PVCs without a history of heart disease (35%) - not threating

PVCs with a history of heart disease

• at risk for sudden death? (5%) -> implantable defibrillator
• no good evidence that drug therapy increases length of life
• resist starting medications unless needed to control patient's symptoms

treatment of choice may be beta-blockers

holter monitor anytime the patient has symptoms

[Grauer 1994]