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šŸ§µ Great Review in @Heart_BMJ & accompanying podcast by @jhfrudd #DrBhargava on managing PVCā€™s

heart.bmj.com/content/early/ā€¦

Sharing a few personal learning takeaways:
ā˜ ļø Is the PVC Benign?

āœ… Likely Benign:
PVC burden <5% in a normalšŸ«€from typical sites: RVOT, fascicular or papillary muscles more likely to be benign

āŒ Likely Non-Benign:
PVC burden >5% in structural abnormal šŸ«€ from atypical sites (eg: epicardial) or multiple morphologies
āš”ļøApproaching PVCs

1. If PVC induced sustained VT/VF -> aggressively ā¬‡ļø PVC with CA or AAD

2. Is LVEF normal?

2a. EF >50% - Mx is driven by PVC burden & symptoms: lifestyle, BB, CCB, CA/AAD

2b. EF <50% - is it PVC induced CM or PVC aggravated CM? CA or AAD if burden >5%
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