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Why Its Important to See a Doctor Premature ventricular contractions PVCs are a kind of irregular heartbeat window doctor and they could disappear on their own Doctors will listen to your heartbeat and look for other vital signs They may order a Holter Monitor which captures the electrical impulses of your heart over a period of 24 to 48 hours They may also request blood tests to assess your thyroid and electrolyte levels hormones Diagnosis PVCs are caused by electrical impulses which misfire through the SA node which is a structure in the lower chambers of the heart This causes the next heartbeat to be delayed leading to the sensation of fluttering or skipped beats PVCs can be seen as a single event or in repeated patterns Doublets are PVCs that occur in a series of Ventricular tachycardia is three or more consecutive PVCs Some people have no symptoms but others experience palpitations This can feel like an unsteady heartbeat or a slurred heartbeat Other symptoms include fatigue dizziness or a feeling of being unwell Many people who have occasional PVCs dont need any treatment If someone is experiencing frequent episodes doctors might suggest a change in lifestyle or diet such as limiting alcohol caffeine and stress They may prescribe medication such as betablockers or calcium channel blockers that lower blood pressure and slow the heart rate Doctors will inquire about the patients medical history and do a physical exam to check their general health They can also employ a Holter monitor to record the hearts rhythms for longer periods of time or an electrocardiogram which takes a snapshot at the electrical activity within the heart In certain cases doctors may require blood tests to check for an electrolyte imbalance or toxic effects from drugs Sometimes a pvc physician may refer a patient to a specialist for heart rhythm issues or an electrophysiologist for further evaluation The doctor can confirm the diagnosis of PVCs and determine whether they are malignant or benign PVCs are fairly common and dont usually cause any problems except when they are frequent over a long time This can cause weakening of the heart muscle or a condition referred to as pvcinduced cardiomyopathy This is most common for people over the age of 65 or those who have any form of heart disease It can also occur in healthy people with a normal heart although it is more likely to occur in those who exercise regularly Its not an issue that is serious but its important to consult an expert if you notice symptoms such as fainting or fatigue Treatment PVCs are not harmful and do not cause symptoms in many people They dont require treatment But those who feel your heart is lagging a beat or is racing its vital to speak to a doctor as soon as possible A cardiologist will first interview you and then perform an examination of your body listening to your heart using a stethoscope to detect any irregular beats Youll also undergo an electrocardiogram which records the electrical impulses of your heart allowing you to identify any arrhythmias If an arrhythmia has been identified then an portable ECG or a 24hour Holter monitor will be required to record the irregular rhythm for longer periods of time These devices will assist doctors determine whether you have PVCs and the underlying cause for them such as an electrolyte imbalance or drug toxicity or other factors An echocardiogram or an ultrasound of your heart can be ordered to assess whether your heart is healthy and look for any signs of structural problems that could lead to PVCs You could also have a stress test to see how your heart responds to exercise since physical activity can increase the frequency of your pvcs You can also take blood tests to determine your thyroid hormone and magnesium potassium and other hormones to determine if theyre too low This could lead to PVCs After your doctor has determined that you suffer from PVCs and has ruled out any serious illnesses the decision of how to treat them will depend 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 will decrease their frequency or severity If you experience frequent PVCs that cause palpitations or other symptoms such as feeling lightheaded or fainting your physician may prescribe medications such as beta blockers and calcium channel blockers Changing your lifestyle to avoid triggers such as smoking caffeine and excess stress can also reduce the frequency of times you experience these irregular pulses Prevention PVCs can cause no symptoms or heart palpitations which may feel like skipped beats or flutters in your chest Sometimes these episodes trigger a fullness or pressure in the chest and at other occasions they may make a person feel faint These episodes result from the heart not pumping as efficiently as it should 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 usually caused by changes in body chemical balance This is due to the release of adrenaline and thyroid hormones as well as drinking alcohol or caffeine Stress or excess weight or a lack of exercise can trigger these symptoms Certain people find that altering their diet can help reduce PVCs They can for example avoid foods that are preservativeladen which could cause disturbances to the heart rhythm These include disodium Guanylate diazole and disodium inosinate sodium E282283 Consume more fruits and vegetables to get enough magnesium Regular health checks are crucial and include annual physicals These tests can help identify any heart issues which could be causing your PVCs Also you should adhere to a healthy eating plan and avoid smoking which can increase the frequency of your episodes A survey of 14 typical hospital wards revealed that healthcare staff were generally aware of preventive measures for infections caused by vascular catheters however their selfassessed conformity to these practices was low After a feedback intervention compliance improved on some wards but it was still not as high This suggests that training is needed on how to implement preventive measures and those wards that are not conforming should be targeted for infection monitoring These data can be used to inform quality improvement initiatives in these wards This will likely require further education and training for personnel It will also be necessary to ensure that the correct tools for implementing the preventive measures are readily available Signs and symptoms If you feel like your heart beats are erratic or fluttering it could be due to premature ventricular contractions These arrhythmias may be harmless but they could be a sign that you are suffering from serious heart issues In healthy individuals PVCs that occur occasionally are not a problem They typically disappear on their own However if you suffer from many of them they can lead to dizziness or weakness If youre worried talk to your doctor about the symptoms They may have to identify the issue by taking an history of your medical condition and giving you a physical exam They might also need to conduct an electrocardiogram or other tests A quick ECG test will allow your doctor to observe the pulse of your heart moving through your body over an extremely short time If you have PVCs they will show on the test Your doctor may also suggest a Holter monitor that records your heartbeat for a longer period of time These tests can help differentiate PVCs from arrhythmias causing heart palpitations You can also wear an event monitor a handheld device that records your heart rhythm for 30 days Other tests for the heart may be required depending on the reason behind your PVCs For instance a cardiologist might check your blood pressure and do an ultrasound of the heart echocardiogram These tests can determine whether you are suffering from a condition like heart failure mitral valve prolapse or cardiomyopathy Your doctor may also be required to conduct tests on your blood to identify the problem with electrolytes For instance you may have low potassium or high levels of calcium This could be a sign that you have PVCs or another problem such as anemia or anxiety disorders You may be referred an electrophysiologist who is able to treat abnormal heart rhythms If you have structural heart disease the specialist may have to perform additional tests such as an MRI or CT scan of your chest These tests will tell you whether youve suffered damage to your heart and how serious it is In certain cases a specialist might suggest a pacemaker or ICD to treat the condition that is the cause of your PVCs