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Why It's Important to See a Doctor Premature ventricular contractions (PVCs) are a form of irregular heartbeat. These extra beats are generally not dangerous and can be cured by themselves. To determine PVC, doctors will listen to your heartbeat, and also check other vital indicators. They may order a Holter Monitor that records the electrical impulses of your heart over a span of 24 to 48 hours. They might also order blood tests to assess your electrolyte levels and thyroid hormones. Diagnosis PVCs are caused by electrical impulses from the heart's lower chambers ventricles, or lower chambers, fail to pass through a structure called the SA node. This delay the next heartbeat, causing the feeling of fluttering or skipped beats in the chest. PVCs can be seen in one pattern or in repeated patterns. Doublets are PVCs that occur in a series of. Ventricular tachycardia can be described as three or more consecutive PVCs. 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 typical symptoms include fatigue, dizziness or a sensation of being unwell. Many people who have occasional PVCs don't require any treatment. If a patient experiences frequent episodes, a physician may recommend a change to the diet or lifestyle. For example, limiting caffeine, stress, and alcohol. They may prescribe medication such as beta-blockers or calcium channel blockers that can lower blood pressure and slow down the heart rate. Doctors will inquire about the medical history of the patient and do a physical exam to assess their general health. They may also utilize a Holter monitor to record the heart's rhythms for longer periods of time, or an electrocardiogram, which takes a snapshot at the electrical activity of the heart. Doctors may require blood tests in certain cases to check for electrolyte imbalances or toxic substances in the body. A pvc physician may refer the patient to an electrophysiologist, or a specialist in heart rhythm disorders for further examination. This doctor will confirm a diagnosis of PVCs, and determine whether they are malignant or benign. PVCs are fairly common and don't usually cause any problems, unless they occur frequently over a long time. This can lead to a weakening of the heart muscle, or a condition known as pvc-induced cardiomyopathy. It is more prevalent in older adults or those with heart disease. It can also happen to healthy people with normal, normal hearts. However, it's more prevalent in people who regularly exercise. It's not a serious concern however it is crucial to tell a doctor if you notice symptoms such as fainting or fatigue. Treatment PVCs are not harmful or cause symptoms in a lot of people. They don't require treatment. If you feel that your heart is racing or not making the beat, it's best to seek out a physician immediately. A cardiologist will begin by interviewing you and performing a an examination of your body, listening to your heart with the stethoscope to look for irregular beats. You'll also get an electrocardiogram (ECG) done to record the electrical impulses that occur in your heart and detect any arrhythmias. If an arrhythmia has been identified then the use of a portable ECG or 24-hour Holter monitor will be required to document the irregular rhythm for longer periods of time. These devices can help doctors determine whether you have PVCs and the underlying cause for them, like an electrolyte imbalance, drug toxicity, or other factors. You might be requested to undergo an echocardiogram (an ultrasound of your heart) to determine if your heart health is in good order and to look for structural problems which could lead to PVCs. You may also be asked to take stress tests to determine the response of your heart to exercise. Exercise can increase the frequency of pvcs. You can also take blood tests to determine your thyroid hormone, magnesium, potassium, and other hormones to see whether they're insufficient. This could lead to PVCs. After your doctor has determined that you suffer from PVCs and has ruled out any serious diseases and has made a decision about whether or not to treat them will be based on the extent to which they impact your life and the frequency at which they occur. If they happen only infrequently and do not cause symptoms, your doctor is unlikely to recommend any treatment that can decrease their frequency or severity. If you are experiencing frequent PVCs that cause pulses or other symptoms, like feeling lightheaded or fainting, your physician might prescribe medications like beta blockers and calcium channel blockers. Changes in your lifestyle, such as avoiding caffeine, smoking and stress levels that are excessive can reduce the frequency of these abnormal pulses. The following is a list of preventions. PVCs can cause no symptoms or heart palpitations, which may feel like “skipped beats” or flutters in the chest. These episodes can trigger an feeling of pressure or fullness, or they can make you feel faint. These episodes occur because the heart is not pumping as efficiently as it normally does. PVCs are associated with an increased risk of developing dilated cardiac myopathy. This is a condition in which the heart gets larger and in a position to not pump blood. PVCs are usually caused by changes in body chemical balance. This is due to the release of adrenaline and thyroid hormones and alcohol consumption or caffeine. Stress or weight gain and the absence of exercise can trigger these episodes. Some people can find that a change in their diet helps reduce their PVCs. For instance, they can avoid foods which contain preservatives that could cause a disturbance to the heart rhythm, such as disodium Guanylate (E621) disodium inosinate (E627) diazole sodium (E282-283). Eat more fruits and veggies to ensure that you get sufficient magnesium. Regular health checks are essential as are annual physicals. These tests can help diagnose any heart conditions that may be causing your PVCs. You should also follow an eat-healthy diet and refrain from smoking, which can increase the frequency of your episodes. A survey of 14 typical hospital wards revealed that healthcare personnel were generally aware of preventive measures to avoid the infection caused by vascular catheters, but their self-assessment of compliance to these procedures was not high. Compliance improved following a feedback intervention however it was still very lower on some of the wards that were surveyed. This suggests that training on how to implement preventive measures is essential and that wards that are not complying should be targeted for surveillance of infection. This information can then be used to guide the implementation of additional 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 in place for the implementation of preventive measures. Signs and symptoms If you feel your heart is skipping beats or fluttering, it may be a sign of premature ventricular contractions. These arrhythmias may be harmless or they may be an indication of serious heart issues. In healthy individuals, PVCs that occur occasionally are not a problem. They usually disappear by themselves. If you have many of them, they can cause dizziness or weakness. If you're worried about them, consult your doctor about them. You might be required to provide a medical history, and they might also perform an examination to diagnose the problem. They may also want to conduct an electrocardiogram, or other tests. An ECG is a simple test that will allow your doctor to observe the signal generated by your heartbeat as it travels through your heart in a short period of time. The test will reveal whether you have PVCs. Your doctor might also suggest the use of a Holter monitor that records your heartbeat over a longer period of time. These tests can help differentiate PVCs from arrhythmias that cause heart palpitations. You might also wear a portable device that can record your heart rhythm over a period of 30 days, referred to as an event monitor. Other tests for your heart might be required, based on the reason for your PVCs. A cardiologist will test your blood pressure or conduct an echocardiogram (ultrasound of the heart). These tests can reveal the presence of a medical condition that may be responsible for your PVCs or heart valves, such as mitral valve prolapse, cardiomyopathy or heart failure. click here to find out more might also need to conduct a blood test to see what's wrong with your electrolytes for example, low potassium levels or high levels of calcium. This could be a sign that you suffer from PVCs or another problem such as anemia, or anxiety disorders. You could be directed to an electrophysiologist, a specialist who specializes in treating irregular heart rhythms. The specialist might need to conduct additional tests if you suffer from heart problems that are structural like a CT or MRI scan of your chest. These tests will help determine whether your heart is damaged and how severe it is. In certain cases, a doctor may suggest a pacemaker or ICD to treat the underlying issue the cause of your PVCs.