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Why It's Important to See a Doctor Premature ventricular contractions (PVCs) are a type of irregular heartbeat. These extra beats are generally not harmful and will disappear on their own. To diagnose PVC Doctors will listen to your heartbeat and look for other vital indicators. They may also order an Holter Monitor, which records the electrical impulses generated by your heart over a time of between 24 and 48 hours. They can also order blood tests to check your thyroid hormones and electrolyte levels. Diagnosis PVCs occur when electrical impulses coming from the heart's lower chambers ventricles misfire through a structure called the SA node. This causes the next heartbeat to be delayed, causing the sensation of the heart is fluttering or skips beats. PVCs can occur in one pattern or in repeated patterns. Two consecutive PVCs are referred to as doublets. Three or more consecutive PVCs constitute the condition known as ventricular tachycardia (VT). Some people have no symptoms, whereas others experience heart palpitations. This can feel like a pounding heartbeat or a rapid heartbeat. Other symptoms that are common are fatigue and dizziness, as well as a feeling of being sick. Many people who experience occasional PVCs don't need any treatment. If a person has frequent episodes, doctors could recommend a change in diet or lifestyle like limiting caffeine, alcohol and stress. They may also prescribe medication, such as beta-blockers and calcium channel blockers that can reduce the heart rate and lower blood pressure. Doctors will inquire about the person's medical history and do a physical exam to determine their general health. They can also perform an electrocardiogram (ECG) to get an image of the heart's electrical activity or a Holter monitor, which is worn for longer periods and records the heart's rhythms over time. repairmywindowsanddoors may order blood tests in certain cases to check for electrolyte imbalances or toxic substances in the body. A pvc physician may refer patients to an electrophysiologist, or a specialist in heart rhythm disorders for further evaluation. This doctor can confirm the diagnosis of PVCs and determine whether they are benign or not. PVCs are everywhere and are generally not harmful unless they are used regularly or for a long time. This can lead to a weakening of the heart muscle, or a condition known as pvc-induced cardiomyopathy. This is most common in older people, or those who have some form of 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's not a serious condition, but you should inform your doctor if symptoms like fatigue or fainting occur. Treatment PVCs aren't harmful or cause symptoms in many people. They do not require treatment. If you notice that your heart is racing or not making an entire beat, you need to see a doctor right away. A cardiologist will first interview you and perform a physical examination, listening to your heart through the stethoscope in order to detect any irregular beats. You'll also undergo an electrocardiogram, which records the electrical signals of your heart to determine any arrhythmias. If an arrhythmia is detected, an portable ECG or a 24-hour Holter monitor is required to document the abnormal rhythm for longer durations of time. These devices can help doctors determine if you have PVCs and the cause of them, like an electrolyte imbalance or drug toxicities, or other causes. An echocardiogram, also known as an ultrasound of your heart, could be ordered to determine whether your heart is healthy and look for any signs of structural problems which could cause PVCs. You might also have a stress test to see how your heart responds to physical exercise can increase the frequency of your pvcs. You can also have blood tests to check your thyroid hormone as well as potassium, magnesium, and other hormones to see whether they're insufficient. This can lead to PVCs. If your doctor has confirmed that you suffer from PVCs and has ruled any serious illness out, the treatment option you choose is based on the impact they have on your life and how often they occur. If they occur only occasionally and don't cause any symptoms the doctor is not likely to prescribe any medication to reduce their frequency or severity. If you have frequent PVCs, which can cause pulses or other symptoms, like feeling lightheaded or fainting, your doctor might prescribe medications like beta blockers and calcium channel blockers. Lifestyle changes like abstaining from smoking, caffeine, and excessive stress can also decrease the frequency of these abnormal pulses. The following is a list of preventions. PVCs can cause no symptoms or heart palpitations which may be described as “skipped beats” or flutters in your chest. These episodes can cause feelings of pressure or fullness, or they may cause you to feel faint. These episodes occur because the heart is not pumping as efficiently as it normally does. Regular PVCs increase the chance of developing dilated Cardiomyopathy, a condition where the heart gets larger and becomes ineffective at pump blood. PVCs are often caused by changes in body chemistry. These include the release of adrenaline and thyroid hormones, in addition to drinking caffeine or alcohol. Stress or weight gain, as well as a lack of exercise, can trigger these episodes. Certain people find that altering their diet can help reduce the amount of PVCs. For instance, they can avoid foods which contain preservatives that could cause disturbances in the heartbeat, for example disodium Guanylate (E621), disodium inosinate (E627) and diazole sodium (E282-283). Eat more fruits and veggies to get sufficient magnesium. It is essential to have regular health checks, which include annual physicals and laboratory tests. These tests can help diagnose any heart conditions that may cause your PVCs. It is also recommended to adhere to an appropriate diet and avoid smoking, which could increase the frequency of your episodes. A survey of healthcare staff on 14 normal hospital wards revealed that they were aware of the preventive measures that could be used to treat vascular catheter-associated infections however, their self-assessment of compliance with these measures was not great. Compliance improved after an intervention to improve feedback however it was still very low on some of the observed wards. This suggests that education on the best ways to implement preventive measures is required, and that those areas that are not as well-adjusted should be targeted for surveillance of infection. This information could be used to guide the implementation of further quality improvement initiatives on these wards. This will likely require further education and training for staff. It will also be necessary to ensure that the appropriate materials for implementing the preventive measures are readily available. Symptoms If you feel your heart beats are erratic or fluttering, it could be premature ventricular contractions. These arrhythmias could be harmless, but they could indicate that you are suffering from serious heart issues. In healthy individuals, PVCs that occur occasionally are not an issue. They typically disappear by themselves. If you have many of them, they can cause dizziness or weakness. Consult your doctor if you are concerned. They may have to identify the problem by taking a medical history and performing a physical exam. They may also want to perform an electrocardiogram or other tests. An ECG is a quick test that lets your health care provider see the signal from your heartbeat as it moves through your heart for an extremely short period of time. The test will reveal whether you have PVCs. Your doctor may also suggest a Holter monitor that tracks 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 heart's rhythm over 30 days. Other tests for the heart may be required, based on the reason for your PVCs. For instance an cardiologist may test your blood pressure, and also perform an ultrasound of your heart (echocardiogram). These tests can determine whether you have an issue such as heart failure, mitral valve prolapse, or cardiomyopathy. Your doctor may also be required to perform a blood test to determine the problem with electrolytes. For example, low potassium or high levels of calcium. This can be a sign of PVCs or other conditions that may cause them, like anemia and anxiety disorders. You may be referred to a specialist in electrophysiology, who can treat irregular heart rhythms. If you have heart disease that is structural the doctor may need to perform additional tests, such as an MRI or CT scan of your chest. These tests can determine if you have damage to your heart and how serious it is. In some instances, the doctor might recommend the use of a pacemaker or ICD to treat the underlying issue the cause of your PVCs.