When would you consider offering PVC ablation for otherwise healthy patients with preserved LV systolic function?

I would generally not offer an ablation for PVC burden alone but may consider further workup/counseling or even ablation if other factors are present.

• I would obtain a more detailed history to determine if the patient has symptoms/limitations that they did not initially express, which would lead me to consider ablation.
• If the patient has a PVC burden > 20%, I would obtain a CMR to determine if there is a focal scar that may increase the risk of PVC-induced cardiomyopathy. If there is a focal scar, I would counsel the patient on the potential increased risk of PVC-induced cardiomyopathy and closely monitor LVEF%. I would consider, but not strongly recommend ablation in this scenario. Additionally, would pursue an exercise stress test to det...