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Why It's Important to See a Doctor Premature ventricular contractions (PVCs) are a type of irregular heartbeat. These extra beats usually aren't hazardous, and they could disappear by themselves. To determine PVC Doctors will listen to your heartbeat and check other vital signs. They might order an Holter Monitor, which records the electrical impulses generated by your heart over a time of between 24 and 48 hours. They may also order blood tests to determine your electrolyte levels and thyroid hormones. Diagnosis PVCs are caused by electrical impulses that misfire through the SA node, which is a structure in the lower chambers of the heart. This causes the next heartbeat to delay, which can cause the sensation of the heart is fluttering or skips beats. PVCs may occur alone or in repeated patterns. Doublets are two consecutive PVCs. Ventricular tachycardia can be described as three or more consecutive PVCs. Some people do not experience any symptoms, but others experience palpitations. It could be a pounding heartbeat or a skipping heartbeat. Other symptoms that are common are fatigue or dizziness, or a feeling of being unwell. Many people who experience occasional PVCs do not require treatment. If a patient is experiencing frequent episodes, a physician may recommend a change to diet or lifestyle. For instance the restriction of caffeine or stress, as well as alcohol. They can also prescribe medications, such as calcium channel blockers or beta-blockers that can reduce the heart rate and lower blood pressure. Doctors will inquire about their medical history and conduct an examination of the body to assess their general health. They may also employ an electrocardiogram (ECG) to take a snapshot of the heart's electrical activity or a Holter monitor that is worn for longer durations and records the heart's rhythms over time. In certain cases doctors may request blood tests to determine if there is an electrolyte imbalance or toxic effects from drugs. Sometimes, a pvc doctor will refer a patient to a specialist for heart rhythm issues, or an electrophysiologist, for further evaluation. This doctor can confirm the diagnosis of PVCs and determine if they are benign or malignant. PVCs are quite frequent and usually don't cause any problems except when they are frequent over a long period of time. This can lead to a weakened in the heart muscle, or a condition known as pvc-induced cardiomyopathy. This is most common in older people or those with any form of heart disease. It can also happen to healthy people with normal, normal hearts. However, it's more common in those who regularly exercise. It's not a serious condition, but you should tell your doctor if symptoms like fatigue or fainting occur. Treatment For many people, sporadic PVCs aren't likely to cause symptoms or are harmless and require no treatment. If you notice that your heart is racing or slurring an entire beat, you need to see a doctor right away. A cardiologist will begin by interviewing you and doing physical examination, and monitoring your heart using an stethoscope to detect any irregular beats. Additionally, you will have an electrocardiogram (ECG) done, which will record the electrical impulses that occur in your heart and detect any arrhythmias. If an arrhythmia is identified then an all-day Holter monitor or another portable ECG will be needed to capture the abnormal rhythm over longer periods of time. These devices can assist doctors determine if you suffer from PVCs and the reason for them like an imbalance in electrolytes, drug toxicity or other causes. An echocardiogram, also known as an ultrasound of your heart, may be ordered to determine if your heart is healthy and look for any signs of structural problems that can lead to PVCs. You may also be asked to undergo an exercise test to find out the response of your heart to exercise. Exercise can increase the frequency of pvcs. You can also take blood tests to test your thyroid hormone and magnesium, potassium and other hormones to determine whether they're insufficient. This could lead to PVCs. Once your doctor has confirmed that you suffer from PVCs and has eliminated any serious illness, the decision on whether or not to treat them will be contingent on the degree to which they're affecting your life and how frequently they occur. If double glazing doctor occur occasionally and don't cause any symptoms then your doctor is unlikely to recommend any treatment that can reduce their frequency or severity. However, if you have frequent PVCs that trigger palpitations and other symptoms, such as feeling lightheaded or like you're going to faint, your physician may suggest medications, such as beta blockers or calcium channel blockers. Lifestyle changes like avoiding caffeine, smoking, and excessive stress can reduce the frequency of these irregular pulses. The following is a list with preventions. A person may experience no symptoms whatsoever from PVCs or experience heart palpitations (irregular heartbeats) that can feel like “skipped” beats or fluttering in the chest. Sometimes, these episodes trigger a fullness or pressure in the chest, and at other times they can make someone feel faint. These episodes are caused by the heart isn't pumping as efficiently as it normally does. PVCs are associated with an increased risk of developing dilated cardiac myopathy. This is a condition where the heart gets larger and in a position to not pump blood. PVCs are usually caused by changes in body chemistry. They can be caused by the release of adrenaline and thyroid hormones, and drinking alcohol or caffeine. Inactivity can trigger these symptoms and stress, as well as excess weight. Some people can find that a change in diet helps reduce their PVCs. For instance, they can avoid foods which contain preservatives that could cause a disturbance in the heart rhythm, such as disodium Guanylate (E621) disodium inosinate (E627), and diazole sodium (E282-283). It is also recommended to consume more fruits and vegetables to ensure that they get enough potassium and magnesium. It is important to get regular health checks, which include annual physicals and laboratory tests. These tests can help you identify any heart-related conditions that could cause your PVCs. It is also recommended to adhere to an eat-healthy diet and refrain from smoking, which can increase the frequency of your episodes. A survey of 14 normal hospital wards found that healthcare staff were generally aware of preventive measures for vascular catheter-associated infection, but their self-assessment of compliance to these practices was low. After a feedback intervention the compliance level improved on a few areas, but was still very low. This suggests that training is required on how to implement preventive measures and those wards that are less than compliant 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 require making sure that the right tools are available for implementing of the preventive measures. Signs and symptoms If you feel that your heart is skipping beats or fluttering, it could be premature ventricular contractions. These arrhythmias may be harmless or they can be an indication of serious heart issues. In healthy individuals, occasional PVCs aren't a problem, and they usually disappear on their own. If you've got a lot of them, they can cause dizziness or weakening. Consult your doctor if you're concerned. They might need to diagnose the problem by taking a medical history and giving you an examination. They might also need to conduct an electrocardiogram, or other tests. An ECG is a test that's quick that allows your health care provider detect the signal of your heartbeat as it moves through your heart in a short time. If you have PVCs, they'll show up on the test. Your doctor might also suggest a Holter monitor that records your heartbeat over a longer amount of time. They can help distinguish PVCs from other arrhythmias that cause heart palpitations. You can wear an event monitor, a portable device which keeps track of your heart's rhythm for 30 days. Other tests for your heart might be needed, depending on the reason for your PVCs. A cardiologist will test your blood pressure or perform an echocardiogram (ultrasound of the heart). These tests can tell whether you have an illness such as heart failure or mitral valve prolapse or cardiomyopathy. Your doctor may also have to conduct an analysis of your blood to determine what's wrong with your electrolytes, such as low potassium or high levels of calcium. This could indicate that you suffer from PVCs or another problem such as anemia, or anxiety disorders. You might be referred to an electrophysiologist an expert who specializes in treating irregular heart rhythms. If you suffer from structural heart disease the doctor may need to do other tests, like an MRI or CT scan of your chest. These tests can tell whether you've suffered damage to your heart, and how serious it is. In some cases, the doctor may recommend the use of a pacemaker or ICD to treat the condition that is causing your PVCs.