Premature ventricular contraction interventions

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Premature ventricular contraction Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]Mugilan Poongkunran M.B.B.S [3]

Overview

There are no recommended therapeutic interventions for the management of [disease name].

OR

[name of intervention] is not the first-line treatment option for patients with [disease name]. [name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The mainstay of treatment for [disease name] is medical therapy/surgery. [Name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of [name of intervention] depends on the stage of [disease or malignancy] at the time of diagnosis.

OR

[Name of intervention] is the mainstay of treatment for [disease or malignancy].

Indications

The mainstay of treatment for TT is medical therapy.

Overview

Radiofrequency ablation is useful for treating patients with high frequency of premature ventricular contraction episodes.

Ablation

Recent studies have shown that those subjects who have an extremely high occurrence of PVCs (several thousand a day) can develop dilated cardiomyopathy. In these cases, if the PVCs are reduced or removed by ablation therapy, the cardiomyopathy usually regresses.[1][2]

References

  1. Belhassen B (2005), "Radiofrequency ablation of "benign" right ventricular outflow tract extrasystoles: a therapy that has found its disease? In patients with no known coronary artery disease (CAD), the presence of frequent premature ventricular contractions (PVCs) is linked to acute myocardial infarction and sudden death. The Framingham Heart Study defines frequent as >30 PVCs per hour. The American College of Cardiology and the American Heart Association recommend evaluation for CAD in patients who have frequent PVCs and cardiac risk factors, such as hypertension and smoking (SOR C). Evaluation for CAD may include stress testing, echocardiography, and ambulatory rhythm monitoring", J. Am. Coll. Cardiol., 45 (8): 1266–8, doi:10.1016/j.jacc.2005.01.028, PMID 15837260 Unknown parameter |month= ignored (help)
  2. Shiraishi, Hirokazu; Ishibashi, Kazuya; Urao, Norifumi; Tsukamoto, Masaki; Hyogo, Masayuki; Keira, Natsuya; Hirasaki, Satoshi; Shirayama, Takeshi; Nakagawa, Masao (2002), "A case of cardiomyopathy induced by premature ventricular complexes", Circulation, 66 (11): 1065–7, doi:10.1253/circj.66.1065

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