Premature ventricular contraction - Revision history

ClaireLewis: /* ManagementKeany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10 */

2019-09-25T17:07:25Z

ManagementKeany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10

← Older revision		Revision as of 17:07, 25 September 2019
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	==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==		==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==
	*Benign; generally does not require any treatment or additional workup		*Benign; generally does not require any treatment or additional workup
	*Treat hypoxia/drug toxicity if existing		*Treat [[hypoxia]]/[[drug overdose\|drug toxicity]] if existing
	*Correct electrolyte imbalances, particularly magnesium, calcium, potassium		*Correct [[electrolyte imbalances]], particularly magnesium, calcium, potassium
	*Acute ischemia/infarction:		*Acute [[MI\|ischemia/infarction]]:
	**Complex ectopy frequently seen after patient receives thrombolytics		**Complex ectopy frequently seen after patient receives thrombolytics
	**1st line are β-blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:		**1st line are [[beta-blockers\|β-blockers]], options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:
	***Acute MI: Metoprolol 5mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid		***Acute MI: [[Metoprolol]] 5mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid
	***Post-MI: Atenolol 5mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI		***Post-MI: [[Atenolol]] 5mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "beta blocker" to "β-blocker"

2017-08-03T13:06:58Z

Text replacement - "beta blocker" to "β-blocker"

← Older revision		Revision as of 13:06, 3 August 2017
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	*Acute ischemia/infarction:		*Acute ischemia/infarction:
	**Complex ectopy frequently seen after patient receives thrombolytics		**Complex ectopy frequently seen after patient receives thrombolytics
	**1st line are ~~beta~~ blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:		**1st line are β-blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:
	***Acute MI: Metoprolol 5mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid		***Acute MI: Metoprolol 5mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid
	***Post-MI: Atenolol 5mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI		***Post-MI: Atenolol 5mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T18:15:33Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 18:15, 24 July 2016
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	{{Palpitations DDX}}		{{Palpitations DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Workup===		===Workup===
	*[[ECG]]		*[[ECG]]

Neil.m.young: Text replacement - "5 mg" to "5mg"

2016-07-20T09:43:54Z

Text replacement - "5 mg" to "5mg"

← Older revision		Revision as of 09:43, 20 July 2016
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	**Complex ectopy frequently seen after patient receives thrombolytics		**Complex ectopy frequently seen after patient receives thrombolytics
	**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:		**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:
	***Acute MI: Metoprolol ~~5 mg~~ IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid		***Acute MI: Metoprolol 5mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid
	***Post-MI: Atenolol ~~5 mg~~ IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI		***Post-MI: Atenolol 5mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "0 mg" to "0mg"

2016-07-20T04:34:09Z

Text replacement - "0 mg" to "0mg"

← Older revision		Revision as of 04:34, 20 July 2016
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	**Complex ectopy frequently seen after patient receives thrombolytics		**Complex ectopy frequently seen after patient receives thrombolytics
	**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:		**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:
	***Acute MI: Metoprolol 5 mg IV q2 min for x3 doses, then PO metoprolol ~~50 mg~~ q6hrs for 2 days, followed by maintenance of ~~100 mg~~ bid		***Acute MI: Metoprolol 5 mg IV q2 min for x3 doses, then PO metoprolol 50mg q6hrs for 2 days, followed by maintenance of 100mg bid
	***Post-MI: Atenolol 5 mg IV over 5 min, then repeat in 10 min, then PO atenolol ~~50 mg~~ q12hrs for 7 days post-MI		***Post-MI: Atenolol 5 mg IV over 5 min, then repeat in 10 min, then PO atenolol 50mg q12hrs for 7 days post-MI

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - " pt " to " patient "

2016-07-02T09:43:11Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 09:43, 2 July 2016
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	*Correct electrolyte imbalances, particularly magnesium, calcium, potassium		*Correct electrolyte imbalances, particularly magnesium, calcium, potassium
	*Acute ischemia/infarction:		*Acute ischemia/infarction:
	**Complex ectopy frequently seen after pt receives thrombolytics		**Complex ectopy frequently seen after patient receives thrombolytics
	**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:		**1st line are beta blockers, options below<ref>McAuley DF. Beta Blockers. GlobalRPH. http://www.globalrph.com/beta.htm</ref>:
	***Acute MI: Metoprolol 5 mg IV q2 min for x3 doses, then PO metoprolol 50 mg q6hrs for 2 days, followed by maintenance of 100 mg bid		***Acute MI: Metoprolol 5 mg IV q2 min for x3 doses, then PO metoprolol 50 mg q6hrs for 2 days, followed by maintenance of 100 mg bid

Ostermayer: Text replacement - "Category:Cards" to "Category:Cardiology"

2016-03-22T13:54:07Z

Text replacement - "Category:Cards" to "Category:Cardiology"

← Older revision		Revision as of 13:54, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Cards~~]]		[[Category:Cardiology]]

Mholtz at 00:19, 22 February 2016

2016-02-22T00:19:05Z

← Older revision		Revision as of 00:19, 22 February 2016
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	*Drugs		*Drugs

	~~==Clinical Features==~~
	[[File:PVC10.jpg\|thumb\|PVC]]		[[File:PVC10.jpg\|thumb\|PVC]]
	[[File:PVC 1.png\|thumb\|PVCs]]		[[File:PVC 1.png\|thumb\|PVCs]]
	*[[Palpitations]] ~~vs asymptomatic~~
			==Clinical Features==
			*May be asymptomatic, or may have [[Palpitations]]

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Palpitations DDX}}		{{Palpitations DDX}}

	==Workup==		==Diagnosis==
			===Workup===
	*[[ECG]]		*[[ECG]]
	*If PVC burden is large:		*If PVC burden is large, consider:
	**TSH		**TSH
	**BMP		**BMP
	**Magnesium level		**Magnesium level
	**Ionized calcium ~~in alkalosis~~		**Ionized calcium

	==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==		==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==
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	==Disposition==		==Disposition==
	*~~Largely outpatient~~		*Generally may be discharged (unless other indications for admission exist)
	*Inpatient dependent on etiology

	==See Also==		==See Also==
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	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>

	[[Category:Cards]]		[[Category:Cards]]

Kxl328 at 00:40, 21 February 2016

2016-02-21T00:40:32Z

← Older revision		Revision as of 00:40, 21 February 2016
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	==Disposition==		==Disposition==
	*~~Outpatient~~		*Largely outpatient
			*Inpatient dependent on etiology

	==See Also==		==See Also==

Kxl328 at 00:39, 21 February 2016

2016-02-21T00:39:37Z

← Older revision		Revision as of 00:39, 21 February 2016
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	**BMP		**BMP
	**Magnesium level		**Magnesium level
			**Ionized calcium in alkalosis

	==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==		==Management<ref>Keany et al. Premature Ventricular Contraction Treatment & Management. Updated Jan 7, 2014. http://emedicine.medscape.com/article/761148-treatment#d10</ref>==