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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 generally not dangerous and may disappear on their own.

To determine PVC doctors listen to your heartbeat and check other vital signs. They may order an Holter Monitor that captures the electrical impulses of your heart over a span of between 24 and 48 hours. They can also order blood tests for checking your electrolyte levels and thyroid hormones.

Diagnosis

PVCs are caused by electrical impulses which misfire through the SA node, a structure in the lower chambers of the heart. This delay the next heartbeat which can cause the feeling of skipped beats or fluttering in the chest. PVCs can be seen in a single pattern or in repeated patterns. Two consecutive PVCs are referred to as doublets, while three or more consecutive PVCs are referred to as the condition known as ventricular Tachycardia (VT).

Some people don't experience any symptoms whatsoever Others experience heart palpitations which could feel like an irregular heartbeat or a pounding. Other common symptoms are tiredness, dizziness or a sensation of being unwell.

Many people who experience occasional PVCs do not require any treatment. If a patient experiences frequent episodes, a doctor might suggest a change in the diet or lifestyle. For instance restricting caffeine, stress, and alcohol. They can prescribe beta-blockers and calcium channel blockers to lower blood pressure and slow the heart rate.

Doctors will inquire about the person's medical history and conduct a physical exam to assess their general health. They can also perform an electrocardiogram (ECG) to take an image of the heart's electrical activity or a Holter monitor, which is worn for longer periods and captures the heart's rhythms over time. Doctors may order blood tests in some instances to determine if there are electrolyte imbalances or toxic effects of drugs.

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

PVCs are everywhere and are generally not harmful when used frequently or for long periods of time. This could lead to a weakening in the heart muscle or a condition known as pvc-induced cardiac myopathy. This is most prevalent in older people or those suffering from any form of heart disease. It can also occur in healthy people with normal heart function, but it is more likely to occur in those who exercise regularly. Usually, this isn't an issue that is serious, but it is important to tell a doctor if you notice symptoms like fainting or fatigue.

Treatment

PVCs are not harmful or cause any symptoms in the majority of people. They do not require treatment. If you feel like your heart is racing or skipping a beat, it's best to consult a doctor immediately.

A cardiologist will interview you and perform a physical examination, listening to your heart using an stethoscope to identify any irregular beats. Additionally, you will have an electrocardiogram (ECG) performed to record the electrical signals in your heart and detect any arrhythmias. If an arrhythmia has been discovered it is recommended to use an portable ECG or 24-hour Holter monitor will be required to record the abnormal rhythm for longer durations of time. These devices can help doctors determine whether you have PVCs and the reason for them like an imbalance in electrolytes, drug toxicity or other factors.

An echocardiogram, or an ultrasound of your heart, could be ordered to assess if your heart is healthy and check for indications of structural issues that can lead to PVCs. You could also be asked to take stress tests to determine how your heart reacts to exercise. Exercise can increase the frequency of PVCs. You can also have blood tests to check your magnesium, potassium and thyroid hormone levels to determine whether they are insufficient which could contribute to the formation of PVCs.

After your doctor has confirmed that you suffer from PVCs and has ruled out any serious diseases and has made a decision about whether or not to treat them will be based on the degree to which they're affecting 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 you are experiencing frequent PVCs, which can cause heart palpitations, or other symptoms like feeling lightheaded or fainting, your doctor may prescribe medication such as beta blockers and calcium channel blockers. Changes in lifestyle, like cutting down on smoking, caffeine and stress, can also reduce the frequency of these abnormal pulses.

Prevention

A person might not experience any symptoms whatsoever from PVCs, or feel heart palpitations (irregular heartbeats) which can feel like "skipped" beats or a fluttering sensation in the chest. These episodes can cause feelings of pressure or fullness, or make you feel faint. These episodes result from the heart not pumping as effectively as it should. The frequent PVCs increase the chance of developing dilated cardiomyopathy. a condition where the heart gets larger and is unable to pump blood.

PVCs are often caused by changes in the body's chemistry. This can be caused by the release of thyroid hormones and adrenaline as well as drinking alcohol or caffeine. Lack of exercise can trigger these symptoms and stress, as well as excess weight.

Certain people find that altering their diet may help to reduce the amount of PVCs. They can, for instance avoid foods that are preservative-laden, which can cause a disturbance of the heart rhythm. These include disodium guanylate, diazole, and disodium inosinate Sodium (E282-283). Eat more fruits and veggies to get enough magnesium.

It is essential to have regular health checks, which include annual physicals and lab tests. These tests can help diagnose any heart conditions that may cause your PVCs. You should also refrain from smoking and adhere to the healthy eating plan. This can increase your frequency of episodes.

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Signs and symptoms

Premature ventricular contractions can cause your heartbeat to skip or flutter. These arrhythmias may be harmless or they can be an indication of serious heart issues.

In healthy individuals, PVCs that occur occasionally are not a problem. They generally disappear on their own. If you have many of them, it could cause dizziness or weakening. If you're worried you might be experiencing dizziness or weakness, talk to your doctor about the symptoms. They might need to diagnose the problem by taking an history of your medical condition and conducting a physical exam. They may also do an electrocardiogram (ECG or EKG) or other tests.

A quick ECG test allows your doctor to see the signal of your heartbeat moving through your body over a short period of time. If you have PVCs, they will show in the test. Your doctor might also suggest the use of a Holter monitor that records your heartbeat over a longer period of time. These tests can help differentiate PVCs from arrhythmias that cause heart palpitations. You could also wear a portable device that can record your heart rhythm over the course of 30 days, which is known as an event monitor.

Other tests for the heart may be required, depending on the reason for your PVCs. For example a cardiologist could check your blood pressure, and also perform an ultrasound of your heart (echocardiogram). These tests will determine whether you have an issue such as heart failure, mitral valve prolapse, or cardiomyopathy.

Your doctor might also need to do a blood test to see what is wrong in your electrolytes, such as low potassium or high levels of calcium. This could be a sign of PVCs or other conditions that can cause them, including anxiety disorders and anemia.

You could be directed to an electrophysiologist, a specialist who specializes in treating abnormal heart rhythms. If you suffer from structural heart disease the specialist may have to do other tests, such as an MRI or CT scan of your chest. These tests can determine whether your heart is damaged and how severe it is. In some cases, the doctor might recommend an implantable pacemaker or ICD to treat the underlying issue causing your PVCs.

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