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Learn about pvcs, their causes, symptoms, diagnosis, and effective management. An echocardiogram is indicated in the presence of symptoms or particularly frequent pvcs, and cardiac magnetic resonance imaging is helpful when the evaluation suggests the presence of associated structural heart disease. Ambulatory monitoring is required to assess pvc frequency.
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Premature ventricular contractions (pvcs) are a common form of arrhythmia associated with an unfavorable prognosis in patients with structural heart disease. It is unclear whether pvcs site of origin and qrswidth has a prognostic significance in patients without structural heart disease. In this review, we provide a comprehensive overview of the pathophysiologic basis of pvcs, appropriate diagnostic testing, management, and prognostic considerations necessary when faced with pvcs in the outpatient clinic. We performed subgroup analyses and found that age had significant interactions with pvc in developing heart failure and ventricular arrhythmia composite.
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