This review outlines the definition, presentation, investigation, and management options for premature ventricular complexes, including conservative management, medical therapy, and catheter ablation.
This review outlines the definition, presentation, investigation, and management of premature ventricular complexes, emphasizing the importance of investigating underlying structural heart disease.
Premature ventricular complexes (PVCs) are early ventricular contractions triggered by an ectopic focus from within the ventricle. They are common in the general population and may cause symptoms at any burden. They become clinically relevant in the context of symptoms or complications such as PVC-induced cardiomyopathy, or, more rarely, PVC-triggered malignant ventricular arrhythmias. Investigating for underlying structural heart disease is essential in patients with clinically relevant PVCs as this will inform patient counselling and management options. Treatment is guided by symptoms or LV dysfunction associated with PVCs. Management options include conservative management, medical therapy, and catheter ablation. In this review we discuss the definition of PVCs and how they may present, outline relevant investigations for these patients, and discuss management considerations and treatment options.
Yap et al. (Mon,) conducted a review in Premature ventricular complexes. This review outlines the definition, presentation, investigation, and management options for premature ventricular complexes, including conservative management, medical therapy, and catheter ablation.