Premature Ventricular Contractions (PVCs): A Narrative Review

Area of Science:

• Cardiology
• Internal Medicine
• Electrophysiology

Background:

• Premature ventricular contractions (PVCs) are prevalent in 3%-20% of the general population.
• Often detected during evaluations for palpitations or incidentally on ECG.
• While typically benign, PVCs can signify underlying cardiac disease and cause debilitating symptoms.

Purpose of the Study:

• To provide a comprehensive review of PVCs for internists.
• To cover the etiologies, epidemiology, evaluation, and management of PVCs.
• To highlight the relevance of PVCs in primary care and general medicine settings.

Main Methods:

• Literature review of existing studies and clinical guidelines on PVCs.
• Synthesis of information regarding the prevalence, causes, and clinical significance of PVCs.
• Discussion of diagnostic approaches and therapeutic strategies for managing PVCs.

Main Results:

• PVCs are common and frequently encountered in non-specialist settings.
• A significant minority of PVCs may be associated with structural heart disease.
• Effective management strategies exist for symptomatic or concerning PVCs.

Conclusions:

• Internists play a crucial role in the initial identification and management of PVCs.
• Understanding the diverse etiologies and implications of PVCs is essential for appropriate patient care.
• A systematic approach to evaluation and management ensures optimal outcomes for patients with PVCs.