Premature ventricular contraction interventions
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Premature ventricular contraction Microchapters |
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Differentiating Premature Ventricular Contraction from other Disorders |
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Diagnosis |
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Treatment |
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Case Studies |
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Premature ventricular contraction interventions On the Web |
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to Hospitals Treating Premature ventricular contraction interventions |
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Risk calculators and risk factors for Premature ventricular contraction interventions |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]Mugilan Poongkunran M.B.B.S [3]
Overview
There are no recommended therapeutic interventions for the management of [disease name].
OR
[name of intervention] is not the first-line treatment option for patients with [disease name]. [name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The mainstay of treatment for [disease name] is medical therapy/surgery. [Name of intervention] is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of [name of intervention] depends on the stage of [disease or malignancy] at the time of diagnosis.
OR
[Name of intervention] is the mainstay of treatment for [disease or malignancy].
Indications
The mainstay of treatment for TT is medical therapy.
Overview
Radiofrequency ablation is useful for treating patients with high frequency of premature ventricular contraction episodes.
Ablation
Recent studies have shown that those subjects who have an extremely high occurrence of PVCs (several thousand a day) can develop dilated cardiomyopathy. In these cases, if the PVCs are reduced or removed by ablation therapy, the cardiomyopathy usually regresses.[1][2]
2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)[3]
Recommendations for Autonomic Modulation
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| 1. In patients with VT/VF storm in whom a beta blocker, other antiarrhythmic medications, and catheter ablation are ineffective, not tolerated, or not possible, cardiac sympathetic denervation may be reasonable (Level of Evidence: C-LD).[4][5][6] |
References
- ↑ Belhassen B (2005), "Radiofrequency ablation of "benign" right ventricular outflow tract extrasystoles: a therapy that has found its disease? In patients with no known coronary artery disease (CAD), the presence of frequent premature ventricular contractions (PVCs) is linked to acute myocardial infarction and sudden death. The Framingham Heart Study defines frequent as >30 PVCs per hour. The American College of Cardiology and the American Heart Association recommend evaluation for CAD in patients who have frequent PVCs and cardiac risk factors, such as hypertension and smoking (SOR C). Evaluation for CAD may include stress testing, echocardiography, and ambulatory rhythm monitoring", J. Am. Coll. Cardiol., 45 (8): 1266–8, doi:10.1016/j.jacc.2005.01.028, PMID 15837260 Unknown parameter
|month=ignored (help) - ↑ Shiraishi, Hirokazu; Ishibashi, Kazuya; Urao, Norifumi; Tsukamoto, Masaki; Hyogo, Masayuki; Keira, Natsuya; Hirasaki, Satoshi; Shirayama, Takeshi; Nakagawa, Masao (2002), "A case of cardiomyopathy induced by premature ventricular complexes", Circulation, 66 (11): 1065–7, doi:10.1253/circj.66.1065
- ↑ 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.
- ↑ Vaseghi, Marmar; Barwad, Parag; Malavassi Corrales, Federico J.; Tandri, Harikrishna; Mathuria, Nilesh; Shah, Rushil; Sorg, Julie M.; Gima, Jean; Mandal, Kaushik; Sàenz Morales, Luis C.; Lokhandwala, Yash; Shivkumar, Kalyanam (2017). "Cardiac Sympathetic Denervation for Refractory Ventricular Arrhythmias". Journal of the American College of Cardiology. 69 (25): 3070–3080. doi:10.1016/j.jacc.2017.04.035. ISSN 0735-1097.
- ↑ Vaseghi, Marmar; Gima, Jean; Kanaan, Christopher; Ajijola, Olujimi A.; Marmureanu, Alexander; Mahajan, Aman; Shivkumar, Kalyanam (2014). "Cardiac sympathetic denervation in patients with refractory ventricular arrhythmias or electrical storm: Intermediate and long-term follow-up". Heart Rhythm. 11 (3): 360–366. doi:10.1016/j.hrthm.2013.11.028. ISSN 1547-5271.
- ↑ Schwartz, Peter J.; Motolese, Mario; Pollavini, Giorgio; Lotto, Antonio; Ruberti, Ugo; Trazzi, Rinaldo; Bartorelli, Cesare; Zanchetti, Alberto; Group, The Italian Sudden Death Prevention (1992). "Prevention of Sudden Cardiac Death After a First Myocardial Infarction by Pharmacologic or Surgical Antiadrenergic Interventions". Journal of Cardiovascular Electrophysiology. 3 (1): 2–16. doi:10.1111/j.1540-8167.1992.tb01090.x. ISSN 1045-3873.