Contemporary clinical management of monomorphic idiopathic premature ventricular contractions: results of the European Heart Rhythm Association survey
Por:
Sorgente, A, Farkowski, MM, Iliodromitis, K, Guerra, JM, Jubele, K, Chun, JKR, de Asmundis, C, Boveda, S
Publicada:
15 jul 2022
Resumen:
On behalf of the European Heart Rhythm Association, we designed a survey, whose aim was to understand the trend(s) in the clinical management of idiopathic monomorphic premature ventricular contractions (PVCs) among European cardiologists and cardiac electrophysiologists. A total of 202 participants in the survey answered 27 multiple-choice questions on the clinical presentation, diagnosis and treatment of idiopathic monomorphic PVCs. The most common symptom in patients with idiopathic monomorphic PVCs is palpitations, according to the majority of responders (87%), followed by fatigue (29%) and dizziness (18%). Complete blood cell count, renal function with electrolytes levels, and thyroid function are the blood tests requested by the majority of respondents (65%, 92%, and 93%, respectively). Coronary artery disease and structural heart disease needs to be ruled out, according to the vast majority of participants (99%). A 24-h Holter ECG is the preferred ECG modality to assess the burden of PVCs (86% of respondents). Among the different option treatments, beta-blockers and class I antiarrhythmic drugs are by far (81% of respondents) the preferred pharmacological option in comparison with calcium antagonists and class III antiarrhythmic drugs. Catheter ablation has also a good reputation: 99% of responders are keen to use it, especially in patients with high burden of PVCs and when signs of cardiomyopathy occur.
Filiaciones:
Sorgente, A:
Vrije Univ Brussel, Univ Ziekenhuis Brussel, Heart Rhythm Management Ctr,European Reference Ne, Postgrad Program Cardiac Electrophysiol & Pacing, Brussels, Belgium
Farkowski, MM:
Natl Inst Cardiol, Dept Heart Arrhythmia 2, Warsaw, Poland
Iliodromitis, K:
Evangel Hosp Hagen Haspe, Clin Cardiol & Electrophysiol, Hagen, Germany
Guerra, JM:
Univ Autonoma Barcelona, Dept Cardiol, CIBERCV, Hosp Santa Creu & St Pau, Barcelona, Spain
Jubele, K:
P Stradins Clin Univ Hosp, Riga, Latvia
Riga Stradins Univ Riga, Riga, Latvia
Chun, JKR:
Markuskrankenhaus, Med Klin 3, Cardiol, CCB, Frankfurt, Germany
de Asmundis, C:
Vrije Univ Brussel, Univ Ziekenhuis Brussel, Heart Rhythm Management Ctr,European Reference Ne, Postgrad Program Cardiac Electrophysiol & Pacing, Brussels, Belgium
Boveda, S:
Vrije Univ Brussel, Univ Ziekenhuis Brussel, Heart Rhythm Management Ctr,European Reference Ne, Postgrad Program Cardiac Electrophysiol & Pacing, Brussels, Belgium
Paris Cardiovasc Res Ctr, INSERM Unit 970, Paris, France
Univ Paris 05, Sorbonne Paris Cite, Paris, France
Clin Pasteur Toulouse, Heart Rhythm Management Dept, Toulouse, France
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