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š§µ Great Review in @Heart_BMJ & accompanying podcast by @jhfrudd #DrBhargava on managing PVCās
heart.bmj.com/content/early/ā¦
Sharing a few personal learning takeaways:
heart.bmj.com/content/early/ā¦
Sharing a few personal learning takeaways:
ā ļø Is the PVC Benign?
ā Likely Benign:
PVC burden <5% in a normalš«from typical sites: RVOT, fascicular or papillary muscles more likely to be benign
ā Likely Non-Benign:
PVC burden >5% in structural abnormal š« from atypical sites (eg: epicardial) or multiple morphologies
ā Likely Benign:
PVC burden <5% in a normalš«from typical sites: RVOT, fascicular or papillary muscles more likely to be benign
ā Likely Non-Benign:
PVC burden >5% in structural abnormal š« from atypical sites (eg: epicardial) or multiple morphologies
ā”ļøApproaching 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%
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%
