Premature ventricular contractions in patients without structural heart disease

被引：0
作者：
Sacher, F. [1 ]
Derval, N. [1 ]
Hocini, M. [1 ]
Jais, P. [1 ]
Ploux, S. [1 ]
Bordachar, P. [1 ]
Ritter, P. [1 ]
Clementy, J. [1 ]
Haissaguerre, M. [1 ]
机构：
[1] Univ Bordeaux 2, CHU Bordeaux, Hop Cardiol Haut Leveque, F-33604 Bordeaux, France
来源：
ARCHIVES OF CARDIOVASCULAR DISEASES | 2009年
关键词：
Premature Ventricular Contraction; PVC; FOLLOW-UP; ABLATION; COMPLEXES; QT;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Premature ventricular contractions (PVC) represent a daily problem for cardiologists due to their frequent occurrence. In the absence of structural heart disease, PVC are mainly benign. Initial work-up includes ECG, Holter-ECG, stress test and echocardiography. Whereas echocardiography can eliminate a patent cardiopathy, the other 3 exams evaluate PVC characteristics (morphology, daily rate, polymorphism, repetitive form, R/T phenomenon) to find an etiology and evaluate their arrhythmic risk. The daily PVC number is not a risk factor for dangerous arrhythmia, however it can lead to heart failure in some cases. Polymorphism and also R/T phenomenon indicate a possible arrhythmic risk. Careful evaluation is required before treatment, which is needed only in symptomatic patients or patients with a risk of severe ventricular arrhythmia. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：116 / 121
页数：6
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