What criteria do you utilize in deciding when to treat or not treat frequent VPC’s?
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What criteria guide your decision to treat frequent ventricular premature complexes (VPCs)?
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2 Answers
Mednet Member
Cardiology · University Michigan Cardiovascular Center
Answered on
- Symptoms (burden and severity)
- PVC burden (>15-20% may lead to a cardiomyopathy)
- Presence of LV dysfunction
- Interference with bi-ventricular pacing
- PVCs triggering VT or VF
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Mednet Member
Cardiology · Yale School Of Medicine Cardiology
Answered on
Agree with Dr. @Dr. First Last.
Most studies have shown that PVC burden>10% may be associated with cardiomyopathy.
Criteria for PVC ablation:
- Symptomatic PVCs if the burden is >10% and medications not tolerated or ineffective,
- PVC induced cardiomyopathy, and
- Frequent symptomatic PVCs originating ...
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