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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 typically not dangerous and may disappear on their own. Doctors will listen to your heartbeat, and check other vital signs. They might order a Holter monitor, a device that tracks your heart's electrical impulses over a period of 24 to 48 hours. They may also request blood tests to determine the levels of electrolytes and thyroid hormones. Diagnosis PVCs occur when electrical impulses from the heart's lower chambers ventricles, or lower chambers, fail to pass through a structure called the SA node. This delay the next heartbeat and causes an experience of skipped beats or fluttering in the chest. PVCs can occur in a single pattern or in repeated patterns. Two consecutive PVCs are known as doublets. Three or more consecutive PVCs are referred to as the term ventricular Tachycardia (VT). Some people do not experience any symptoms, whereas others experience palpitations. It can be felt as a pounding heartbeat or a skipping heartbeat. Other typical symptoms include fatigue or dizziness, or a feeling of being unwell. Many people who suffer from occasional PVCs do not require any treatment. If a person experiences frequent episodes, doctors could suggest a change to the way of life or diet including a reduction in alcohol, caffeine and stress. They can also prescribe medications like calcium channel blockers or beta-blockers, which can slow the heart rate and lower blood pressure. Doctors will ask about the person's medical history and perform a physical examination to determine their general health. They can also perform an electrocardiogram (ECG) to capture an image of the heart's electrical activity, or a Holter monitor, which is worn for longer periods and monitors the heart's rhythms over time. In certain cases, doctors may order blood tests to look for an electrolyte imbalance or toxic effects from drugs. Occasionally, a pvc doctor will refer a patient to a specialist in heart rhythm problems or an electrophysiologist to conduct a further examination. The doctor can confirm the diagnosis of PVCs and determine if they are benign or malignant. PVCs are all over the place and are not usually harmful unless they are used frequently or for a long time. the window doctor www.repairmywindowsanddoors.co.uk can lead to a weakening of the heart muscle, or a condition called pvc-induced cardiomyopathy. This is most common for people over the age of 65 or those suffering from some type 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. Usually, this isn't an issue that is serious but it's important to speak with your doctor if you experience symptoms like fainting or fatigue. Treatment For many, occasional PVCs might not cause symptoms or require no treatment. If you notice that your heart is racing or slurring the beat, it's best to see a doctor right away. A cardiologist will interview you and then perform a physical examination, listening to your heart through a stethoscope to detect any irregular beats. Additionally, you will undergo an electrocardiogram, which records the electrical signals of your heart, allowing you to identify any arrhythmias. If an arrhythmia is identified then an all-day Holter monitor or a portable ECG is required to capture the abnormal rhythm over longer durations of time. These devices can help doctors determine if you have PVCs and the reason behind them, like an electrolyte imbalance, a drug toxicity, or other factors. An echocardiogram, also known as an ultrasound of your heart, may be ordered to assess whether your heart is healthy and check for indications of structural issues which could cause PVCs. You could also be asked to take a stress test in order to find out the response of your heart to exercise. Physical activity can increase your frequency of pvcs. You can also have blood tests to check your thyroid, magnesium, and potassium hormone levels to find out if they are too low which could contribute to the development of PVCs. After your doctor has determined that you suffer from PVCs and has eliminated any serious diseases and has made a decision about whether or not to treat them will be contingent on how much they're impacting your life and how frequently they occur. If they happen only on occasion and don't trigger any symptoms, it's unlikely your doctor will prescribe any medication to reduce the frequency or severity of them. If, however, you suffer from frequent PVCs that trigger palpitations and other symptoms, such as light-headedness or feeling like you're going to faint, your physician may suggest medications for you, such as beta blockers or calcium channel blockers. Changes in your lifestyle, like avoiding caffeine, smoking, and excessive stress can also reduce the frequency of these abnormal pulses. Prevention PVCs can cause no symptoms or heart palpitations which can be described as “skipped beats” or flutters in the chest. These episodes can create feelings of fullness or pressure, or they may cause you to feel faint. These episodes are caused by the heart not pumping as efficiently as it should. PVCs are linked to 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 often are caused by changes in the body's chemical chemistry. This can be caused by the release of adrenaline and thyroid hormones, as well drinking alcohol or caffeine. Stress or excess weight, as well as a lack of exercise, can trigger these symptoms. Some people can find that a change in diet can reduce their PVCs. They can, for example, avoid foods that contain preservatives which could cause disturbances to the heart rhythm. These include disodium guanylate and diazole, and disodium inosinate Sodium (E282-283). It is also recommended to take in more fruits and vegetables to ensure they're getting enough potassium and magnesium. It is important to get regular health checks, which include annual physicals and laboratory tests. These can help diagnose any heart issues which could be causing your PVCs. You should also refrain from smoking and adhere to a healthy diet program. This can increase the frequency of episodes. A survey of healthcare workers on 14 wards of a normal hospital showed that they were generally aware of the preventive measures for vascular catheter-associated infections However, their self-assessed compliance with these practices was not great. The compliance improved following an intervention to improve feedback, but was still lower on some of the wards surveyed. This suggests that education on the best ways to implement preventive measures is required, and that those wards that are not complying should be targeted for infection surveillance. This information could be used to guide the implementation of further quality improvement initiatives for these wards. This will likely require additional education and training of personnel. It will also be important to ensure that the right tools for implementing the preventive measures are in place. Symptoms If you feel that your heart beats are erratic or fluttering, it could be premature ventricular contractions. These arrhythmias may be harmless, or 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 usually disappear on their own. But if you have a lot of them, they may cause dizziness or weakness. If you're concerned you might be experiencing dizziness or weakness, talk to your doctor about them. They may have to identify the issue by taking an medical history and conducting a physical exam. They might also need to conduct an electrocardiogram, or other tests. An ECG is a simple test that will allow your doctor to observe the signal generated by your heartbeat as it moves through your heart over a short period of time. If you have PVCs, they will show on the test. Your doctor may also suggest the use of a Holter monitor that tracks your heartbeat over 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 rhythm over 30 days, called an event monitor. Other tests for your heart might be required, depending on the reason behind your PVCs. A cardiologist may check your blood pressure, or perform an echocardiogram (ultrasound of the heart). These tests can tell if you suffer from a condition such as heart failure, mitral valve prolapse, or cardiomyopathy. Your doctor may also have to perform tests on your blood to identify the issue with your electrolytes. For instance, you may have low potassium levels or high levels of calcium. This could indicate that you have PVCs, or another problem such as anemia, or anxiety disorders. You may be referred to an electrophysiologist, an expert who specializes in treating irregular heart rhythms. If you have heart disease that is structural the specialist may have to perform additional tests, like an MRI or CT scan of your chest. These tests will tell you whether you've damaged your heart and how serious it is. In some instances, the specialist might recommend an implantable pacemaker or ICD to treat the condition that is causing your PVCs.