Premature ventricular beats: are they always benign? Diagnostic and therapeutic aspects

Premature ventricular complexes (PVCs) are usually benign, and commonly only severely symptomatic patients are treated. In the literature, frequent PVCs have been reported to cause ventricular dysfunction, which may improve after PVC treatment. PVCs can also worsen the prognosis in patients with str...

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Published inGiornale italiano di cardiologia (2006) Vol. 20; no. 4; p. 223
Main Authors Barbato, Gaetano, Pergolini, Francesco, Carinci, Valeria, Colletta, Mauro, Di Pasquale, Giuseppe
Format Journal Article
LanguageItalian
Published Italy 01.04.2019
Subjects
Catheter Ablation - methods
Heart Diseases - physiopathology
Humans
Prognosis
Ventricular Dysfunction - diagnosis
Ventricular Dysfunction - etiology
Ventricular Dysfunction - therapy
Ventricular Premature Complexes - complications
Ventricular Premature Complexes - diagnosis
Ventricular Premature Complexes - therapy
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Summary:Premature ventricular complexes (PVCs) are usually benign, and commonly only severely symptomatic patients are treated. In the literature, frequent PVCs have been reported to cause ventricular dysfunction, which may improve after PVC treatment. PVCs can also worsen the prognosis in patients with structural heart disease. Catheter PVC ablation is often the treatment of choice considering the high success rates. Ventricular dysfunction due to frequent PVCs is not always easy to identify as patients can be asymptomatic and the interpretation of imaging tests may be challenging in the presence of frequent PVCs. Treatment of patients with mild ventricular dysfunction is still a matter of debate.
ISSN:1972-6481
DOI:10.1714/3126.31075