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Premature ventricular contractures (PVCs) are a kind of irregular heartbeats. These extra beats are generally not harmful and will disappear on their own.
To diagnose PVC Doctors will listen to your heartbeat, and also check other vital signs. They may order an Holter Monitor which records the electrical impulses generated by your heart over a period of 24 to 48 hours. They can also order blood tests to determine your electrolyte levels and thyroid hormones.
Repair My Windows And Doors happen when electrical impulses from the heart's lower chambers, or ventricles, misfire through a structure known as the SA node. This delay the next heartbeat, causing an experience of fluttering or skipped beats in the chest. PVCs may occur alone or in repeated patterns. Two consecutive PVCs are referred to as doublets, while three or more consecutive PVCs are referred to as ventricular Tachycardia (VT).
While some people don't have any symptoms at all Some experience palpitations, which could feel like the heart beating faster or slower. Other signs include dizziness, fatigue, or feeling unwell.
Many people who suffer from occasional PVCs do not require any treatment. If a patient has frequent episodes, a physician might recommend a change in the diet or lifestyle. For example, limiting caffeine or stress, as well as alcohol. They might prescribe medication such as beta-blockers and calcium channel blockers to lower blood pressure and slow the heart rate.
Doctors will ask the patient about their medical history and conduct an examination to check on their general health. They can also perform an electrocardiogram (ECG) to get an image of the heart's electrical activity or a Holter monitor that is worn for longer periods and monitors the heart's rhythms over time. In certain instances, doctors may order blood tests to determine if there is an electrolyte imbalance or drug toxicity.
A pvc doctor may refer the patient to an electrophysiologist or specialist in heart rhythm disorders for further evaluation. This doctor can confirm the diagnosis of PVCs and determine whether they are benign or not.
PVCs are quite frequent and usually don't cause any issues, except when they are frequent over a long time. This can lead to a weakening of the heart muscle or a condition known as pvc-induced cardiomyopathy. This is most common in older people, or those who have any form of heart disease. It can also occur to healthy individuals with normal, normal hearts. However, it is more prevalent in people who exercise regularly. Usually, this isn't an issue that is serious, but it is important to speak with a doctor if you notice symptoms like fainting or fatigue.
Treatment
For many people, occasional PVCs may not cause any symptoms or are harmless and require no treatment. If you feel that your heart is racing or slurring a beat, it's best to seek out a physician immediately.
A cardiologist will interview you and then perform physical examinations and listen to your heart through a stethoscope to detect any irregular beats. You'll also get an electrocardiogram (ECG) performed to record the electrical impulses that occur in your heart and detect any arrhythmias. If an arrhythmia is identified then 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 behind them, such as an electrolyte imbalance, a drug toxicities, or other causes.
An echocardiogram, an ultrasound of your heart, may be ordered to assess whether your heart is in good health and look for any signs of structural problems which could cause PVCs. You might also have an exercise test to determine how your heart reacts to physical exercise can increase the frequency of your pvcs. You can also take blood tests to determine your thyroid hormone, magnesium, potassium and other hormones to determine if they're too low. This could lead to PVCs.
If your doctor has confirmed that you suffer from PVCs, and has ruled any serious illnesses out, the treatment option you choose will depend on how they affect your life and how often they occur. If they happen only infrequently and do not cause symptoms the doctor is not likely to prescribe any medication that can reduce their frequency or severity.
If you have frequent PVCs that can trigger heart palpitations, or other symptoms like feeling lightheaded or fainting, your doctor might prescribe medications like beta blockers and calcium channel blockers. Lifestyle changes like avoiding caffeine, smoking and stress, can also reduce the frequency of these abnormal pulses.
The following is a list of preventions.
A person might not experience any symptoms at all from PVCs or heart palpitations (irregular heartbeats) that may appear as "skipped" beats or fluttering in the chest. Sometimes, these episodes trigger a fullness or pressure in the chest. Other times, they can make someone feel faint. These episodes happen because the heart is not pumping as efficiently as it normally does. PVCs are linked to an increased chance of developing dilated cardiomyopathy. This is a condition where the heart becomes enlarged and unable to pump blood.
PVCs are often caused by changes in body chemical chemistry. This includes the release of thyroid hormones and adrenaline and alcohol consumption or caffeine. Stress or weight gain and the absence of exercise can trigger these symptoms.
Some people have found that a change in diet can reduce their PVCs. For example, they can avoid foods with preservatives, which can cause a disturbance to the heart rhythm, such as disodium Guanylate (E621), disodium inosinate (E627) and diazole sodium (E282-283). Consume more fruits and vegetables to ensure that you get sufficient magnesium.
Regular health checks are important as are annual physicals. These tests can help identify any underlying heart conditions that could be the cause of your PVCs. Also, you should adhere to an eat-healthy diet and avoid smoking, which can increase the frequency of your episodes.
A survey of healthcare professionals on 14 normal hospital wards showed that they were generally aware of the preventive measures that could be used to treat vascular catheter-related infections However, their self-assessed compliance with these measures was not great. The compliance improved following feedback interventions, but was still low on a few of the wards surveyed. This suggests that training is needed on how to implement preventive measures, and those wards that are not conforming should be targeted for monitoring of infection. This information can be used to help in the implementation of quality improvement initiatives on these wards. It is likely that this will require further education and training for staff. It will also involve making sure that the appropriate materials are available for the implementing of the preventive measures.
Signs and symptoms
If you feel your heart is racing or fluttering, it may be a sign of premature ventricular contractions. These arrhythmias could be normal, or they could indicate that you have heart issues that are serious.
In healthy people, occasional PVCs aren't an issue and they usually go away by themselves. If you've got a lot of them, they can cause dizziness or weakening. Talk to your doctor if concerned. They may have to identify the issue by taking an history of your medical condition and giving you an examination. They'll likely also need to do an electrocardiogram (ECG or EKG) or other tests.
A short ECG test allows your doctor to see the pulse of your heart going through your body over a a short period of time. If you have PVCs, they'll be visible on the test. Your doctor may also suggest to perform a 24- or 48-hour Holter monitor which monitors your heartbeat for longer durations of time. These tests can help distinguish PVCs from arrhythmias causing heart palpitations. You can wear an event monitor, a handheld device that tracks your heart's rhythm over 30 days.
Other tests for your heart might be required, depending on the cause of your PVCs. A cardiologist can check your blood pressure or perform an echocardiogram (ultrasound of the heart). These tests can tell whether you have an issue like heart failure or mitral valve prolapse or cardiomyopathy.
Your doctor may also need to run a blood test to determine the issue with electrolytes. For instance, a low level of potassium levels or a high level of calcium. This could be a sign that you suffer from PVCs or another health issue such as anemia or anxiety disorders.
You could be referred to an electrophysiologist, an expert who specializes in treating irregular heart rhythms. The doctor may be required to perform other tests if you have heart conditions that cause structural damage like an CT or MRI scan of your chest. These tests can tell whether you've suffered damage to your heart and how severe it is. In some cases, a specialist may recommend a pacemaker to treat the issue that causes the PVCs.