en
Scientific article
Review
English

Premature ventricular complexes: diagnostic and therapeutic considerations in clinical practice : A state-of-the-art review by the American College of Cardiology Electrophysiology Council

Published inJournal of Interventional Cardiac Electrophysiology, vol. 57, no. 1, p. 5-26
Publication date2020
Abstract

Premature ventricular complexes (PVCs) are common arrhythmias in the clinical setting. PVCs in the structurally normal heart are usually benign, but in the presence of structural heart disease (SHD), they may indicate increased risk of sudden death. High PVC burden may induce cardiomyopathy and left ventricular (LV) dysfunction or worsen underlying cardiomyopathy. Sometimes PVCs may be a marker of underlying pathophysiologic process such as myocarditis. Identification of PVC burden is important, since cardiomyopathy and LV dysfunction can reverse after catheter ablation or pharmacological suppression. This state-of-the-art review discusses pathophysiology, clinical manifestations, how to differentiate benign and malignant PVCs, PVCs in the structurally normal heart, underlying SHD, diagnostic procedures (physical examination, electrocardiogram, ambulatory monitoring, exercise testing, echocardiography, cardiac magnetic resonance imaging, coronary angiography, electrophysiology study), and treatment (lifestyle modification, electrolyte imbalance, medical, and catheter ablation).

Keywords
  • Ambulatory monitoring
  • Catheter ablation
  • Electrocardiography
  • Electrophysiology study
  • Exercise testing
  • Imaging
  • Premature ventricular complexes
Citation (ISO format)
GORENEK, Bulent et al. Premature ventricular complexes: diagnostic and therapeutic considerations in clinical practice : A state-of-the-art review by the American College of Cardiology Electrophysiology Council. In: Journal of Interventional Cardiac Electrophysiology, 2020, vol. 57, n° 1, p. 5–26. doi: 10.1007/s10840-019-00655-3
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Article (Published version)
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ISSN of the journal1383-875X
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Creation10/12/2020 1:42:00 PM
First validation10/12/2020 1:42:00 PM
Update time03/16/2023 12:03:04 AM
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