Mathew Shibu, Schmitt Jörn, Bogossian Harilaos
I. Med. Klinik, Kardiologie, Universitätsklinik Giessen, Klinikstr. 34, 35390, Gießen, Deutschland.
Abteilung für Kardiologie und Rhythmologie, Evangelisches Krankenhaus Hagen-Haspe und Universität Witten-Herdecke, Hagen, Deutschland.
Herzschrittmacherther Elektrophysiol. 2021 Mar;32(1):14-20. doi: 10.1007/s00399-021-00741-y. Epub 2021 Feb 1.
Premature ventricular contractions (PVC) are very common arrhythmias in cardiology. In structural normal hearts they usually represent a benign entity. If the ECG morphology is not consistent with idiopathic PVC, further diagnostic workup should be performed. They can occur due to structural heart disease and may be associated with sudden cardiac death. Polymorphic PVC or a high PVC burden should also always lead to further diagnostics and an individual risk-stratification. Therapeutic options include drug therapy and invasive catheter ablation.
室性早搏（PVC）是心脏病学中非常常见的心律失常。在结构正常的心脏中，它们通常代表一种良性病变。如果心电图形态与特发性室性早搏不一致，则应进行进一步的诊断检查。它们可能由结构性心脏病引起，并且可能与心源性猝死有关。多形性室性早搏或高室性早搏负荷也应始终导致进一步的诊断和个体化的风险分层。治疗选择包括药物治疗和侵入性导管消融。
