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Diagnosis and Treatment of Premature Atrial or Ventricular Complexes
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Premature atrial complex (PAC) and premature ventricular complex (PVC) are the most common arrhythmias. Most of them are benign, whereas some could be an initial sign of any underlying significant heart disease. Evaluation of daily burden and the presence of any association with underlying medical conditions are essential for proper assessment. Recently, newly developed electrocardiogram smart devices are widely available to document arrhythmias and identify correlations with symptoms. Management is required if the daily burden is high, patients are highly symptomatic, or significant structural heart disease is present. Antiarrhythmic drugs (AADs) are the first-line treatment, but if arrhythmias are drug-refractory or the patients are intolerable to AADs, catheter ablation is considered a good alternative in selected cases. In this paper, the proper diagnosis and management for PAC and PVC will be comprehensively reviewed.
Abstract
Premature atrial complex (PAC) and premature ventricular complex (PVC) are the most common arrhythmias. Most of them are benign, whereas some could be an initial sign of any underlying significant heart disease. Evaluation of daily burden and the presence of any association with underlying medical conditions are essential for proper assessment. Recently, newly developed electrocardiogram smart devices are widely available to document arrhythmias and identify correlations with symptoms. Management is required if the daily burden is high, patients are highly symptomatic, or significant structural heart disease is present. Antiarrhythmic drugs (AADs) are the first-line treatment, but if arrhythmias are drug-refractory or the patients are intolerable to AADs, catheter ablation is considered a good alternative in selected cases. In this paper, the proper diagnosis and management for PAC and PVC will be comprehensively reviewed.
참고문헌 (54)
- Orini M, "Premature atrial and ventricular contractions detected on wearable-format electrocardiograms and prediction of cardiovascular events", Eur Heart J Digit Health, 4, pp.112~118 (2023)
- Wit AL, "Pathophysiologic mechanisms of cardiac arrhythmias", Am Heart J, 106, pp.798~811 (1983)
- Bagliani G, "Ectopic beats : insights from timing and morphology", Card Electrophysiol Clin, 10, pp.257~275 (2018)
- Al-Khatib SM, "2017AHA", ACC, American Heart Association Task Force on clinical practice guidelines and the Heart Rhythm Society, pp.Heart Rhythm, 2018[DOI]
- Arnar DO, "Management of asymptomatic arrhythmias : a European Heart Rhythm Association(EHRA)consensus document, endorsed by the Heart Failure Association(HFA), Heart Rhythm Society(HRS), Asia Pacific Heart Rhythm Society(APHRS), Cardiac Arrhythmia Society of Southern Africa(CASSA), and Latin America Heart Rhythm Society(LAHRS)", Europace, 21, pp.844~845 (2019)
- Marcus GM, "Evaluation and management of premature ventricular complexes", Circulation, 141, pp.1404~1418 (2020)
- Kennedy HL, "Long-term follow-up of asymptomatic healthy subjects with frequent and complex ventricular ectopy", N Engl J Med, 312, pp.193~197 (1985)
- Lin CY, "Prognostic Significance of Premature Atrial Complexes Burden in Prediction of Long-Term Outcome", J Am Heart Assoc, 4, pp.e002192~ (2015)
- Krittayaphong R, "Effect of atenolol on symptomatic ventricular arrhythmia without structural heart disease : a randomized placebo-controlled study", Am Heart J, 144, pp.e10~ (2002)
- Surawicz B, "AHA", ACCF, J Am Coll Cardiol, pp.2009, 53[DOI]
- Vetta G, "Non-conducted premature atrial complexes : a new independent predictor of atrial fibrillation in cryptogenic stroke", J Electrocardiol, 74, pp.46~53 (2022)
- Akdemir B, "Premature ventricular contractions : reassure or refer?", Cleve Clin J Med, 83, pp.524~530 (2016)
- Vervueren PL, "Reversal of dilated cardiomyopathy after successful radio-frequency ablation of frequent atrial premature beats, a new cause for arrhythmia-induced cardiomyopathy", J Atr Fibrillation, 5, pp.627~ (2012)
- Conen D, "Premature atrial contractions in the general population : frequency and risk factors", Circulation, 126, pp.2302~2308 (2012)
- Jain R, "Electrocardiographic features of arrhythmogenic right ventricular dysplasia", Circulation, 120, pp.477~487 (2009)
- Freedman B, "Opportunistic electrocardiogram screening for atrial fibrillation to prevent stroke", JAMA Cardiol, 4, pp.91~92 (2019)
- Kistler PM, "P-wave morphology in focal atrial tachycardia : development of an algorithm to predict the anatomic site of origin", J Am Coll Cardiol, 48, pp.1010~1017 (2006)
- Muser D, "Diagnosis and treatment of idiopathic premature ventricular contractions : a stepwise approach based on the site of origin", Diagnostics(Basel), 11, pp.1840~ (2021)
- Gladstone DJ, "Atrial premature beats predict atrial fibrillation in cryptogenic stroke : results from the EMBRACE trial", Stroke, 46, pp.936~941 (2015)
- Baman TS, "Relationship between burden of premature ventricular complexes and left ventricular function", Heart Rhythm, 7, pp.865~869 (2010)
- Loring Z, "Longer ambulatory ECG monitoring increases identification of clinically significant ectopy", Pacing Clin Electrophysiol, 39, pp.592~597 (2016)
- Steinhubl SR, "Effect of a home-based wearable continuous ECG monitoring patch on detection of undiagnosed atrial fibrillation : the mSToPS randomized clinical trial", JAMA, 320, pp.146~155 (2018)
- Bacevicius J, "Six-lead electrocardiography compared to single-lead electrocardiography and photoplethysmography of a wrist-worn device for atrial fibrillation detection controlled by premature atrial or ventricular contractions : six is smarter than one", Front Cardiovasc Med, 10, pp.1160242~ (2023)
- Halcox JPJ, "Assessment of remote heart rhythm sampling using the AliveCor heart monitor to screen for atrial fibrillation : the REHEARSE-AF study", Circulation, 136, pp.1784~1794 (2017)
- Perez MV, "Large-scale assessment of a smartwatch to identify atrial fibrillation", N Engl J Med, 381, pp.1909~1917 (2019)
- von Rotz M, "Risk factors for premature ventricular contractions in young and healthy adults", Heart, 103, pp.702~707 (2017)
- Kerola T, "Modifiable predictors of ventricular ectopy in the community", J Am Heart Assoc, 7, pp.e010078~ (2018)
- Wang Z, "Anxiety is associated with increased risk for atrial cardiopathy", Acta Neurol Belg, 120, pp.1383~1388 (2020)
- Kerola T, "Predictors of atrial ectopy and their relationship to atrial fibrillation risk", Europace, 21, pp.864~870 (2019)
- Simpson RJ Jr, "Prevalence of premature ventricular contractions in a population of African American and white men and women : the Atherosclerosis Risk in Communities(ARIC)study", Am Heart J, 143, pp.535~540 (2002)
- Cohen EJ, "Alcohol use and supraventricular arrhythmia", Am J Cardiol, 62, pp.971~973 (1988)
- Ahmed S, "Premature atrial contractions and their determinants in a general population of Japanese men", Circ J, 86, pp.1298~1306 (2022)
- Dolly FR, "Increased ventricular ectopy and sleep apnea following ethanol ingestion in COPD patients", Chest, 83, pp.469~472 (1983)
- Wong CX, "Alcohol and arrhythmias", JACC Clin Electrophysiol, 9, pp.266~279 (2023)
- Dixit S, "Consumption of caffeinated products and cardiac ectopy", J Am Heart Assoc, 5, pp.e002503~ (2016)
- Marcus GM, "Acute effects of coffee consumption on health among ambulatory adults", N Engl J Med, 388, pp.1092~1100 (2023)
- Huang TC, "The beneficial effects of beta blockers on the long-term prognosis of patients with premature atrial complexes", Front Cardiovasc Med, 9, pp.806743~ (2022)
- Koldenhof T, "Rate control with calcium channel blockers versus betablockers in patients with paroxysmal and persistent atrial fibrillation-data from the AFFIRM trial", Europace, 25(Suppl 1), pp.euad122.073~ (2023)
- Badhwar N, "Idiopathic ventricular tachycardia : diagnosis and management", Curr Probl Cardiol, 32, pp.7~43 (2007)
- Abitbol H, "Use of flecainide acetate in the treatment of premature ventricular contractions", Am Heart J, 105, pp.227~230 (1983)
- Arif M, "A randomized, double-blind, parallel group comparison of disopyramide phosphate and quinidine in patients with cardiac arrhythmias", Angiology, 34, pp.393~400 (1983)
- Singh SN, "Amiodarone in patients with congestive heart failure and asymptomatic ventricular arrhythmia. Survival trial of antiarrhythmic therapy in congestive heart failure", N Engl J Med, 333, pp.77~82 (1995)
- Wang X, "Electrophysiological features and catheter ablation of symptomatic frequent premature atrial contractions", Europace, 19, pp.1535~1541 (2017)
- Huang X, "Electrophysiological characteristics and catheter ablation of symptomatic focal premature atrial contractions originating from pulmonary veins and non-pulmonary veins", Clin Cardiol, 41, pp.74~80 (2018)
- Zeppenfeld K, "2022 ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death", Eur Heart J, 43, pp.3997~4126 (2022)
- Gulletta S, "Long-term follow-up of catheter ablation for premature ventricular complexes in the modern era : the importance of localization and substrate", J Clin Med, 11, pp.6583~ (2022)
- Zhong L, "Relative efficacy of catheter ablation vs antiarrhythmic drugs in treating premature ventricular contractions : a single-center retrospective study", Heart Rhythm, 11, pp.187~193 (2014)
- Berruezo A, "Mortality and morbidity reduction after frequent premature ventricular complexes ablation in patients with left ventricular systolic dysfunction", Europace, 21, pp.1079~1087 (2019)
- Qureshi W, "Long-term mortality risk in individuals with atrial or ventricular premature complexes(results from the Third National Health and Nutrition Examination Survey)", Am J Cardiol, 114, pp.59~64 (2014)
- Prasitlumkum N, "Frequent premature atrial complexes as a predictor of atrial fibrillation : systematic review and meta-analysis", J Electrocardiol, 51, pp.760~767 (2018)
- Bogun F, "Radiofrequency ablation of frequent, idiopathic premature ventricular complexes : comparison with a control group without intervention", Heart Rhythm, 4, pp.863~867 (2007)
- Blaye-Felice MS, "Premature ventricular contraction-induced cardiomyopathy : related clinical and electrophysiologic parameters", Heart Rhythm, 13, pp.103~110 (2016)
- Pol LC, "Ventricular premature depolarization QRS duration as a new marker of risk for the development of ventricular premature depolarization-induced cardiomyopathy", Heart Rhythm, 11, pp.299~306 (2014)
- Viskin S, "The"shortcoupled"variant of right ventricular outflow ventricular tachycardia : a not-so-benign form of benign ventricular tachycardia?", J Cardiovasc Electrophysiol, 16, pp.912~916 (2005)
