Topics:
Cardiology • Cardiac Electrophysiology
Would you initiate anti-arrhythmic drug therapy in patients who are asymptomatic and have normal LV function but with a PVC burden > 20 percent?
Answer from: at Academic Institution
I overall agree with Dr. @Turitto's approach. There are important considerations with high-burden PVCs beyond LVEF. The morphology can be helpful with regard is this consistent or atypical appearance of idiopathic PVCs. I will typically do an assessment for underlying structural heart disease with e...
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Answer from: at Community Practice
I think these patients are better suited for ablation, to prevent VPC-induced LV dysfunction, which may occur at this level of burden. If they do not consider an invasive procedure, I would not treat, since they are asymptomatic and the risk of AAD is not worth the benefits. I would monitor their LV...