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Premature ventricular contracts (PVCs) are a form of irregular heartbeat. These extra beats aren't usually risky, and they may go away by themselves.
Doctors will monitor your heartbeat, and check other vitals signs. They may order a Holter Monitor, which captures the electrical impulses of your heart over a period of 24 to 48 hours. They can also order blood tests to check your thyroid and electrolyte levels. hormones.
Diagnosis
PVCs are caused by electrical impulses that misfire through the SA node, which is a structure found in the lower chambers of the heart. This causes the next heartbeat to delay, which can cause the sensation of the heart is fluttering or skips beats. PVCs can occur in isolation, or in repeated patterns. Two consecutive PVCs are referred to as doublets. Three or more consecutive PVCs are referred to as ventricular tachycardia (VT).
Some people do not experience any symptoms, while others experience palpitations. It can be felt as a pounding heartbeat or a skipping heartbeat. Other signs include dizziness, fatigue, or a feeling that you're unwell.
Many people who have occasional PVCs don't require any treatment. If a person has frequent episodes, doctors could suggest a change to lifestyle or diet including a reduction in caffeine, alcohol and stress. They may also prescribe medications, such as beta-blockers or calcium channel blockers which can lower the heart rate and lower blood pressure.
Doctors will inquire about their medical history, and then perform an examination of the body to assess their general health. They may also employ an electrocardiogram (ECG) to take a snapshot of the heart's electrical activity, or a Holter monitor, which is worn for longer periods and monitors the heart's rhythms over time. In some cases doctors may require blood tests to determine if there is an electrolyte imbalance or toxic effects from drugs.
Sometimes, a pvc doctor may refer a patient to a specialist for heart rhythm problems or an electrophysiologist for further evaluation. The doctor can confirm the diagnosis of PVCs, and determine whether they are benign or malignant.
PVCs can be found everywhere and aren't usually harmful when used frequently or for a long period of time. This could lead to a weakening of the heart muscle, or a condition called pvc-induced cardiomyopathy. This is more common in older people or those suffering from heart disease. It can also happen to healthy individuals with a normal, normal heart. However, it's more common in those who exercise regularly. Usually, this isn't an issue to worry about however it is crucial to consult your doctor if you experience symptoms such as fainting or fatigue.
Treatment
PVCs are not harmful or cause any symptoms in the majority of people. They do not require treatment. But those who do feel your heart is lagging a beat or is racing, it's vital to see a doctor as soon as you can.
A cardiologist will start by interviewing you and doing physical examination, and monitoring your heart using an stethoscope to detect any irregular heartbeats. Additionally, you will undergo an electrocardiogram that records the electrical signals of your heart to detect any arrhythmias. If an arrhythmia is detected it is recommended to use a portable ECG or a 24-hour Holter monitor is required to document the abnormal rhythm for longer periods of time. These devices can help doctors determine whether you have PVCs and the cause of them, such as an electrolyte imbalance or drug toxicity, or other factors.
An echocardiogram, or an ultrasound of your heart, may be ordered to determine whether your heart is in good health and look for any indications of structural issues which could cause PVCs. You could also have an exercise test to determine how your heart reacts to physical exercise can increase the frequency of your PVCs. You can also have blood tests to determine your thyroid hormone and magnesium, potassium and other hormones to determine whether they're low. This could lead to PVCs.
After your doctor confirms that you suffer from PVCs and has ruled any serious illnesses out, the decision to treat them will depend on how they affect your life and the frequency they occur. If they only occur occasionally and don't cause any symptoms, your doctor is unlikely to prescribe any medication that can reduce their frequency or severity.
If, however, you suffer from frequent PVCs that cause heart palpitations, as well as other symptoms such as light-headedness or feeling like you're going to faint, your physician might recommend medications, such as beta blockers or calcium channel blockers. Lifestyle changes like abstaining from smoking, caffeine and 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 the chest. Sometimes, these episodes cause an increase in pressure or fullness in the chest, and other times, they can cause a person to feel faint. These episodes result from the heart not pumping as well as it should. PVCs are linked to an increased chance of developing dilated cardiomyopathy. This is a condition in which the heart gets larger and is unable to pump blood.
PVCs are often caused by changes in body chemistry. This is due to the release of thyroid hormones and adrenaline, as well drinking alcohol or caffeine. Lack of exercise can trigger these episodes like stress or excessive weight.
Some people find that changing their diet may help to reduce the number of PVCs. For instance, they can avoid foods with preservatives, which can cause a disturbance in the heart rhythm, such as disodium guanylate (E621) disodium inosinate (E627), and diazole sodium (E282-283). They can also take in more fruits and vegetables to ensure they are getting enough magnesium and potassium.
It is essential to have regular health check-ups, which include yearly physicals and lab tests. These tests can help you identify any heart issues that could be causing your PVCs. Also, you should adhere to an eat-healthy diet and refrain from smoking, which can increase the frequency of your episodes.
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Signs and symptoms
If you feel your heart beats are erratic or fluttering, it could be due to premature ventricular contractions. These arrhythmias aren't necessarily dangerous or they may be a sign of serious heart issues.

In healthy people, PVCs that occur occasionally are not any problem. They usually disappear on their own. But if you have several of them, they may lead to dizziness or weakness. Talk to your doctor if you are worried. They might need to diagnose the problem by taking an history of your medical condition and performing an examination. They may also conduct an electrocardiogram (ECG or EKG) or other tests.
An ECG is a quick test that allows your health care provider detect the signal of your heartbeat moving through your heart in an extremely short period of duration. If you have PVCs, they'll be visible in the test. Your doctor may also suggest to conduct a 24- or 48-hour Holter monitor, which records your heartbeat over longer periods of time. These can help differentiate PVCs from other types of arrhythmias that cause heart palpitations. You may also carry a device that records your heart rate over the course of 30 days, which is known as an event monitor.
Other tests for your heart might be required, depending on the cause of your PVCs. For example a cardiologist could check your blood pressure and perform an ultrasound of the heart (echocardiogram). This can help determine whether you suffer from a condition that is responsible for your PVCs, such as mitral valve prolapse or heart failure.
Your doctor may also have to run an examination of your blood to determine what the problem is with your electrolytes for example, low potassium levels or high levels of calcium. This could be a sign that you have PVCs, or another problem such as anemia, or anxiety disorders.
You may be referred a specialist in electrophysiology, who is able to treat abnormal heart rhythms. The doctor may be required to perform other tests if you are suffering from heart conditions that cause structural damage, such as a CT or MRI scan of your chest. These tests will determine whether your heart is damaged and how severe the damage is. In certain cases, a doctor may suggest the use of a pacemaker or ICD to treat the underlying condition that's causing your PVCs.