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작성자 Desiree 작성일24-07-08 14:33

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How a VC Can Affect Your Heart

PVCs are common and can be experienced by many people with no cause for concern. If they are frequent, PVCs may weaken your heart and increase your risk of heart failure.

The heart's rhythm is usually controlled by a group of fibers that are located in the upper right corner of your heart. This is known as the sinoatrial node or SA. Electrical signals travel from this node to the lower chambers of your heart, or ventricles.

Causes

PVCs happen when the electrical impulse that normally initiates your heartbeat in a region known as the sinus node (also known as the sinoatrial or SA Node) does not. The impulse actually begins in the ventricles, which causes an irregular heartbeat. These extra beats are known as ventricular tachycardia, and ventricular fibrillation. It could feel as if the heart beats faster or feels fluttering. They may happen rarely and not cause any symptoms, or they may occur frequently enough to affect your quality of life. If they are very frequent or cause weakness, dizziness or fatigue, your doctor might treat them with medication.

In most people, PVCs are harmless and don't increase your risk of developing heart disease or other health problems. Over time, repeated PVCs can weaken the heart muscle. This is particularly the case if they are caused by a heart disease like dilated cardiomyopathy, or arrhythmogenic right ventricular cardiomyopathy which could lead to symptoms of heart failure.

The symptoms of PVCs include a feeling that your heart beats slower or it flutters. You may feel exhausted. The fluttering can be more evident when you exercise or consume certain foods or drinks. PVCs are more prevalent in people with chronic anxiety or stress. Certain drugs, like digoxin, amiodarone or cocaine, may increase the risk.

If you have occasional PVCs your doctor may recommend lifestyle changes and medications. If you are prone to frequent PVCs, your physician may suggest that you stay away from certain foods and drinks, such as alcohol and caffeine. You can also reduce stress by having enough sleep and working out.

If you've got a lot of PVCs Your doctor might recommend a medical procedure referred to as radiofrequency catheter ablation, which eliminates the cells that are responsible for them. Electrophysiologists are the ones who perform this procedure. It is generally effective in treating PVCs and reducing symptoms but it doesn't stop them from recurring in the future. In some cases it can increase the risk of atrial fibrillation (AFib), which can cause stroke. This is rare but can be life-threatening.

Signs and symptoms

Premature ventricular contractions or PVCs may cause your heart to skip or be fluttering. These extra heartbeats are generally harmless, however, you should consult your physician when you experience frequent episodes or other symptoms such as dizziness or weakness.

Normaly, electrical signals begin in the sinoatrial, located in the upper right-hand part of the heart. They then travel to the lower chambers, or ventricles, that pump blood. Then, the ventricles expand to push blood into your lungs, and then return to the heart and start the next cycle of pumping. But a Pvc doctor starts in a different place, from the bundle of fibers known as the Purkinje fibers, located in the left-hand side of the heart.

When PVCs occur, they can make the heart beat faster or feel as if it skipped a beat. If you have only just a few episodes and there are no other symptoms the cardiologist will likely not be able to treat you. If you've got a number of PVCs the doctor may recommend an electrocardiogram, or ECG to determine your heart rate over 24 hours. They might also recommend wearing a Holter monitor that records your heartbeat over time to determine the number of PVCs you have.

Glass-Replacement-150x150.jpgIf you've had a previous heart attack or suffer from cardiomyopathy -- a condition that affects how the heart pumps blood- must be aware of their PVCs and talk to a cardiologist about changes to their lifestyle. This includes avoiding caffeine, alcohol and smoking, reducing anxiety and stress and ensuring adequate sleep. A cardiologist can prescribe beta blockers to slow down the heartbeat.

If you have frequent PVCs even if don't have any other signs, you should see a cardiologist. These irregular heartbeats could be a sign of problems with the structure of your heart or to other health conditions and, over time, if they occur often enough, they could weaken the heart muscle. Most people with PVCs do not experience any issues. They are interested in knowing if the irregular heartbeats or fluttering is normal.

Diagnosis

PVCs may feel like heartbeats that are fluttering especially if they are frequent and intense. People who experience a lot of them may feel they're about to faint. They can also occur during training, even though many athletes who experience them don't have issues with their health or heart. PVCs can be detected in tests like an electrocardiogram, or Holter monitor. They have sensors that record electrical impulses from your heart. A cardiologist could also employ an ultrasound echocardiogram to examine the heart.

Often, a doctor will be able to tell whether someone has PVCs from a patient's history and physical exam. Sometimes, however, they may not be aware of PVCs until they examine the patient for another reason such as following an accident or surgery. Ambulatory ECG monitors can detect PVCs, as well as other arrhythmias. They can be used to detect cardiac disease in the event of any reason to be concerned.

If your cardiologist concludes that your heart is structurally healthy, reassurance may be all that's needed. If your symptoms are causing discomfort or cause you to feel anxious, staying away from alcohol, caffeine, and other decongestants as well as reducing stress levels can aid. Engaging in regular exercise, keeping at a healthy weight, and drinking enough fluids can decrease the door doctor likelihood of PVCs. If you are experiencing symptoms that are persistent or severe, talk to your doctor about medications that could help reduce these symptoms.

Treatment

If PVCs aren't causing symptoms or happen rarely they aren't usually in need of treatment. If they are frequent your doctor may be able to look for heart issues or suggest lifestyle changes. You might also get an operation to rid yourself of them (called radiofrequency catheter ablation).

If you have PVCs the electrical signal that causes your heartbeat begins somewhere different than the sinoatrial nerve (SA node) located in the upper right corner of your heart. This could cause your heart to feel as if it skips beats or has extra beats. PVCs are more frequent among those with heart problems however, it's not clear what causes them. PVCs may increase in frequency with age and might happen more often during exercising.

If a patient is experiencing frequent and painful PVCs, a physician is required to perform an ECG and an echocardiogram to rule out structural heart disease. The doctor will also perform an exercise stress test to determine if the increased heartbeats are due to physical activity. A heart catheterization or cardiac MRI or nuclear perfusion study could be done to look for other causes for the extra beats.

The majority of people who suffer from PVCs don't experience any problems and can enjoy a normal lifestyle. However, they may increase your risk of having dangerous heart rhythm problems especially if you are suffering from certain patterns of them. In some instances, this means that the heart muscle becomes weaker and is unable to pump blood throughout your body.

A regular, healthy diet and regular exercise can help reduce your chances of developing PVCs. Avoid foods that are high in fat and sodium, and limit your consumption of caffeine and tobacco. Sleep and stress are equally important. Some medicines may also increase the risk of developing PVCs. If you are taking one of these medications it is important to follow your doctor's recommendations regarding eating healthy, exercising and taking your medication.

Studies of patients who had a high amount of PVCs (that's more than 20% of their total heart beats) found that they had a higher rate of arrhythmia-induced cardiomyopathy. Some people may need a heart transplant.
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