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How a VC Can Affect Your Heart
PVCs are commonplace and can be experienced by many people with no cause for concern. But if they occur frequently, PVCs can weaken your heart muscle and increase your risk of heart failure.
The rhythm of your heart is usually controlled by a group of fibers located in the upper right-hand part of your heart. This is called the sinoatrial nerve, or SA. Electrical signals are transmitted from there to the lower chambers of your heart or ventricles.
Causes
PVCs happen when the electrical impulse that usually starts your heartbeat in a region known as the sinus node (also called the sinoatrial node or SA node) does not. The impulse actually starts in the ventricles, causing an untimed heartbeat. These extra beats are also known as ventricular tachycardia and ventricular fibrillation. They may feel like the heart beats faster or feels like it is fluttering. They can happen infrequently without causing any symptoms, but they can also happen frequently enough to affect your quality of living. If they are very frequent or cause weakness, dizziness, or fatigue, your doctor could treat them with medication.
PVCs are generally safe and do not increase your risk of heart disease. In time, repeated PVCs can weaken the heart muscle. This is especially the case if they are caused by a heart disease like dilated cardiomyopathy, or arrhythmogenic right ventricular cardiomyopathy, which can lead to symptomatic heart failure.
The signs of PVCs include a feeling that your heart beats slower or flutters, and you may feel exhausted. The fluttering may be more evident when you exercise or eat or drink certain beverages or foods. PVCs are more common in people with chronic anxiety or stress. Certain medications, like digoxin, amiodarone and cocaine, can also increase the risk of developing PVCs.
If you experience occasional PVCs your doctor may recommend lifestyle changes and medications. If they are a frequent occurrence, you may have to stay clear of certain foods and beverages, such as alcohol and caffeine. You can also take steps to reduce your stress, and take advantage of plenty of rest and exercise.
If you have a lot of PVCs Your doctor might recommend a medical procedure referred to as radiofrequency catheter ablation. It destroys the cells that cause them. Electrophysiologists are the ones who execute this procedure. The treatment is usually effective in treating PVCs which reduce symptoms, but it does not stop them from returning in the future. In some cases it can increase the risk of atrial fibrillation (AFib) which is which can lead to stroke. It is not common, but it could be life-threatening.
Symptoms
Premature ventricular contractions or PVCs, can make your heart appear to skip or flutter the beat. These extra heartbeats are usually harmless, but you should talk to your doctor when you experience frequent episodes or symptoms like dizziness or weakness.
Normally, electrical signals begin at the sinoatrial junction, which is in the top right side of the heart. They travel down to the lower chambers (or ventricles) that pump blood. The ventricles expand to force blood into the lung. They return to the heart's center to begin the next cycle of pumping. A PVC begins at a different spot, the Purkinje fibres bundle at the bottom left of the heart.
When PVCs occur and the heart is affected, it may feel as if it's skipping a beat or pounding. If you have a few episodes and no other symptoms, your doctor probably won't be able to treat you. If you have a lot of PVCs and your doctor might suggest that you undergo an electrocardiogram (ECG) to monitor your heartbeat over the course of 24 hours. They may also suggest wearing a Holter Monitor, which records your heart rhythm and counts the number of PVCs.
If you've had a prior heart attack or have cardiomyopathy -- a condition that affects the way that the heart pumps blood -- must be aware of their PVCs and talk to a cardiologist about lifestyle changes. This includes avoiding caffeine, alcohol and smoking, reducing anxiety and stress and ensuring adequate sleep. A cardiologist may prescribe beta blockers to slow the heartbeat.
If you are experiencing frequent PVCs even if do not have other symptoms you should see a cardiologist. These irregular heartbeats could be a sign of problems with the structure of your heart or to other health conditions and, over time when they happen frequently enough, they can weaken the heart muscle. Most people with PVCs do not experience any problems. They want to know if the fluttering heartbeats or skipping heartbeats is normal.
Diagnosis
PVCs may appear to be fluttering or skip heartbeats, particularly when they're frequent or intense. People who experience a lot of them might feel like they're about to faint. Exercise can cause PVCs, but a lot of athletes who experience them have no heart or health problems. PVCs may show up on tests such as an electrocardiogram or Holter monitor. These are sticky patches that have sensors to record electrical impulses coming from your heart. A cardiologist can also perform an ultrasound echocardiogram for examining the heart.
Most of the time, a doctor will be able to determine if the patient is suffering from PVCs from a history and physical examination. But sometimes they might only be able to detect them when they examine the patient for other reasons, such as after an accident or surgery. Ambulatory ECG monitoring systems also help detect PVCs and other arrhythmias, and they might be used when there is a concern of cardiac disease.
If your cardiologist concludes that your heart is structurally healthy, reassurance might be all that's needed. However, if your symptoms are bothersome or make you feel anxious, staying away from alcohol, caffeine and other decongestants and reducing stress may help. Regular exercise and maintaining a healthy weight and drinking enough fluids can all aid in reducing the frequency of PVCs. If you are experiencing symptoms that are persistent or severe, speak to your doctor about medication that could help manage the symptoms.
Treatment
If PVCs aren't causing symptoms or happen rarely, they usually don't need treatment. If you experience them frequently, your doctor may want to look for any other heart problems and recommend lifestyle changes or medicine. You might also get a procedure to get rid of them (called radiofrequency catheter ablation).
If you suffer from PVCs in your heart, the electrical signal which triggers your heartbeat starts somewhere other than at the sinoatrial (SA) node, which is located in the upper right-hand corner of your heart. This could cause your heart to feel like it skips a beating or has extra beats. PVCs are more frequent among those suffering from heart disease, but it's not known the reason behind them. windows doctor can become more frequent as you age, and may be more frequent during exercise.
A physician should perform an ECG along with an echocardiogram on a patient that suffers from frequent and painful PVCs to determine if there are structural heart problems. They may also perform an exercise stress test to determine whether the additional beats are a result of physical activity. To find out whether there are any other causes for the extra beatings an invasive heart catheterization or a cardiac MRI is possible.
Most people who suffer from PVCs have no complications and can live a normal life. They could increase your risk for dangerous heart rhythm disorders particularly if they develop in certain patterns. In certain cases, it means that your heart muscle gets weaker and has trouble pumping blood through your body.
Regular exercise and a balanced diet will reduce your risk of developing PVCs. Avoid foods that are high in sodium and fat, and limit your consumption of tobacco and caffeine. Stress and sleep are also crucial. Certain medicines can also increase the risk of developing PVCs. If you are taking any of these medications, it is important that you follow your doctor's recommendations regarding healthy eating, exercising, and taking your medication.
In studies of patients with high PVC burdens (more than 20% of heartbeats) there was a higher incidence of arrhythmia-induced myopathy in the heart was observed. Some people may need a heart transplant.
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