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How a VC Can Affect Your Heart
PVCs are commonplace and can be experienced by a wide range of people without causing any issues. If they happen frequently, PVCs may weaken your heart and increase your chance of suffering from heart failure.
A bundle of fibers located in the upper right-hand corner of your heart (the sinoatrial, or SA, node) typically regulates your heart's rhythm. Electrical signals travel to the ventricles, or lower chambers of the heart.
Causes
PVCs occur when the electrical impulse that typically begins your heartbeat in a part called the sinus node (also called the sinoatrial node or SA node) doesn't. Instead, the impulse is generated in a different area of your heart called the ventricles and triggers a mistimed beat. These extra beats, called ventricular tachycardia or fibrillation, can feel like your heart skipped a beat, or it feels like it is like it's fluttering. They may happen rarely and not cause any symptoms, or they can occur frequently enough to impact your quality of life. If they occur frequently or cause weakness, dizziness, or fatigue, your doctor might treat them with medicine.
PVCs are generally harmless and don't increase your risk of heart disease. Regular PVCs however, could weaken the heart muscle over time. This is particularly relevant if the PVCs are caused by conditions like dilated cardiomyopathy and arrhythmogenic right ventricle cardiomyopathy that could lead to heart failure.
The signs of PVCs include feeling like your heart skips a beat or is fluttering, and you feel exhausted. The fluttering could be more apparent when you exercise or consume certain beverages or foods. People with chronic stress or anxiety can have more PVCs, and some medications such as amiodarone, digoxin, and cocaine may increase the risk of developing them.
If you have occasional PVCs your doctor may recommend lifestyle changes and medications. If you have frequent PVCs, your doctor might recommend avoiding certain foods and drinks such as caffeine and alcohol. You can also reduce your stress, and take advantage of plenty of rest and exercise.
If you've got a lot of PVCs, your doctor may suggest a medical procedure known as radiofrequency catheter ablation. It eliminates the cells responsible for them. Electrophysiologists are the ones who perform this procedure. The treatment is typically effective in treating PVCs, reducing symptoms but it does not stop them from returning in the future. In certain cases, it may increase the risk of atrial fibrillation (AFib), a condition that can result in stroke. It's not common, but it can be life-threatening.
Symptoms
Premature ventricular contractions, also known as PVCs, may make your heart seem to flutter or skip one beat. These heartbeats can be harmless, but it is important to talk to your doctor when you experience frequent episodes or other symptoms such as dizziness or weakness.
Normally, electrical signals start at the sinoatrial junction, located in the top right side of the heart, and travel down to the lower chambers (or ventricles) that pump blood. The ventricles expand to pump blood into the lung. They return to the center to begin the next cycle of pumping. A PVC starts in a different location in the Purkinje fibers are located in the left side of the heart.
When PVCs happen and the heart is affected, it may appear to be racing or pounding. If you have only one or two episodes, and there are no other symptoms the cardiologist will likely not prescribe treatment. If you have a lot of PVCs the doctor may suggest that you undergo an electrocardiogram (ECG) to measure the heartbeat for a period of 24 hours. They may also recommend wearing a Holter Monitor which tracks your heartbeat and tracks the number of PVCs.
window doctor who have had a prior heart attack or suffer from cardiomyopathy -which alters the way the heart pumps blood should take their PVCs seriously and speak with a cardiologist about changes to their lifestyle. This includes cutting down on caffeine, alcohol and smoking, managing stress and anxiety, as well as getting enough rest. A cardiologist can prescribe beta blockers to slow down the heartbeat.
Even if there aren't any other symptoms it is still recommended to have PVCs examined by an expert in cardiology if they occur often. These heartbeats that are irregular could be a sign of a problem with the structure of your heart or lungs, and if they occur often enough, can weaken the heart muscle. Most people with PVCs don't experience any problems. They want to know if the irregular heartbeats or fluttering is normal.
Diagnosis
PVCs can feel like heartbeats that flutter, especially if they are frequent and intense. People who experience them often may feel faint. They can also occur during exercising, but most athletes who experience them don't have any problems with their health or heart. PVCs can be detected 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 might also use an echocardiogram, which makes use of ultrasound to examine the heart and determine how it's functioning.
Most of the time, a doctor will be able to determine if someone has PVCs through a medical history and physical exam. But sometimes they might only be able to detect them when they examine the patient for other reasons, for instance after a surgery or accident. Ambulatory ECG monitoring systems can assist in detecting PVCs and other arrhythmias, and could be utilized in the event of any suspicion of a cardiac condition.
If your cardiologist finds that your heart is structurally normal, reassurance is the only remedy required. If your symptoms are troubling or make you feel anxious, staying away from alcohol, caffeine and other over the counter decongestants, and reducing stress may help. Regular exercise, maintaining a healthy weight, and drinking enough fluids can aid in reducing the frequency of PVCs. If your symptoms persist or are severe, talk to your doctor about medication options to treat these symptoms.
Treatment
If PVCs are rare or don't cause symptoms, they rarely need treatment. If they occur frequently, your doctor might want to check for heart problems or suggest lifestyle changes. You could also have a procedure (called radiofrequency cathode ablation) to eliminate of them.
If you have PVCs in your heart, the electrical signal which creates your heartbeat is located outside of the sinoatrial (SA) node located in the upper right corner of your heart. This can cause your heart to feel like it skips beats or has additional beats. It's not known what causes these symptoms, but they're common in people with other heart issues. PVCs can become more frequent as you age, and they might occur more frequently during exercises.
If a patient has frequent and painful PVCs the doctor should conduct an ECG and an echocardiogram to rule out heart disease that is structural. The doctor may also perform an exercise stress test in order to determine if the extra heartbeats are caused by physical activity. A heart catheterization, cardiac MRI or nuclear perfusion study can be done to look for other causes for the extra beats.
The majority of people with PVCs are not affected and can live an ordinary life. However, they may increase the risk of developing dangerous heart rhythm problems particularly if you have certain patterns of them. In some instances, this means that the heart muscle becomes weaker and it is more difficult to pump blood throughout your body.
A healthy, regular diet and a lot of exercise can reduce the chances of developing PVCs. You should avoid foods that are high in fat and sodium as well as limit caffeine and tobacco. You should also try to get enough rest and manage stress. Some medicines may also increase the risk of developing PVCs. If you are taking any of these medications it is crucial that you follow the advice of your doctor regarding healthy eating, exercising, and taking your medication.
Studies of patients with an excessive amount of PVCs (that's more than 20 percent of their total heart beats) discovered that they had a higher risk of arrhythmia-induced cardiomyopathy. This could lead to the need for a transplant in certain individuals.
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