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Why It's Important to See a Doctor
Premature ventricular contractions (PVCs) are a kind of irregular heartbeat. These extra beats aren't usually hazardous, and they could disappear on their own.
To determine PVC Doctors will listen to your heartbeat and look for other vital signs. They may order an Holter Monitor that captures the electrical impulses of your heart over a time of between 24 and 48 hours. They may also request 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 ventricles, or lower chambers, fail to pass through a structure called the SA node. This delays the next heartbeat and causes the feeling of fluttering or skipped beats in the chest. PVCs can be seen as a single event, or in repeated patterns. Doublets are two consecutive PVCs. Ventricular tachycardia is three or more consecutive ones.
Some people do not experience any symptoms, but others experience heart palpitations. It could be the sound of a beating heart or a skipping heartbeat. Other typical symptoms include fatigue, dizziness or a sensation of being unwell.
Many people with occasional PVCs don't need any treatment. If a patient experiences frequent episodes, a physician might recommend a change in diet or lifestyle. For example, limiting caffeine or stress, as well as alcohol. They may prescribe beta-blockers and calcium channel blockers that can lower blood pressure and slow the heart rate.
Doctors will ask about the medical history of the patient and perform a physical examination to assess their general health. They can also perform an electrocardiogram (ECG) to get an image of the heart's electrical activity, or a Holter monitor that is worn for longer time periods and records 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 for heart rhythm issues, 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 quite common and don't usually cause any issues, unless they happen frequently over a long period of time. This can lead to a weakened in the heart muscle or a condition known as pvc-induced cardiac myopathy. It is more prevalent in older people or those suffering from heart disease. It can also happen to healthy individuals with normal, normal heart. However, it's more common in those who exercise regularly. It's not a serious issue, but you should consult your physician if you notice symptoms such as fainting or fatigue occur.
Treatment
PVCs are not harmful and do not cause symptoms in a lot of people. They do not require treatment. If you notice that your heart is racing or not making a beat, it's best to see a doctor right away.
A cardiologist will interview you and perform a physical examination and listen to your heart using an stethoscope to identify any irregular heartbeats. You will also undergo an electrocardiogram that captures the electrical impulses of your heart to determine any arrhythmias. If an arrhythmia is discovered it is recommended to use the use of a portable ECG or a 24-hour Holter monitor is required to record the abnormal rhythm for longer periods of time. These devices will help doctors determine if you suffer from PVCs and the cause of them, like an electrolyte imbalance, a drug toxicities, or any other cause.
You might be requested to undergo an echocardiogram (an ultrasound of your heart) to determine if your heart health is good and to look for structural issues which could lead to PVCs. You might also have a stress test to see how your heart reacts to exercise, as physical exercise can increase the frequency of your pvcs. You may also undergo blood tests to assess your magnesium, potassium and thyroid hormone levels to find out whether they are low, which can contribute to the development of PVCs.
After your doctor confirms that you suffer from PVCs and has ruled any serious illnesses out, the treatment option you choose is based on the impact they have on your life and how frequently they occur. If they happen only infrequently and do not cause symptoms then your doctor is unlikely to prescribe any medication to reduce their frequency or severity.
If you are experiencing frequent PVCs, which can cause palpitations or other symptoms such as feeling light-headed or fainting, your physician might prescribe medications like beta blockers and calcium channel blockers. Lifestyle changes like abstaining from smoking, caffeine and stress, can reduce the frequency of these irregular pulses.
The following is a list of preventatives.
A person may experience no symptoms whatsoever from PVCs, or feel heart palpitations (irregular heartbeats) which can be felt as "skipped" beats or a fluttering sensation in the chest. These episodes can cause feelings of fullness or pressure, or make you feel faint. These episodes occur because the heart is not functioning as efficiently as it should. Frequent PVCs increase the risk of developing dilated cardiomyopathy, a condition wherein the heart enlarges and becomes ineffective at 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 and alcohol consumption or caffeine. A lack of exercise can trigger these episodes, as can stress or excess weight.
Certain people find that altering their diet can reduce PVCs. For example, they can avoid foods which contain preservatives that could cause a disturbance to the heartbeat, for example disodium guanylate (E621) disodium inosinate (E627) diazole sodium (E282-283). Consume more fruits and vegetables to get sufficient magnesium.
Regular health checks are important and include annual physicals. These can help diagnose any heart-related conditions which could be causing your PVCs. You should also follow an appropriate diet and refrain from smoking, which can increase the frequency of your episodes.
windowdoctor of healthcare staff on 14 normal hospital wards showed that they were generally aware of the preventive measures to avoid infections caused by vascular catheters However, their self-assessed compliance with these guidelines was low. The compliance improved following feedback interventions however it was still very lower on some of the observed wards. This suggests that education on how to implement preventive measures is required, and that those areas that are not as well-adjusted should be targeted for infection surveillance. These data can be used to guide quality improvement initiatives in these wards. This will likely involve additional training and education for staff. It will also require making sure that the appropriate tools are available for implementing of the preventive measures.
Symptoms
The premature contraction of the ventricular muscle can cause your heartbeat to skip or to flutter. These arrhythmias could be harmless, but they could indicate you are suffering from serious heart issues.
In healthy individuals, occasional PVCs aren't a problem and they usually disappear by themselves. If you have many of them, it can cause dizziness or weakness. If you're concerned about them, consult your doctor about the symptoms. They may have to identify the problem by taking a medical history and giving you an examination. They might also conduct an electrocardiogram, or other tests.
A short ECG test allows your doctor to see the signal of your heartbeat moving through your body over a short period of time. The test will reveal if you have PVCs. Your doctor may also recommend the use of a Holter monitor that tracks your heartbeat for a longer period of time. These tests can help distinguish PVCs from arrhythmias that cause heart palpitations. You can wear an event monitor, a portable device that records your heart rhythm for 30 days.
Other tests for the heart may be required, depending on the cause of your PVCs. A cardiologist can check your blood pressure, or perform an echocardiogram (ultrasound of the heart). This can help determine the presence of a medical condition that is causing your PVCs, such as mitral valve prolapse or heart failure.
Your doctor might also need to do a blood test to see what the problem is in your electrolytes, such as low potassium or high calcium levels. This can be a sign of PVCs or other conditions that could cause them, such as anxiety disorders and anemia.
You may be referred a specialist in electrophysiology, who treats abnormal heart rhythms. The specialist might 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 determine whether you've damaged your heart and how serious it is. In some instances doctors may suggest a pacemaker to treat the condition that causes the PVCs.