The Biggest Issue With Pvc Doctor And How You Can Solve It
Why It's Important to See a Doctor
Premature ventricular contractions (PVCs) are a kind of irregular heartbeat. These extra beats are generally not harmful and will be cured by themselves.
Doctors will monitor your heartbeat, and check other vitals signs. They might recommend an Holter monitor, a device that records the electrical impulses your heart produces over a period of 24 to 48 hours. They can also order blood tests for checking your electrolyte levels and thyroid hormones.
Diagnosis
PVCs happen when electrical impulses from the heart's lower chambers ventricles misfire through a structure known as the SA node. This delay the next heartbeat which can cause a feeling of skipped beats or fluttering in the chest. PVCs can occur in a single pattern or in repeated patterns. Two consecutive PVCs are known as doublets. Three or more consecutive PVCs constitute the term ventricular Tachycardia (VT).
Some people don't experience any symptoms whatsoever Others experience heart palpitations which can feel like a pounding or skipping heartbeat. Other symptoms include fatigue, dizziness, or a feeling that you're unwell.
A lot of people who have occasional PVCs do not require treatment. If a patient experiences frequent episodes, a doctor might suggest a change in diet or lifestyle. For instance the restriction of caffeine and stress as well as alcohol. They can prescribe beta-blockers and calcium channel blockers that lower blood pressure and slow the heart rate.
Doctors will inquire about the person's medical history and conduct a physical exam to determine their general health. They may also use an electrocardiogram (ECG) to get an image of the heart's electrical activity or a Holter monitor, which is worn for longer durations and monitors the heart's rhythms over time. In some cases doctors may request blood tests to determine if there is an electrolyte imbalance or drug toxicity.
Occasionally, a pvc doctor will refer someone to a specialist for heart rhythm issues, or an electrophysiologist, for further evaluation. This doctor can confirm the diagnosis of PVCs and determine whether they are benign or not.
PVCs are all over the place and aren't usually harmful unless they are used regularly or for a long time. This can cause a weakening in the heart muscle or a condition known as pvc-induced cardiac myopathy. This is more prevalent in older adults or those with heart disease. It can also occur to healthy individuals with normal, normal heart. However, it's more prevalent among those who regularly exercise. It's not a serious concern however it is crucial to consult a doctor if you notice symptoms such as fainting or fatigue.
Treatment
For many, occasional PVCs aren't likely to cause symptoms or require no treatment. However when you do feel your heart is lagging a beat or is racing, it's vital to speak to a doctor as soon as possible.
A cardiologist will then interview you and perform physical examinations and listen to your heart through a stethoscope to detect any irregular heartbeats. You will also have an electrocardiogram (ECG) performed that records the electrical signals in your heart and detect any arrhythmias. If an arrhythmia has been detected it is recommended to use the use of a portable ECG or 24-hour Holter monitor is required to record the irregular rhythm for longer periods of time. These devices can help doctors determine if you suffer from PVCs and the underlying cause for them, such as an electrolyte imbalance, drug toxicities, or any other cause.
You might be required to undergo an echocardiogram (an ultrasound of your heart) to determine if your heart health is good and to look for structural issues which could lead to PVCs. You might also be asked to take stress tests to find out how your heart reacts to exercise. Exercise can increase your frequency of PVCs. You can also have blood tests to determine your magnesium, potassium and thyroid hormone levels to determine whether they are insufficient which could contribute to the development of PVCs.
After your doctor confirms that you have PVCs and has ruled any serious illness out, the treatment option you choose depends on how they impact your life and the frequency they occur. If they happen only infrequently and do not cause symptoms then your doctor is unlikely to prescribe any medication that can reduce their frequency or severity.
However, if you have frequent PVCs that cause the sensation of palpitations or other symptoms, such as light-headedness or feeling like you're about to faint, your physician may suggest medications, such as beta blockers or calcium channel blockers. Making changes to your lifestyle in order to avoid triggers, like smoking, caffeine, and excessive stress, can also aid in reducing the frequency of occurrences of these abnormal pulses.
Prevention
PVCs can cause no symptoms or heart palpitations that can feel like "skipped beats" or flutterings in the chest. Sometimes, these episodes can cause a fullness or pressure in the chest, and at other times, they can cause a person to feel faint. These episodes are caused by the heart is not pumping as efficiently as it normally does. PVCs are associated with an increased risk of developing dilated cardiac myopathy. This is a condition where the heart becomes enlarged and is unable to pump blood.
PVCs are usually caused by changes in the body's chemistry. They can be caused by the release of thyroid and adrenaline hormones, and drinking alcohol or caffeine. Stress or weight gain or an insufficient amount of exercise can trigger these episodes.
Some people have found that a change in diet can reduce their PVCs. They can, for example, avoid foods that contain preservatives that can disrupt the heart rhythm. These include disodium guanylate, diazole, and disodium Inosinate sodium (E282-283). They can also eat more vegetables and fruits to ensure they're getting enough magnesium and potassium.
It is important to get regular health check-ups, which include annual physicals and lab tests. These can help diagnose any underlying heart conditions that could be the cause of your PVCs. Also, you should adhere to an appropriate diet and avoid smoking, which can increase the frequency of your episodes.
A survey of healthcare staff on 14 wards of a normal hospital found that they were mostly 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. After a feedback intervention, compliance improved on some areas, but was still very low. This suggests that education on how to implement preventive measures is required and that the wards that are not complying should be targeted for surveillance of infection. This information can be used to guide the implementation of additional quality improvement initiatives for these wards. This will likely involve further education and training for personnel. It will also mean making sure that the right tools are available for implementing of the preventive measures.
Symptoms
If you feel your heart is racing or fluttering, it could be a sign of premature ventricular contractions. These arrhythmias can be harmless or they may be a sign of serious heart problems.
In healthy people, sporadic PVCs aren't a problem and they usually disappear by themselves. If you're suffering from a lot of them, they may cause dizziness or weakness. Speak to your doctor if you are concerned. They may have to identify the issue by taking a medical history and conducting a physical exam. They might also perform an electrocardiogram or other tests.
A short ECG test lets your doctor see the signal of your heartbeat moving through your body for a an extremely short time. If you have PVCs, they'll show up on the test. Your doctor may also decide to do an overnight or 24-hour Holter monitor, which records your heartbeat over longer periods of time. These can help differentiate PVCs from other arrhythmias which cause heart palpitations. You could also wear a portable device that records your heart rate over a period of 30 days, referred to as an event monitor.
Other tests for your heart might be required, depending on the reason for your PVCs. For example a cardiologist could check your blood pressure and perform an ultrasound of the heart (echocardiogram). These tests can reveal whether you suffer from a issue that could be responsible for your PVCs or heart valves, such as mitral valve prolapse or heart failure.
Your doctor may also need to perform a blood test to determine the issue with electrolytes. For example, low potassium levels or a high level of calcium. This can be an indication of PVCs or other conditions that may cause them, such as anxiety disorders and anemia.
You may be referred a specialist in electrophysiology, who is able to treat abnormal heart rhythms. If you suffer from heart disease that is structural the specialist may have to perform additional tests, such as an MRI or CT scan of your chest. These tests can determine whether your heart has been damaged and how severe the damage is. In some cases an expert may recommend a pacemaker to treat the issue which is causing the PVCs.