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Why It's Important to See a Doctor Premature ventricular contractures (PVCs) are a kind of irregular heartbeat. These extra beats are usually not hazardous, and they could disappear on their own. To diagnose PVC doctors listen to your heartbeat and look for other vital signs. They may order an Holter monitor which is a device that tracks your heart's electrical impulses over 24-48 hours. They might also order blood tests to determine the levels of electrolytes and thyroid hormones. Diagnosis PVCs occur when electrical impulses from the lower chambers of the heart ventricles, or lower chambers, fail to pass through a structure known as the SA node. This delay the next heartbeat, causing the feeling of skipped beats or fluttering in the chest. PVCs can occur in a single pattern or in repeated patterns. Two consecutive PVCs are referred to as doublets. Three or more consecutive PVCs constitute the term ventricular Tachycardia (VT). Some people do not experience any symptoms, while others experience palpitations. This can feel like an unsteady heartbeat or a slurred heartbeat. Other symptoms include dizziness, fatigue, or a feeling of being unwell. Many people who suffer from occasional PVCs do not require any treatment. If a patient has frequent episodes, a physician might recommend a change in diet or lifestyle. For instance the restriction of caffeine and stress as well as alcohol. They may also prescribe medication such as beta-blockers and calcium channel blockers which can lower the heart rate and lower blood pressure. Doctors will ask about the medical history of the patient and perform a physical examination to check their general health. They may also utilize a Holter monitor to track the heart's rhythms for a longer period of time, or an electrocardiogram, which takes a snapshot at the electrical activity in the heart. Doctors may order blood tests in some instances to determine if there are electrolyte imbalances or toxic substances in the body. Occasionally, a pvc doctor may refer a patient to a specialist for heart rhythm problems or an electrophysiologist for further evaluation. This specialist can confirm the diagnosis of PVCs and determine if they are benign or not. PVCs can be found everywhere and are not usually harmful unless they are used frequently or for a long time. This could lead to a weakening of the heart muscle or a condition referred to as pvc-induced cardiomyopathy. It is more prevalent in older people or those with heart disease. This can happen to healthy individuals with a normal, normal heart. However, it's more prevalent among those who regularly exercise. It's not a serious concern however it is crucial to consult an expert if you notice symptoms like fainting or fatigue. Treatment PVCs are not harmful and do not cause any symptoms in the majority of people. They don't require treatment. However, for those who do experience a sensation like your heart is lagging an beat or is racing, it's important to speak to a doctor as soon as you can. A cardiologist will first interview you and perform an examination of your body, listening to your heart using the stethoscope in order to detect any irregular beats. You'll also undergo an electrocardiogram that records the electrical impulses of your heart to detect any arrhythmias. If an arrhythmia has been detected, the use of a portable ECG or a 24-hour Holter monitor is 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, also known as an ultrasound of your heart, could be ordered to determine whether your heart is in good health and check for indications of structural issues that could lead to PVCs. You might also have a stress test to check how your heart responds to exercise, since physical activity can increase the frequency of your pvcs. You can also get blood tests to determine your thyroid hormone, magnesium, potassium, and other hormones to see if they're too low. This can lead to PVCs. If your doctor has confirmed that you suffer from PVCs and has ruled any serious illnesses out, the decision to treat them will depend on how they affect your life and how often they occur. If they occur only occasionally and do not cause any symptoms then your doctor is unlikely to recommend any medication that will reduce their frequency or severity. If you have frequent PVCs that can trigger pulses or other symptoms, such as feeling light-headed or fainting, your doctor may prescribe medications such as beta blockers and calcium channel blockers. Altering your lifestyle to stay clear of triggers, such as smoking, caffeine and excess stress, can also aid in reducing the frequency of occurrences of these irregular pulses. Prevention There are people who do not experience symptoms whatsoever from PVCs, or feel heart palpitations (irregular heartbeats) that may be felt as “skipped” beats or fluttering in the chest. Sometimes, these episodes trigger an increase in pressure or fullness in the chest, and at other occasions, they may make a person feel faint. These episodes happen because the heart is not functioning as efficiently as it should. PVCs are linked to an increased risk of developing dilated cardiac myopathy. This is a condition in which the heart expands and becomes is unable to pump blood. PVCs often are caused by changes in body chemical chemistry. This includes the release of thyroid hormones and adrenaline, as well drinking alcohol or caffeine. Stress or weight gain, as well as the absence of exercise can trigger these episodes. Certain people find that altering their diet can help reduce PVCs. They can, for instance, avoid foods that contain preservatives which can cause a disturbance of the heart rhythm. These include disodium Guanylate, disodium Inosinate, and diazole Sodium (E282-283). Eat more fruits and vegetables to get enough magnesium. It is important to get regular health check-ups, which include yearly physicals and lab tests. These tests can help diagnose any heart-related conditions that could be causing your PVCs. Also, you should adhere to an appropriate diet and refrain from smoking, which can increase the frequency of your episodes. A survey of healthcare professionals on 14 normal hospital wards revealed that they were aware of the preventive measures for infections caused by vascular catheters however, their self-assessment of compliance with these practices was not great. After a feedback program the compliance level improved on a few areas, but was still very low. This suggests that training on how to implement preventive measures is required, and that those areas that are not as well-adjusted should be targeted for infection surveillance. These data can be used to inform quality improvement initiatives in these wards. This could involve further training and education for staff. It is also necessary to ensure that the right materials for implementing the preventive measures are in place. Symptoms If you feel your heart is racing or fluttering, it may be due to premature ventricular contractions. These arrhythmias aren't necessarily dangerous or they may be an indication of serious heart issues. In healthy individuals, occasional PVCs aren't a problem and they usually go away on their own. However, if the window doctor suffer from a lot of them, they can cause dizziness or weakness. If you're concerned, talk to your doctor about them. You might be required to provide an medical history, and they might also perform a physical examination in order to diagnose the problem. They'll likely also need to perform an electrocardiogram (ECG or EKG) or other tests. An ECG is a simple test that will allow your doctor to see the signal from your heartbeat moving through your heart over the course of a brief period of time. The test will determine if you have PVCs. Your doctor might also want to perform a 24- or 48-hour Holter monitor that records your heartbeat over longer periods of time. These can help differentiate PVCs from other types of arrhythmias that cause heart palpitations. You may also wear a portable device that records your heart rate over a period of 30 days, referred to as an event monitor. Other heart tests might be required, depending on the cause of your PVCs. A cardiologist can check your blood pressure or perform an echocardiogram (ultrasound of the heart). This can help determine whether you suffer from a condition that is the cause of your PVCs or heart valves, such as mitral valve prolapse or heart failure. Your doctor may also need to run tests on your blood to identify the issue with electrolytes. For instance, you may have low potassium levels or high levels of calcium. This can be a sign of PVCs or other conditions that may cause them, including anxiety disorders and anemia. You could be referred to an electrophysiologist an expert who specializes in treating heart rhythms that are abnormal. The specialist might need to conduct additional tests if you suffer from heart problems that are structural, such as a CT or MRI scan of your chest. These tests can determine if your heart is damaged and how severe the damage is. In certain cases, a doctor may recommend an implantable pacemaker or ICD to treat the underlying issue causing your PVCs.