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Why It's Important to See a Doctor Premature ventricular contractures (PVCs), are a type of irregular heartbeat. These extra beats are generally not harmful and will go away by themselves. To diagnose PVC doctors listen to your heartbeat, and also check other vital signs. They may order an Holter monitor which is a device that records your heart's electrical impulses over 24-48 hours. They can also order blood tests to check your electrolyte levels and thyroid hormones. Diagnosis PVCs are caused by electrical impulses coming from the lower chambers of the heart, or ventricles, misfire through a structure known as the SA node. This delays the next heartbeat and causes the feeling of skipped beats or fluttering in the chest. PVCs can be seen as a single event or in repeated patterns. Two consecutive PVCs are known as doublets, while three or more consecutive PVCs are referred to as ventricular tachycardia (VT). Some people do not experience any symptoms, while others experience heart palpitations. It can be felt as a pounding heartbeat or a slurred heartbeat. Other common symptoms are tiredness, dizziness or a sensation of being unwell. Many people who experience occasional PVCs don't require any treatment. If a person has frequent episodes, doctors may suggest a change to diet or lifestyle, such as limiting caffeine, alcohol and stress. They may also prescribe medication like beta-blockers or calcium channel 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 determine 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 of the heart. Doctors may request blood tests in some instances to determine if there are electrolyte imbalances or toxic substances in the body. Sometimes, a pvc physician will refer a patient to a specialist for heart rhythm problems, or an electrophysiologist, to conduct a further examination. This doctor can confirm the diagnosis of PVCs and determine if they are benign or not. PVCs are fairly common and rarely cause any issues, unless they occur frequently over a long time. Repair My Windows And Doors could lead to a weakening of the heart muscle, or a condition referred to as pvc-induced cardiomyopathy. This is more common in older adults or those with heart disease. It can also occur to healthy individuals with normal, normal heart. However, it's more prevalent in people who regularly exercise. Most of the time, this isn't an issue to worry about, but it is important to consult an expert if you notice symptoms like fainting or fatigue. Treatment For many people, sporadic PVCs may not cause any symptoms or require no treatment. However when you do feel their heart has skipped the beat or is racing, it's vital to see a doctor as soon as possible. A cardiologist will first interview you and then perform a physical examination and listen to your heart with the stethoscope in order to detect any irregular heartbeats. You will also have an electrocardiogram (ECG) performed, which will record the electrical signals in your heart and reveal any arrhythmias. If an arrhythmia has been discovered, a portable ECG or 24-hour Holter monitor is required to record the abnormal rhythm for longer durations of time. These devices can help doctors determine if you suffer from PVCs and their causes which could be due to an imbalance in electrolytes, drug toxicity or other causes. You may be requested 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 be required to undergo an exercise test to determine the response of your heart to exercise. Exercise can increase your frequency of pvcs. You may also undergo blood tests to assess your magnesium, potassium and thyroid hormone levels to find out whether they are insufficient which could contribute to the formation of PVCs. Once your doctor has confirmed that you suffer from PVCs and has eliminated any serious illnesses, the decision of how to treat them will be based on how much they're impacting your life and how often they occur. If they occur only occasionally and don't trigger any symptoms, it's unlikely your doctor will suggest any medication to lessen the frequency or severity of them. If you have frequent PVCs that can trigger palpitations or other symptoms such as feeling light-headed or fainting, your doctor might prescribe medications like beta blockers and calcium channel blockers. Altering your lifestyle to avoid triggers, such as caffeine, smoking and excessive stress, can help lower the number of instances of these abnormal pulses. The following is a list of preventatives. PVCs can cause no symptoms or heart palpitations, that can feel like “skipped beats” or flutters in your chest. Sometimes, these episodes can cause an increase in pressure or fullness in the chest, and at other occasions, they may make someone feel faint. These episodes are caused by the heart not pumping as well as it should. PVCs are associated with a higher chance of developing dilated cardiomyopathy. This is a condition in which the heart gets larger and unable to pump blood. PVCs often are caused by changes in body chemistry. This is due to the release of thyroid hormones and adrenaline and alcohol consumption or caffeine. Stress or excess weight and a lack of exercise, can trigger these episodes. Some people have found that a change in diet helps to reduce their PVCs. For instance, they can avoid foods which contain preservatives that could cause a disturbance in the heartbeat, for example disodium Guanylate (E621), disodium inosinate (E627) diazole sodium (E282-283). Eat more fruits and vegetables to ensure that you get sufficient magnesium. It is essential to have regular health checks, including yearly physicals and lab tests. These tests can help identify any heart-related conditions that could cause your PVCs. Also, you should adhere to a healthy eating plan and refrain from smoking, which can increase the frequency of your episodes. A survey of healthcare staff on 14 wards of a normal hospital revealed that they were aware of the preventive measures to avoid vascular catheter-related infections, but that their self-assessed compliance with these measures was not great. After a feedback program that improved compliance on certain wards, but it was still not as high. This suggests that training is needed on how to implement preventive measures and that wards that are less than compliant should be targeted for monitoring of infection. This information could be used to guide the implementation of further quality improvement initiatives on these wards. This could involve additional education and training for staff. It will also mean making sure that the right tools are available for implementation of the preventive measures. Symptoms If you feel like your heart is skipping beats or fluttering, it may be due to premature ventricular contractions. These arrhythmias can be normal, or they could indicate that you have serious heart problems. In healthy people, occasional PVCs aren't a problem and they usually disappear by themselves. If you're suffering from several of them, they could cause dizziness or weakness. Consult your doctor if you're worried. You might need to provide an medical history, and they might also perform a physical examination in order to determine the cause. They might also conduct an electrocardiogram, or other tests. An ECG is a quick test that allows your health care provider detect the signal of your heartbeat as it travels through your heart over a short duration. The test will reveal if you have PVCs. Your doctor may also suggest the use of a Holter monitor that tracks 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 portable device which tracks your heart's rhythm over 30 days. Other tests for the heart may be required, based on the cause of your PVCs. A cardiologist will test your blood pressure or perform an echocardiogram (ultrasound of the heart). This can help determine the presence of a medical condition that may be responsible for your PVCs, such as mitral valve prolapse or heart failure. Your doctor may also be required to perform tests on your blood to identify the problem with electrolytes. For example, low potassium levels or a high level of calcium. This can be a sign of PVCs or other conditions that may cause them, like anxiety disorders and anemia. You could be referred to a specialist in electrophysiology, who can treat irregular heart rhythms. This specialist may need to conduct other tests if you have heart conditions that cause structural damage like a CT or MRI scan of your chest. These tests can tell whether you've damaged your heart and how serious it is. In some instances, the doctor might suggest an implantable pacemaker or ICD to treat the underlying condition that's causing your PVCs.