Premature ventricular contraction surgery: Difference between revisions

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==2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)<ref name="Al-KhatibStevenson2018">{{cite journal|last1=Al-Khatib|first1=Sana M.|last2=Stevenson|first2=William G.|last3=Ackerman|first3=Michael J.|last4=Bryant|first4=William J.|last5=Callans|first5=David J.|last6=Curtis|first6=Anne B.|last7=Deal|first7=Barbara J.|last8=Dickfeld|first8=Timm|last9=Field|first9=Michael E.|last10=Fonarow|first10=Gregg C.|last11=Gillis|first11=Anne M.|last12=Granger|first12=Christopher B.|last13=Hammill|first13=Stephen C.|last14=Hlatky|first14=Mark A.|last15=Joglar|first15=José A.|last16=Kay|first16=G. Neal|last17=Matlock|first17=Daniel D.|last18=Myerburg|first18=Robert J.|last19=Page|first19=Richard L.|title=2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death|journal=Circulation|volume=138|issue=13|year=2018|issn=0009-7322|doi=10.1161/CIR.0000000000000549}}</ref>==
==2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)<ref name="Al-KhatibStevenson2018">{{cite journal|last1=Al-Khatib|first1=Sana M.|last2=Stevenson|first2=William G.|last3=Ackerman|first3=Michael J.|last4=Bryant|first4=William J.|last5=Callans|first5=David J.|last6=Curtis|first6=Anne B.|last7=Deal|first7=Barbara J.|last8=Dickfeld|first8=Timm|last9=Field|first9=Michael E.|last10=Fonarow|first10=Gregg C.|last11=Gillis|first11=Anne M.|last12=Granger|first12=Christopher B.|last13=Hammill|first13=Stephen C.|last14=Hlatky|first14=Mark A.|last15=Joglar|first15=José A.|last16=Kay|first16=G. Neal|last17=Matlock|first17=Daniel D.|last18=Myerburg|first18=Robert J.|last19=Page|first19=Richard L.|title=2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death|journal=Circulation|volume=138|issue=13|year=2018|issn=0009-7322|doi=10.1161/CIR.0000000000000549}}</ref>==


===Recommendations for Electrophysiological Study===
===Recommendations for Surgery and Revascularization Procedures in Patients With Ischemic Heart Disease===


{|class="wikitable"
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ESC guidelines classification scheme#Classification of Recommendations|Class IIa]]
| colspan="1" style="text-align:center; background:LightGreen"|[[ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]]
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|bgcolor="LemonChiffon" |<nowiki></nowiki>'''1.'''  In [[patients]] with [[ischemic cardiomyopathy]], [[Nonischemic cardiomyopathy|NICM]], or [[Congenital heart disease|adult congenital heart disease]] who have [[syncope]] or other [[Ventricular arrhythmia|VA]] [[symptoms]] and who do not meet indications for a [[primary prevention]] [[Implantable cardioverter defibrillator|ICD]], an [[Electrophysiologic Testing|electrophysiological study]] can be useful for assessing the risk of [[sustained VT]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-R]]).''<ref name="BuxtonLee2000">{{cite journal|last1=Buxton|first1=Alfred E.|last2=Lee|first2=Kerry L.|last3=DiCarlo|first3=Lorenzo|last4=Gold|first4=Michael R.|last5=Greer|first5=G. Stephen|last6=Prystowsky|first6=Eric N.|last7=O'Toole|first7=Michael F.|last8=Tang|first8=Anthony|last9=Fisher|first9=John D.|last10=Coromilas|first10=James|last11=Talajic|first11=Mario|last12=Hafley|first12=Gail|title=Electrophysiologic Testing to Identify Patients with Coronary Artery Disease Who Are at Risk for Sudden Death|journal=New England Journal of Medicine|volume=342|issue=26|year=2000|pages=1937–1945|issn=0028-4793|doi=10.1056/NEJM200006293422602}}</ref><ref name="BuxtonLee2002">{{cite journal|last1=Buxton|first1=Alfred E.|last2=Lee|first2=Kerry L.|last3=Hafley|first3=Gail E.|last4=Wyse|first4=D. George|last5=Fisher|first5=John D.|last6=Lehmann|first6=Michael H.|last7=Pires|first7=Luis A.|last8=Gold|first8=Michael R.|last9=Packer|first9=Douglas L.|last10=Josephson|first10=Mark E.|last11=Prystowsky|first11=Eric N.|last12=Talajic|first12=Mario R.|title=Relation of Ejection Fraction and Inducible Ventricular Tachycardia to Mode of Death in Patients With Coronary Artery Disease|journal=Circulation|volume=106|issue=19|year=2002|pages=2466–2472|issn=0009-7322|doi=10.1161/01.CIR.0000037224.15873.83}}</ref><ref name="CostantiniHohnloser2009">{{cite journal|last1=Costantini|first1=Otto|last2=Hohnloser|first2=Stefan H.|last3=Kirk|first3=Malcolm M.|last4=Lerman|first4=Bruce B.|last5=Baker|first5=James H.|last6=Sethuraman|first6=Barathi|last7=Dettmer|first7=Mary M.|last8=Rosenbaum|first8=David S.|title=The ABCD (Alternans Before Cardioverter Defibrillator) Trial|journal=Journal of the American College of Cardiology|volume=53|issue=6|year=2009|pages=471–479|issn=07351097|doi=10.1016/j.jacc.2008.08.077}}</ref><ref name="BourkeRichards1991">{{cite journal|last1=Bourke|first1=John P.|last2=Richards|first2=David A.B.|last3=Ross|first3=David L.|last4=Wallace|first4=Elizabeth M.|last5=McGuire|first5=Mark A.|last6=Uther|first6=John B.|title=Routine programmed electrical stimulation in survivors of acute myocardial infarction for prediction of spontaneous ventricular tachyarrhythmias during follow-up: Results, optimal stimulation protocol and cost-effective screening|journal=Journal of the American College of Cardiology|volume=18|issue=3|year=1991|pages=780–788|issn=07351097|doi=10.1016/0735-1097(91)90802-G}}</ref><ref name="SchmittBarthel2001">{{cite journal|last1=Schmitt|first1=Claus|last2=Barthel|first2=Petra|last3=Ndrepepa|first3=Gjin|last4=Schreieck|first4=Jürgen|last5=Plewan|first5=Andreas|last6=Schömig|first6=A|last7=Schmidt|first7=Georg|title=Value of programmed ventricular stimulation for prophylactic internal cardioverter-defibrillator implantation in postinfarction patients preselected by noninvasive risk stratifiers|journal=Journal of the American College of Cardiology|volume=37|issue=7|year=2001|pages=1901–1907|issn=07351097|doi=10.1016/S0735-1097(01)01246-3}}</ref><ref name="BaileyBerson2001">{{cite journal|last1=Bailey|first1=James J|last2=Berson|first2=Alan S|last3=Handelsman|first3=Harry|last4=Hodges|first4=Morrison|title=Utility of current risk stratification tests for predicting major arrhythmic events after myocardial infarction|journal=Journal of the American College of Cardiology|volume=38|issue=7|year=2001|pages=1902–1911|issn=07351097|doi=10.1016/S0735-1097(01)01667-9}}</ref><ref name="Hilfiker2015">{{cite journal|last1=Hilfiker|first1=Gabriela|title=Utility of electrophysiological studies to predict arrhythmic events|journal=World Journal of Cardiology|volume=7|issue=6|year=2015|pages=344|issn=1949-8462|doi=10.4330/wjc.v7.i6.344}}</ref><nowiki/>
| bgcolor="LightGreen"|<nowiki></nowiki>'''1.'''  In [[patients]] with [[Ventricular arrhythmia|VA]] [[symptoms]] associated with [[exertion]], suspected [[ischemic heart disease]], or [[catecholaminergic polymorphic ventricular tachycardia]], [[Exercise stress testing|exercise treadmill testing]] is useful to assess for exercise-induced [[Ventricular arrhythmia|VA]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-NR]])''.<ref name="ElhendyChandrasekaran2002">{{cite journal|last1=Elhendy|first1=Abdou|last2=Chandrasekaran|first2=Krishnaswamy|last3=Gersh|first3=Bernard J|last4=Mahoney|first4=Douglas|last5=Burger|first5=Kelli N|last6=Pellikka|first6=Patricia A|title=Functional and prognostic significance of exercise-induced ventricular arrhythmias in patients with suspected coronary artery disease|journal=The American Journal of Cardiology|volume=90|issue=2|year=2002|pages=95–100|issn=00029149|doi=10.1016/S0002-9149(02)02428-1}}</ref><ref name="Grady1998">{{cite journal|last1=Grady|first1=Thomas A.|title=Prognostic Significance of Exercise-Induced Left Bundle-Branch Block|journal=JAMA|volume=279|issue=2|year=1998|pages=153|issn=0098-7484|doi=10.1001/jama.279.2.153}}</ref>
'''2.''' In [[patients]] with suspected or documented [[Ventricular arrhythmias|VA]], a [[12-lead ECG]] should be obtained in [[sinus rhythm]] to look for evidence of [[heart disease]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-NR]])''.<ref name="Pérez-RodonMartínez-Alday2014">{{cite journal|last1=Pérez-Rodon|first1=Jordi|last2=Martínez-Alday|first2=Jesus|last3=Barón-Esquivias|first3=Gonzalo|last4=Martín|first4=Alfonso|last5=García-Civera|first5=Roberto|last6=del Arco|first6=Carmen|last7=Cano-Gonzalez|first7=Alicia|last8=Moya-Mitjans|first8=Àngel|title=Prognostic value of the electrocardiogram in patients with syncope: Data from the Group for Syncope Study in the Emergency Room (GESINUR)|journal=Heart Rhythm|volume=11|issue=11|year=2014|pages=2035–2044|issn=15475271|doi=10.1016/j.hrthm.2014.06.037}}</ref><nowiki/>
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==References==
==References==

Revision as of 21:37, 21 April 2020

Premature ventricular contraction Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]


Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)[1]

Recommendations for Surgery and Revascularization Procedures in Patients With Ischemic Heart Disease

Class I
1. In patients with VA symptoms associated with exertion, suspected ischemic heart disease, or catecholaminergic polymorphic ventricular tachycardia, exercise treadmill testing is useful to assess for exercise-induced VA (Level of Evidence: B-NR).[2][3]

2. In patients with suspected or documented VA, a 12-lead ECG should be obtained in sinus rhythm to look for evidence of heart disease (Level of Evidence: B-NR).[4]

References

  1. ↑ Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.
  2. ↑ Elhendy, Abdou; Chandrasekaran, Krishnaswamy; Gersh, Bernard J; Mahoney, Douglas; Burger, Kelli N; Pellikka, Patricia A (2002). "Functional and prognostic significance of exercise-induced ventricular arrhythmias in patients with suspected coronary artery disease". The American Journal of Cardiology. 90 (2): 95–100. doi:10.1016/S0002-9149(02)02428-1. ISSN 0002-9149.
  3. ↑ Grady, Thomas A. (1998). "Prognostic Significance of Exercise-Induced Left Bundle-Branch Block". JAMA. 279 (2): 153. doi:10.1001/jama.279.2.153. ISSN 0098-7484.
  4. ↑ Pérez-Rodon, Jordi; Martínez-Alday, Jesus; Barón-Esquivias, Gonzalo; Martín, Alfonso; García-Civera, Roberto; del Arco, Carmen; Cano-Gonzalez, Alicia; Moya-Mitjans, Àngel (2014). "Prognostic value of the electrocardiogram in patients with syncope: Data from the Group for Syncope Study in the Emergency Room (GESINUR)". Heart Rhythm. 11 (11): 2035–2044. doi:10.1016/j.hrthm.2014.06.037. ISSN 1547-5271.

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