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How a VC Can Affect Your Heart
Many people have occasional PVCs and have no issues. If they occur regularly, PVCs can weaken your heart muscle and increase your risk of heart failure.
A bundle of fibers located in the upper right part of your heart (the sinoatrial node, also known as SA) usually controls your heart's rhythm. Electrical signals travel from this node to the lower heart chambers, or ventricles.
Causes
PVCs occur by the electrical impulse that normally initiates your heartbeat at the Sinus Node (also called the Sinoatrial or SA node) is not initiated. The impulse actually begins in the ventricles and causes a mistimed heartbeat. These extra beats, also known as ventricular tachycardia, or ventricular fibrillation, can feel like your heart skipped a beat or is fluttering. They can occur rarely, causing no 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 may treat them with medication.
PVCs are generally safe and do not increase your risk of heart disease. Over time, repeated PVCs can weaken the heart muscle. This is especially relevant if they are triggered by a heart condition such as dilated cardiomyopathy arrhythmogenic right ventricular cardiomyopathy, which can lead to symptomatic heart failure.
PVCs can cause symptoms like a feeling of your heart racing a beat, or fluttering. You may also feel breathless. The fluttering may be more apparent when you exercise or consume certain beverages or foods. PVCs are more prevalent in people with chronic anxiety or stress. Some medications, like digoxin, amiodarone or cocaine, can increase the risk of developing PVCs.
If you are experiencing occasional PVCs Your doctor may suggest lifestyle changes and medication. If they're a frequent occurrence, you may need to stay clear of certain foods and beverages, such as caffeine and alcohol. You can also lower your stress by taking enough rest and working out.
If you have lots of PVCs the doctor might suggest a medical treatment called radiofrequency catheter ablation. It destroys cells that cause PVCs. Electrophysiologists are the ones who carry out this procedure. It is generally effective in treating PVCs and reducing symptoms, however it does not stop them from recurring in the future. In some instances it may increase the risk of developing atrial fibrillation (AFib) which could cause a stroke. It is not common but it could be life-threatening.
Signs and symptoms
Premature ventricular contractures, or PVCs can cause your heart to skip or be fluttering. These extra heartbeats are generally harmless, but it is important to consult your physician if you have frequent episodes or symptoms like dizziness or weakness.
The electrical signals typically begin at the sinoatrial junction, located in the top right side of the heart. They descend to the lower chambers (or ventricles) that pump blood. The ventricles contract to push the blood into the lungs. They then return to the center to begin the next cycle of pumping. A PVC starts in a different location that is 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 beating faster or slower. If you have only a few episodes, and no other symptoms are present, your cardiologist will probably not prescribe treatment. If you have a lot of PVCs and your doctor might suggest that you undergo an electrocardiogram (ECG) to monitor your heartbeat for 24 hours. The doctor may also suggest wearing a Holter Monitor, which records the heart's rhythm and count the number of PVCs.
People who have suffered an earlier heart attack or have suffered from cardiomyopathy - a condition which affects the heart's blood flow - must take their PVCs seriously and consult an expert in cardiology about lifestyle modifications. These include avoiding alcohol, caffeine and smoking, reducing stress and anxiety, as well as getting enough rest. A cardiologist might prescribe medications to slow the heartbeat like a beta blocker.
Even if there aren't any other symptoms, you should still get PVCs examined by an cardiologist if they occur often. These heartbeats that are irregular could indicate a problem in the structure of your lungs or heart, and if they occur frequently enough, can weaken your heart muscle. Most people with PVCs do not have any problems. They simply want to be aware that the fluttering or racing heartbeats aren't normal.
Diagnosis
PVCs can feel like heartbeats that are fluttering particularly if they're frequent and intense. Patients who have a lot of them may feel they're about to faint. Exercise can trigger them, but many athletes who experience them do not have heart or health problems. PVCs could show up in tests such as an electrocardiogram (ECG) or Holter monitor. They use sticky patches with sensors to record electrical impulses from your heart. A cardiologist could also employ an ultrasound echocardiogram to study the heart.
A doctor can often tell whether a patient has PVCs by examining them and taking their medical history. Sometimes, however, they may only notice PVCs when examining the patient for another reason, like following an accident or surgical procedure. Ambulatory ECG monitors can detect PVCs and other arrhythmias. They may be used to detect cardiac disease when there is a concern.
If your cardiologist concludes that your heart is structurally normal, reassurance is the only treatment required. If your symptoms are causing you discomfort, or cause you to feel anxious, avoiding alcohol, caffeine, and over the prescription decongestants, as well as reducing stress may aid. Regular exercise and maintaining a healthy weight and drinking enough fluids can help to reduce the frequency of PVCs. If your symptoms persist or are severe, speak to your doctor about possible treatments that could help control the symptoms.
Treatment
If PVCs aren't causing symptoms or occur rarely, they usually don't need treatment. If they occur frequently your doctor may need to examine for heart problems or suggest lifestyle adjustments. You might also get an operation to rid yourself of them (called radiofrequency catheter ablation).
If you have PVCs in your heart, the electrical signal which creates your heartbeat is located different than the sinoatrial (SA) node that is located in the upper right-hand corner of your heart. It can feel like your heart skips beats or is beating faster. PVCs are more prevalent among people who suffer from heart issues, but it's not known what causes them. PVCs may increase in frequency with age and might happen more frequently during exercising.
A physician should perform an ECG and an echocardiogram on a patient that has frequent and painful PVCs to determine if there are structural heart problems. The doctor will also conduct an exercise stress test to determine if the additional heartbeats are due to physical exercise. To find out whether there are other reasons for the extra beats, a heart catheterization or a cardiac MRI could be conducted.
The majority of people with PVCs do not suffer from any complications and can lead a normal lifestyle. But they can increase the risk of developing dangerous heart rhythm issues particularly if you have certain patterns of them. In some cases, that means that the heart muscle becomes weaker and has trouble pumping blood throughout your body.
Regular exercise and a healthy diet can reduce your risk of developing PVCs. Avoid foods that are high in fat and sodium, and you should also reduce your intake of caffeine and tobacco. Sleep and stress are equally crucial. Certain medications can increase your risk of getting PVCs. If you are taking any of these medicines it is crucial to follow the advice of your doctor about eating healthy exercising, as well as taking your medication.
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