TY - JOUR
T1 - Approach to Managing Premature Ventricular Complexes in Athletes
AU - Kondamudi, Nitin
AU - Husaini, Mustafa
AU - Prutkin, Jordan M.
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/8
Y1 - 2023/8
N2 - Purpose of review: Sudden cardiac death is a feared outcome in young athletes. In rare cases, premature ventricular contractions (PVCs) can be associated with underlying structural or genetic heart disease and reflect a higher risk of sudden cardiac death. Given that PVCs are common among athletes and the potential risk associated with them, comprehensive evaluation should be performed without exposing athletes to excessive testing. Furthermore, athletes may necessitate treatment with medications or ablation to reduce symptoms and prevent PVC-associated cardiomyopathy. Recent findings: New diagnostic strategies have emerged to more effectively evaluate PVCs in athletes. Recent innovations in PVC ablation techniques may make ablation a more safe and durable strategy for reducing PVC burden. Summary: We recommend athletes with PVCs be risk-stratified according to prognostic factors. Risk assessment can inform the testing strategy. Athletes who are symptomatic or who have high PVC burden should undergo treatment with PVC ablation.
AB - Purpose of review: Sudden cardiac death is a feared outcome in young athletes. In rare cases, premature ventricular contractions (PVCs) can be associated with underlying structural or genetic heart disease and reflect a higher risk of sudden cardiac death. Given that PVCs are common among athletes and the potential risk associated with them, comprehensive evaluation should be performed without exposing athletes to excessive testing. Furthermore, athletes may necessitate treatment with medications or ablation to reduce symptoms and prevent PVC-associated cardiomyopathy. Recent findings: New diagnostic strategies have emerged to more effectively evaluate PVCs in athletes. Recent innovations in PVC ablation techniques may make ablation a more safe and durable strategy for reducing PVC burden. Summary: We recommend athletes with PVCs be risk-stratified according to prognostic factors. Risk assessment can inform the testing strategy. Athletes who are symptomatic or who have high PVC burden should undergo treatment with PVC ablation.
KW - Athletes
KW - Premature ventricular contractions
KW - Sudden cardiac death
UR - http://www.scopus.com/inward/record.url?scp=85169133409&partnerID=8YFLogxK
U2 - 10.1007/s11936-023-00994-5
DO - 10.1007/s11936-023-00994-5
M3 - Review article
AN - SCOPUS:85169133409
SN - 1092-8464
VL - 25
SP - 297
EP - 309
JO - Current Treatment Options in Cardiovascular Medicine
JF - Current Treatment Options in Cardiovascular Medicine
IS - 8
ER -