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Why It's Important to See a Doctor Premature ventricular contractures (PVCs), are a form of irregular heartbeat. These extra beats are generally not dangerous and may disappear on their own. Doctors will monitor your heartbeat, and check other vital signs. They may order an Holter Monitor, which records the electrical impulses generated by your heart over a span of 24 to 48 hours. They may also request blood tests to check the levels of electrolytes and thyroid hormones. Diagnosis PVCs are caused by electrical impulses coming from the heart's lower chambers ventricles misfire through a structure called the SA node. This delay the next heartbeat and causes the feeling of fluttering or skipped beats in the chest. PVCs can occur in isolation or in repeated patterns. Doublets are two consecutive PVCs. Ventricular tachycardia can be described as three or more consecutive ones. Some people don't experience any symptoms whatsoever Others experience heart palpitations which could feel like an irregular heartbeat or a pounding. Other symptoms are dizziness, fatigue or feeling unwell. Many people who experience occasional PVCs do not require treatment. If someone is experiencing frequent episodes, doctors could recommend a change in diet or lifestyle, such as limiting alcohol, caffeine and stress. They may also prescribe medication, such as calcium channel blockers or beta-blockers, which can slow the heart rate and lower blood pressure. Doctors will ask the patient about their medical history and conduct an examination of the body to check on their general health. They may also use an electrocardiogram (ECG) to take an image of the heart's electrical activity, or a Holter monitor, which is worn for longer time periods and monitors the heart's rhythms over time. In certain cases, doctors may order blood tests to check for an electrolyte imbalance or toxic effects from drugs. Sometimes, a pvc doctor will refer a patient to a specialist in heart rhythm problems or an electrophysiologist to conduct a further examination. The doctor will confirm the diagnosis of PVCs and determine whether they are benign or not. PVCs are common and rarely cause any problems, unless they happen frequently over a long period of time. This could lead to a weakening in the heart muscle, or a condition known as pvc-induced cardiac myopathy. This is more common in older adults or those with heart disease. It can also occur in healthy people with an uninvolved heart, however this is more likely for those who exercise regularly. Most of the time, this isn't a serious concern, but it is important to consult your doctor if you experience symptoms like fainting or fatigue. Treatment PVCs aren't harmful or cause symptoms in many people. They do not require treatment. If you feel that your heart is racing or skipping a beat, it's best to seek out a physician immediately. A cardiologist will interview you and then perform a physical examination and listen to your heart with a stethoscope to detect any irregular beats. You will also undergo an electrocardiogram that records the electrical impulses of your heart to determine any arrhythmias. If an arrhythmia has been identified it is recommended to use an portable ECG or 24-hour Holter monitor will be required to record the abnormal rhythm for longer periods of time. These devices can help doctors determine whether you have PVCs, and their cause like an imbalance in electrolytes, toxicity of drugs or other factors. You may be required to undergo an echocardiogram (an ultrasound of your heart) to determine whether your heart health is in good shape and to check for structural issues that could lead to PVCs. You may also undergo a stress test to check how your heart reacts to physical exercise can increase the frequency of your PVCs. You may also undergo blood tests to determine your magnesium, potassium and thyroid hormone levels to determine whether they are low, which can contribute to the development of PVCs. After your doctor confirms that you have PVCs and has ruled any serious illness out, the treatment option you choose depends on how they impact your life and the frequency they occur. If they only occur occasionally and don't cause any symptoms then your doctor is unlikely to recommend any treatment to reduce their frequency or severity. If you have frequent PVCs that can trigger palpitations or other symptoms like feeling lightheaded or fainting, your doctor may prescribe medication such as beta blockers and calcium channel blockers. Changes in your lifestyle, like abstaining from smoking, caffeine, and excessive stress can reduce the frequency of these irregular pulses. Prevention A person may experience no symptoms whatsoever from PVCs or experience heart palpitations (irregular heartbeats) that can feel like “skipped” beats or a fluttering sensation in the chest. Sometimes, these episodes cause the chest to feel full or swollen in the chest, and at other times, they can cause a person to feel faint. These episodes happen because the heart is not pumping as efficiently as it normally does. PVCs are associated with a higher risk of dilated cardiomyopathy. This is a condition where the heart gets larger and is unable to pump blood. PVCs are often caused by changes in the body's chemical. These include the release of thyroid and adrenaline hormones, as well as drinking caffeine or alcohol. Inactivity can also trigger these episodes and stress, as well as excess weight. Certain people find that a change in their diet can reduce their PVCs. For instance, they could avoid foods which contain preservatives that could cause disturbances in the heart rhythm, such as disodium Guanylate (E621), disodium inosinate (E627) and diazole sodium (E282-283). Eat more fruits and vegetables to get sufficient magnesium. It is important to get regular health checks, including annual physicals and laboratory tests. These tests can help diagnose any heart-related conditions that could be causing your PVCs. It is also recommended to avoid smoking and follow a healthy diet plan. This can increase the frequency of episodes. A survey of 14 normal hospital wards found that healthcare workers were generally aware of preventive measures to avoid vascular catheter-associated infection, but their self-assessed conformity to these practices was low. window doctors repairmywindowsanddoors.co.uk improved after an intervention to improve feedback however it was still very low on a few of the wards surveyed. This suggests that education on how to implement the preventive measures is required and that the areas that are not as well-adjusted should be targeted for surveillance of infection. This information can then be used to guide the implementation of further quality improvement initiatives on these wards. This will likely require further training and education for personnel. It is also necessary to ensure that the correct tools to implement the preventive measures are readily available. Symptoms If you feel that your heart is skipping beats or fluttering, it may be premature ventricular contractions. These arrhythmias can be harmless, or they could be a sign that you have heart issues that are serious. In healthy people, PVCs that occur occasionally are not any problem. They generally disappear on their own. If you've got many of them, they can cause dizziness or weakening. If you're concerned, talk to your doctor about the symptoms. You might be required to provide a medical history, and they may also conduct an examination to diagnose the problem. They may also conduct an electrocardiogram (ECG or EKG) or other tests. A short ECG test lets your doctor see the signal of your heartbeat moving through your body over 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 tracks your heartbeat for a longer period of time. This can help distinguish PVCs from other arrhythmias that cause heart palpitations. You could also wear a portable device that records your heart's rhythm over the course of 30 days, which is known as an event monitor. Other tests for the heart may be required, depending on the reason for your PVCs. A cardiologist can check your blood pressure or conduct an echocardiogram (ultrasound of the heart). These tests will determine whether you are suffering from a condition such as heart failure, mitral valve prolapse, or cardiomyopathy. Your doctor may also have to run an examination of your blood to determine what is wrong with your electrolytes, like low potassium or high levels of calcium. This can be an indication of PVCs or other conditions that can cause them, such as anemia and anxiety disorders. You may be referred to a specialist in electrophysiology, who treats abnormal heart rhythms. If you have structural heart disease, this specialist might need to do other tests, such as an MRI or CT scan of your chest. These tests can tell whether you've suffered damage to your heart and how severe it is. In some instances doctors may suggest a pacemaker to treat the issue which is causing the PVCs.