Premature ventricular contraction surgery: Difference between revisions

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| colspan="1" style="text-align:center; background:LightGreen"|[[ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]]
| colspan="1" style="text-align:center; background:LightGreen"|[[ESC Guidelines Classification Scheme#Classification of Recommendations|Class I]]
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| bgcolor="LightGreen"|<nowiki></nowiki>'''1.'''  In [[patients]] with [[Ventricular arrhythmia|VA]] [[symptoms]] associated with [[exertion]], suspected [[ischemic heart disease]], or [[catecholaminergic polymorphic ventricular tachycardia]], [[Exercise stress testing|exercise treadmill testing]] is useful to assess for exercise-induced [[Ventricular arrhythmia|VA]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-NR]])''.<ref name="ElhendyChandrasekaran2002">{{cite journal|last1=Elhendy|first1=Abdou|last2=Chandrasekaran|first2=Krishnaswamy|last3=Gersh|first3=Bernard J|last4=Mahoney|first4=Douglas|last5=Burger|first5=Kelli N|last6=Pellikka|first6=Patricia A|title=Functional and prognostic significance of exercise-induced ventricular arrhythmias in patients with suspected coronary artery disease|journal=The American Journal of Cardiology|volume=90|issue=2|year=2002|pages=95–100|issn=00029149|doi=10.1016/S0002-9149(02)02428-1}}</ref><ref name="Grady1998">{{cite journal|last1=Grady|first1=Thomas A.|title=Prognostic Significance of Exercise-Induced Left Bundle-Branch Block|journal=JAMA|volume=279|issue=2|year=1998|pages=153|issn=0098-7484|doi=10.1001/jama.279.2.153}}</ref>
| bgcolor="LightGreen"|<nowiki></nowiki>'''1.'''  Patients with sustained VA and survivors of SCA should be evaluated for ischemic heart disease, and should be revascularized as
'''2.''' In [[patients]] with suspected or documented [[Ventricular arrhythmias|VA]], a [[12-lead ECG]] should be obtained in [[sinus rhythm]] to look for evidence of [[heart disease]] ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-NR]])''.<ref name="Pérez-RodonMartínez-Alday2014">{{cite journal|last1=Pérez-Rodon|first1=Jordi|last2=Martínez-Alday|first2=Jesus|last3=Barón-Esquivias|first3=Gonzalo|last4=Martín|first4=Alfonso|last5=García-Civera|first5=Roberto|last6=del Arco|first6=Carmen|last7=Cano-Gonzalez|first7=Alicia|last8=Moya-Mitjans|first8=Àngel|title=Prognostic value of the electrocardiogram in patients with syncope: Data from the Group for Syncope Study in the Emergency Room (GESINUR)|journal=Heart Rhythm|volume=11|issue=11|year=2014|pages=2035–2044|issn=15475271|doi=10.1016/j.hrthm.2014.06.037}}</ref><nowiki/>
appropriate ''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: B-NR]])''.
'''2.''' In patients with anomalous origin of a coronary artery suspected to be the cause of SCA, repair or revascularization is recommended''([[ACC AHA Guidelines Classification Scheme#Level of Evidence|Level of Evidence: C-EO]])''.<nowiki/>
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Revision as of 21:38, 21 April 2020

Premature ventricular contraction Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Premature Ventricular Contraction from other Disorders

Epidemiology and Demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]


Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death (DO NOT EDIT)[1]

Recommendations for Surgery and Revascularization Procedures in Patients With Ischemic Heart Disease

Class I
1. Patients with sustained VA and survivors of SCA should be evaluated for ischemic heart disease, and should be revascularized as

appropriate (Level of Evidence: B-NR). 2. In patients with anomalous origin of a coronary artery suspected to be the cause of SCA, repair or revascularization is recommended(Level of Evidence: C-EO).

References

  1. Al-Khatib, Sana M.; Stevenson, William G.; Ackerman, Michael J.; Bryant, William J.; Callans, David J.; Curtis, Anne B.; Deal, Barbara J.; Dickfeld, Timm; Field, Michael E.; Fonarow, Gregg C.; Gillis, Anne M.; Granger, Christopher B.; Hammill, Stephen C.; Hlatky, Mark A.; Joglar, José A.; Kay, G. Neal; Matlock, Daniel D.; Myerburg, Robert J.; Page, Richard L. (2018). "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death". Circulation. 138 (13). doi:10.1161/CIR.0000000000000549. ISSN 0009-7322.

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