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

页码：116 / 121

页数：6

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