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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 are typically not dangerous and can disappear on their own.

To determine PVC doctors listen to your heartbeat, and also check other vital signs. They might order an Holter Monitor that captures the electrical impulses of your heart over a period of 24 to 48 hours. They can also order blood tests to check 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 known as the SA node. This causes the next heartbeat to be delayed, leading to the sensation of the heart is fluttering or skips beats. PVCs can be seen as a single event or in repeated patterns. Two consecutive PVCs are referred to as doublets, whereas three or more consecutive PVCs constitute the condition known as ventricular Tachycardia (VT).

Some people have no symptoms, but others experience heart palpitations. This can feel like a pounding heartbeat or a slurred heartbeat. Other typical symptoms include fatigue, dizziness or a sensation of being unwell.

Many people with occasional PVCs don't require any treatment. If a patient experiences frequent episodes, a doctor might recommend a change in the diet or lifestyle. For instance, limiting caffeine, stress, and alcohol. They may prescribe medications such as beta-blockers or calcium channel blockers to lower blood pressure and slow down the heart rate.

Doctors will ask the patient about their medical history and conduct a physical examination to determine their general health. They may also use an electrocardiogram (ECG) to take 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. Doctors may order blood tests in some instances to look for imbalances in electrolytes or toxic substances in the body.

A pvc physician may refer the patient to an electrophysiologist or specialist in heart rhythm disorders for misty further examination. The doctor can confirm a diagnosis of PVCs, and determine whether they are malignant or benign.

PVCs can be found everywhere and aren't usually harmful when used frequently or for a long time. This can lead to a weakening of the heart muscle or a condition called pvc-induced cardiomyopathy. It is more common in older people, or those who have any form of heart disease. It can also happen in healthy people with an uninvolved heart, however this is more likely in those who exercise regularly. It's not a serious condition, but you should tell your doctor if symptoms like fatigue or fainting occur.

Treatment

PVCs are not harmful and do not cause symptoms in a lot of people. They don't require treatment. However those who do feel their heart has skipped the beat or is racing, it's important to see a doctor immediately.

A cardiologist begins by interviewing you and performing a a physical exam, listening to your heart with a stethoscope for any irregular heartbeats. You'll also get an electrocardiogram (ECG) performed that records the electrical impulses in your heart and detect any arrhythmias. If an arrhythmia is found then you will require a 24-hour Holter monitor or other portable ECG will be required to record the abnormal rhythm over longer periods of time. These devices will help doctors determine if you have PVCs and the underlying cause for them, like an electrolyte imbalance or drug toxicity, or other factors.

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 could also have a stress test to check how your heart responds to exercise, since physical activity can increase the frequency of your PVCs. You can also take blood tests to determine your thyroid hormone and magnesium, potassium, and other hormones to determine whether they're low. This can lead to PVCs.

Once your doctor has confirmed that you have PVCs and has eliminated any serious diseases and has made a decision about whether to treat them will depend on the degree to which they're affecting your life and how often they occur. If they happen only infrequently and don't cause any symptoms the doctor is not likely to recommend any treatment that can reduce their frequency or severity.

If you experience frequent PVCs that do cause palpitations and other symptoms, like lightheadedness or feeling like you're going to faint, your physician might recommend medications for you, such as beta blockers or calcium channel blockers. Changes in lifestyle, like cutting down on smoking, caffeine, and excessive stress can also reduce the frequency of these abnormal pulses.

Prevention

PVCs can cause no symptoms or heart palpitations that can feel like "skipped beats" or flutters in your chest. These episodes can trigger an feeling of fullness or pressure, or they can make you feel faint. These episodes are caused by the heart is not functioning as efficiently as it should. PVCs are linked to an increased risk of dilated cardiomyopathy. This is a condition where the heart gets larger and unable to pump blood.

PVCs are usually caused by changes in body chemistry. They can be caused by the release of thyroid and adrenaline hormones, as well as drinking alcohol or caffeine. Inactivity can trigger these episodes and stress, as well as excess weight.

Some people have found that a change in their diet helps to reduce their PVCs. They can, for example avoid foods that contain preservatives that could cause disturbances to the heart rhythm. These include disodium Guanylate, disodium Inosinate, and diazole sodium (E282-283). They can also take in more fruits and vegetables to ensure they're getting sufficient magnesium and potassium.

Regular health checks are essential as are annual physicals. These can help diagnose any heart issues that could be the cause of your PVCs. Also, you should refrain from smoking and adhere to the healthy eating plan. This can increase the frequency of episodes.

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Signs and symptoms

The premature contraction of the ventricular muscle can cause your heart to skip beats or be fluttering. These arrhythmias may be normal, or they could be a sign that you have serious heart problems.

In healthy people, PVCs that occur occasionally are not an issue. They typically disappear on their own. If you've got a lot of them, they can cause dizziness or weakening. If you're worried you might be experiencing dizziness or weakness, talk to your doctor about the symptoms. They may need to determine the problem by taking a medical history and conducting a physical exam. They'll also probably want to perform an electrocardiogram (ECG or EKG) or other tests.

A short ECG test allows your doctor to see the signal of your heartbeat going through your body over a an extremely short time. If you have PVCs, Window Sill Repair they'll show up on the test. Your doctor may also suggest to conduct an overnight or 24-hour Holter monitor, which records your heartbeat over longer periods of time. These tests can help distinguish PVCs from arrhythmias that cause heart palpitations. You could also carry a device that can record your heart's rhythm over a period of 30 days, referred to as an event monitor.

Other heart tests may be required, depending on the cause of your PVCs. A cardiologist may check your blood pressure or conduct an echocardiogram (ultrasound of the heart). These tests can tell whether you have an illness like heart failure or mitral valve prolapse or cardiomyopathy.

Your doctor may also be required to conduct a blood test to see what is wrong with your electrolytes, like low potassium or high calcium levels. This could be a sign of PVCs or other conditions that can cause them, such as anemia and anxiety disorders.

You may be referred to a specialist in electrophysiology, who can treat irregular heart rhythms. If you have heart disease that is structural the doctor may need to conduct additional tests, like an MRI or CT scan of your chest. These tests can determine if your heart is damaged and how severe the damage is. In some instances, the doctor might recommend an implantable pacemaker or ICD to treat the condition that is creating your PVCs.