Interní Med. 2007; 9(10): 448-452

When to treat ventricular premature beats

doc. MUDr. Petr Heinc Ph.D

I. interní klinika FN a LF UP Olomouc

Review of knowledge about ventricular premature beats contents definition, classification and incidence of ventricular premature beats. It is necessary to postulate the seriousness of ventricular premature beats for its treatment. The seriousness is higher when structural heart disease is present, with lowering of left ventricular function and with higher number or complexity of premature ventricular beats. It is necessary to perform echocardiography and holter ambulatory ecg monitoring to postulate the seriousness of ventricular premature beats and according to the results the correct treatment method to postulate. Proarrhythmogenic effect of antiarrhythmic agents must be calculate. The principles and methods of antiarrhythmic treatment with the indications of radiofrequency ablation in patients with structural heart disease and without structural heart disease are mentioned.

Keywords: ventricular premature beats, structural heart disease, Holter monitoring, echocardiography, proarrhythmia, radiofrequency ablation

Published: January 1, 2008  Show citation