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Why It's Important to See a Doctor Premature ventricular contracts (PVCs), are a form of irregular heartbeats. These extra beats aren't usually risky, and they may go away by themselves. Doctors will monitor your heartbeat, and check other vital signs. They may order a Holter Monitor that records the electrical impulses generated by your heart over a time of 24 to 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 known as the SA node. This causes the next heartbeat to delay, which can cause a feeling like racing or skipped beats. PVCs can occur in a single pattern or in repeated patterns. Doublets are PVCs that occur in a series of. Ventricular tachycardia refers to three or more consecutive PVCs. Some people are not experiencing any symptoms, whereas others experience palpitations. It could be an unsteady heartbeat or a skipping heartbeat. Other signs are dizziness, fatigue or a feeling that you're unwell. Many people with occasional PVCs don't require any treatment. If a person experiences frequent episodes, doctors could suggest a change to lifestyle or diet including a reduction in alcohol, caffeine and stress. They may prescribe medications such as beta-blockers or calcium channel blockers to lower blood pressure and slow down the heart rate. Doctors will ask about the person's medical history and do a physical exam to check their general health. They may also use a Holter monitor to track the heart's rhythms over longer durations, or an electrocardiogram, which takes a snapshot at the electrical activity in the heart. Doctors may order blood tests in some cases to determine if there are electrolyte imbalances or drug toxicity. Sometimes, a pvc doctor may refer a patient to a specialist in heart rhythm problems, or an electrophysiologist, for further evaluation. This doctor can confirm the diagnosis of PVCs and determine if they are benign or malignant. PVCs are common and don't usually cause any problems unless they happen frequently over a long time. This could lead to a weakening of the heart muscle or a condition referred to as pvc-induced cardiomyopathy. This is most common for people over the age of 65 or those suffering from any form of heart disease. It can also happen in healthy people with a normal heart, although this is more likely for those who exercise regularly. Most of the time, this isn't an issue that is serious, but it is important to speak with your doctor if you experience symptoms like fainting or fatigue. Treatment PVCs aren't harmful or cause symptoms in a lot of people. They do not require treatment. If you feel like your heart is racing or slurring a beat, it's best to consult a doctor immediately. A cardiologist will first interview you and conduct a physical examination, listening to your heart through the stethoscope in order to detect any irregular heartbeats. Additionally, you will undergo an electrocardiogram that captures the electrical impulses of your heart to detect any arrhythmias. If an arrhythmia has been detected it is recommended to use an portable ECG or 24-hour Holter monitor is required to capture the abnormal rhythm for longer periods of time. These devices will help doctors determine if you suffer from PVCs and the cause of them, like an electrolyte imbalance, a drug toxicities, or any other cause. You may be requested to undergo an echocardiogram (an ultrasound of your heart) to determine whether your heart health is good and to look for structural issues that could lead to PVCs. You could also have a stress test to see how your heart reacts to exercise, as physical exercise can increase the frequency of your pvcs. You can also have blood tests to check your thyroid hormone and magnesium, potassium, and other hormones to determine if they're too low. This could lead to PVCs. After your doctor has determined that you're suffering from PVCs and has eliminated any serious illnesses, the decision on whether or not to treat them will depend on the degree to which they're affecting your life and how often they occur. If they happen only on occasion and don't cause any symptoms, it's unlikely your doctor will prescribe any medication to lessen their frequency or severity. However, if you have frequent PVCs that cause heart palpitations, as well as other symptoms such as feeling lightheaded or like you're about to faint, your doctor might recommend medications for you, such as beta blockers or calcium channel blockers. Changes in lifestyle, like abstaining from smoking, caffeine and stress levels that are excessive can also decrease the frequency of these abnormal pulses. The following is a list with preventions. There are people who do not experience symptoms whatsoever from PVCs or heart palpitations (irregular heartbeats) that may be felt as “skipped” beats or fluttering in the chest. These episodes can create a feeling of pressure or fullness or they can make you feel faint. These episodes are caused by the heart not pumping as well as it should. PVCs are associated with an increased chance of developing dilated cardiomyopathy. This is a condition where the heart expands and becomes in a position to not pump blood. PVCs are often caused by changes in body chemistry. These include the release of adrenaline and thyroid hormones, and drinking caffeine or alcohol. Stress or excess weight or an insufficient amount of exercise can trigger these episodes. Certain people find that a change in diet helps to reduce their PVCs. They can, for example, avoid foods that are preservative-laden, which could cause disturbances to the heart rhythm. These include disodium guanylate, diazole, and disodium inosinate Sodium (E282-283). It is also recommended to eat more vegetables and fruits to ensure they're getting enough potassium and magnesium. Regular health checks are important as are annual physicals. These tests can help diagnose any heart-related conditions that could 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 14 typical hospital wards revealed that healthcare staff were generally aware of preventive measures against infections caused by vascular catheters, however their self-assessment of conformity to these procedures was not high. After a feedback program that improved compliance on certain wards but was still low. This suggests that education on how to implement the preventive measures is essential and that wards that are not complying should be targeted for surveillance of infection. These data can be used to guide quality improvement initiatives in these wards. This will most likely require more education and training for personnel. It will also require making sure that the appropriate materials are in place for the implementation of the preventive measures. Signs and symptoms The premature contraction of the ventricular muscle can cause your heartbeat to skip or to flutter. These arrhythmias can be harmless or they may be the sign of heart issues. In healthy individuals, PVCs that occur occasionally are not any problem. They typically disappear by themselves. If you're suffering from many of them, they could cause dizziness or weakness. If you're worried about them, consult your doctor about them. You might be required to provide an medical history, and they might also perform an examination to determine the cause. They might also conduct an electrocardiogram or other tests. A short ECG test will allow your doctor to observe the pulse of your heart moving through your body for a a short period of time. If you have PVCs, they will show on the test. Your doctor might also suggest the use of a Holter monitor that records your heartbeat for a longer period of time. These can help differentiate PVCs from other types of arrhythmias that cause heart palpitations. You can also wear an event monitor, a handheld device which records your heart rhythm for 30 days. Other tests for the heart may be required, depending on the reason for your PVCs. A cardiologist will test your blood pressure or perform an echocardiogram (ultrasound of the heart). These tests will determine whether you have a condition such as heart failure or mitral valve prolapse or cardiomyopathy. Your doctor may also have to conduct a blood test to determine the problem with your electrolytes. For window doctor repairmywindowsanddoors , low potassium levels or a high level of calcium. This can be an indication of PVCs or other conditions that could cause them, such as anemia and anxiety disorders. You might be directed to an electrophysiologist, an expert who specializes in treating irregular heart rhythms. If you have heart disease that is structural the doctor may need to do other tests, like an MRI or CT scan of your chest. These tests can tell whether you've damaged your heart and how severe it is. In some instances, the specialist might suggest an implantable pacemaker or ICD to treat the condition that is causing your PVCs.