TY - JOUR T1 - Evaluation and management of premature ventricular complexes JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 377 LP - 387 DO - 10.3949/ccjm.80a.12168 VL - 80 IS - 6 AU - Daniel J. Cantillon Y1 - 2013/06/01 UR - http://www.ccjm.org/content/80/6/377.abstract N2 - Premature ventricular complexes (PVCs) are a common cause of palpitations. Related symptoms include difficulty breathing, chest pain, fatigue, and dizziness. PVCs are also commonly detected incidentally on electrocardiography, outpatient ambulatory monitoring, and inpatient telemetry. Treatment goals include palliating symptoms, restoring cardiac function if affected, and preventing progression to tachycardia-related cardiomyopathy if the PVC burden is high, even in patients without symptoms. Responses to caffeine reduction, cessation of stimulants, and stress reduction are inconsistent. Aerobic exercise is rarely effective and can sometimes exacerbate PVCs. ER -