that occur occasionally are not an issue They generally disappear on their own However if you suffer from many of them they may cause weakness or dizziness Speak to your doctor if concerned You might be required to provide your medical history and they might also perform an examination to determine the cause Theyll likely also need to conduct an electrocardiogram ECG or EKG or other tests A short ECG test allows your doctor to see the pulse of your heart moving through your body for a the course of a brief period The test will reveal whether you have PVCs Your doctor may also recommend the use of a Holter monitor that records your heartbeat over a longer amount of time They can help distinguish PVCs from other types of 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 heart tests may be required based on the reason for your PVCs For example an cardiologist may test your blood pressure and also perform an ultrasound of the heart echocardiogram These tests can tell whether you are suffering from a condition such as heart failure or mitral valve prolapse or cardiomyopathy Your doctor may also be required to perform an analysis of your blood to determine the problem with your electrolytes For instance a low level of potassium levels or high levels of calcium This could be a sign of PVCs or other conditions that can cause them including anemia and anxiety disorders You may be referred to an electrophysiologist an expert who specializes in treating heart rhythms that are abnormal If you have structural heart disease the doctor may need to perform additional tests such as 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 instances the doctor may recommend the use of a pacemaker or ICD to treat the underlying condition thats creating your PVCs