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Why It's Important to See a Doctor

Premature ventricular contracts (PVCs), are a type of irregular heartbeats. These extra beats are typically not dangerous and can be cured by themselves.

Doctors will monitor your heartbeat, and check other vital signs. They might recommend a Holter monitor, a device that records your heart's electrical impulses over 24-48 hours. They may also order blood tests for checking your electrolyte levels and thyroid hormones.

Diagnosis

PVCs happen when electrical impulses coming from the heart's lower chambers ventricles, or lower chambers, fail to pass through a structure called the SA node. This causes the next heartbeat to be delayed, leading to an experience similar to the heart is fluttering or skips beats. PVCs can be seen in a single pattern or in repeated patterns. Doublets are two consecutive PVCs. Ventricular tachycardia can be described as three or more consecutive PVCs.

Some people have no symptoms, whereas others experience heart palpitations. This can feel like an unsteady heartbeat or a skipping heartbeat. Other signs are dizziness, fatigue or feeling unwell.

Many people who experience occasional PVCs do not require treatment. If a patient experiences frequent episodes, a physician may recommend a change to the diet or lifestyle. For instance restricting caffeine and stress as well as alcohol. They may also prescribe medications, such as beta-blockers and calcium channel blockers which can lower the heart rate and lower blood pressure.

Doctors will ask about the person's medical history and conduct a physical exam to determine their general health. They may also use a Holter monitor to record the heart's rhythms for longer durations, or an electrocardiogram, which captures a picture of the electrical activity of the heart. Doctors may order blood tests in some cases to check for electrolyte imbalances or toxic effects of drugs.

Occasionally, a pvc doctor will refer a patient to a specialist in heart rhythm issues, or an electrophysiologist, for further evaluation. This doctor will confirm a diagnosis of PVCs, and determine whether they are malignant or benign.

PVCs are all over the place and are not usually harmful when used frequently or for a long time. This can lead to a weakening of the double glazing doctor heart muscle or a condition referred to as pvc doctor-induced cardiomyopathy. It is more common in older people, or those who have any form of heart disease. It can also occur in healthy people with an uninvolved heart, however it is more likely to occur in those who exercise regularly. It is not a major condition, but you should tell your glass doctor if symptoms such as fainting or fatigue occur.

Treatment

For many, occasional PVCs aren't likely to cause symptoms or are harmless and require no treatment. But those who feel their heart has skipped the beat or is racing, it's vital to speak to a doctor immediately.

A cardiologist will then interview you and conduct an examination of your body and listen to your heart using a stethoscope to detect any irregular heartbeats. You will also have an electrocardiogram (ECG) performed to record the electrical impulses in your heart and identify any arrhythmias. If an arrhythmia is detected it is recommended to use the use of a portable ECG or 24-hour Holter monitor is required to capture the irregular rhythm for longer periods of time. These devices will help doctors determine if you have PVCs, and their cause, such as an imbalance in electrolytes, drug toxicity or other causes.

An echocardiogram, an ultrasound of your heart, can be ordered to determine if your heart is healthy and to look for indications of structural issues that could lead to PVCs. You could also have a stress test to see how your heart responds to exercise, since physical exercise can increase the frequency of your pvcs. You may also be able to have blood tests to assess your thyroid, potassium, and magnesium hormone levels to find out whether they are low, which can contribute to the glass doctor development of PVCs.

After your doctor has confirmed that you suffer from PVCs and has ruled out any serious illnesses and has made a decision about whether to treat them will be contingent on the extent to which they impact your life and the frequency at which they occur. If they only occur occasionally and don't cause any symptoms, it's unlikely your doctor will suggest any medication to reduce the frequency or severity of them.

If, however, you suffer from frequent PVCs that cause heart palpitations, as well as other symptoms such as light-headedness or feeling like you're going to faint, your physician might recommend medications like beta blockers or calcium channel blockers. Making changes to your lifestyle in order to avoid triggers, like smoking, caffeine and excess stress, can also aid in reducing the frequency of times you experience these irregular pulses.

Prevention

A person might not experience any symptoms at all from PVCs, or feel heart palpitations (irregular heartbeats) that can appear as "skipped" beats or a fluttering sensation in the chest. These episodes can trigger an feeling of pressure or fullness, or they may cause you to feel faint. These episodes are caused by the heart isn't pumping as efficiently as it normally does. Frequent PVCs increase the risk of developing dilated Cardiomyopathy, a condition in which the heart expands and is unable to pump blood.

PVCs are usually caused by changes in the body's chemistry. This includes the release of thyroid and adrenaline hormones, in addition to drinking alcohol or caffeine. A lack of exercise can trigger these episodes like stress or excessive weight.

Certain people find that changing their diet can reduce the number of PVCs. For example, they can avoid foods that contain preservatives that can 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 enough magnesium.

It is essential to have regular health checks, which include yearly physicals and lab tests. These can help diagnose any heart-related conditions that could be the cause of your PVCs. You should also follow an eat-healthy diet and avoid smoking, which could increase the frequency of your episodes.

A survey of healthcare workers on 14 normal hospital wards showed that they were generally aware of the preventive measures for vascular catheter-associated infections however, their self-assessment of compliance with these practices was low. After a feedback program, compliance improved on some areas, but was still very low. This suggests that training on how to implement the preventive measures is required and that wards which are less compliant 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 additional education and training of staff. It will also mean making sure that the right materials are available for the implementing of the preventive measures.

Signs and symptoms

If you feel that your heart is skipping beats or fluttering, it may be premature ventricular contractions. These arrhythmias may be harmless, but 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 by themselves. However, if you suffer from many of them, they can cause dizziness or weakness. If you're concerned about them, consult your doctor about them. You might be required to provide your medical history and they might also perform an examination to diagnose the problem. They'll likely also need to do an electrocardiogram (ECG or EKG) or other tests.

A quick ECG test will allow your doctor to observe the signal of your heartbeat going through your body over a an extremely short time. The test will determine whether you have PVCs. Your doctor might also suggest the use of a Holter monitor that tracks your heartbeat over a longer period of time. These tests can help differentiate PVCs from arrhythmias that cause heart palpitations. You can also wear an event monitor, a handheld device which records your heart rhythm for 30 days.

Other heart tests might be required, based on the reason for your PVCs. For instance an cardiologist may test your blood pressure, and also perform an ultrasound of your heart (echocardiogram). This can help determine if you have a condition that is the cause of your PVCs like cardiomyopathy, mitral valve prolapse or heart failure.

Your doctor might also need to do a blood test to see what's wrong in your electrolytes, like low potassium or high calcium levels. This could indicate that you have PVCs, or another condition such as anemia or anxiety disorders.

You might be referred to an electrophysiologist an expert who specializes in treating irregular heart rhythms. This specialist may need to conduct additional tests if you suffer from heart problems that are structural, such as an CT or MRI scan of your chest. These tests will tell you whether you've damaged your heart and how serious it is. In some cases, the doctor might suggest the use of a pacemaker or ICD to treat the underlying condition that's the cause of your PVCs.