Key result
Evaluation of premature ventricular complexes in HFrEF using an amiodarone trial period and mapping techniques can help determine if reduced LVEF is reversible and guide treatment.
Why the study?
Uncertainty regarding whether premature ventricular complexes are the cause or consequence in HFrEF impacts clinical decision-making.
This review outlines a diagnostic and therapeutic workflow for managing PVCs in patients with HFrEF, including an amiodarone trial and advanced mapping techniques.
Answers are grounded in this paper and cite their sources.
May guide PVC evaluation in HFrEF to assess LVEF reversibility; hypothesis-generating and requires prospective validation.
Premature ventricular complexes (PVCs) are often observed in patients presenting with heart failure with a reduced ejection fraction (HFrEF). PVCs may in some patients be considered to be the cause of heart failure, while in others it may be the consequence of heart failure. PVCs are important prognostic markers in HFrEF. The uncertainty whether PVCs are the cause or effect in HFrEF impacts clinical decision making. In this review, we discuss the complexity of the cause-effect relationship between PVCs and HFrEF. We demonstrate a workflow with the use of a trial period of amiodarone that may discover whether the reduced LVEF is reversible, the symptoms are due to PVCs and whether biventricular pacing can be increased by the reduction of PVCs. The use of non-invasive and invasive (high-density) mapping techniques may help to improve accuracy and efficacy in the treatment of PVC, which will be demonstrated. With these results in mind, we conclude this review highlighting the future directions for PVC research and treatment.
No takes yet. Share an insight, caveat, or question.
Mulder et al. (2020) conducted a review in Heart failure with reduced ejection fraction and premature ventricular complexes. Amiodarone trial period and mapping techniques was evaluated. Evaluation of premature ventricular complexes in HFrEF using an amiodarone trial period and mapping techniques can help determine if reduced LVEF is reversible and guide treatment.
Synapse has enriched 10 related papers. Consider them for comparative context: