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      'Frequent' ventricular bigeminy--a reversible cause of dilated cardiomyopathy. How frequent is 'frequent'?

      1 , ,

      European journal of heart failure

      Elsevier BV

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          Abstract

          An interesting development in the field of heart failure has been the link between frequent premature ventricular contractions and cardiomyopathy. We report a patient whose frequent ventricular bigeminy resulted in left ventricular impairment that resolved after the use of non-contact mapping during radiofrequency ablation. A review of the literature regarding possible mechanisms is discussed. For the practicing clinician, the question of 'frequent' should be taken in context of symptoms and LV function. A single 24-h Holter monitor may not truly reflect the ectopic load. We recommend that if there is associated LV dysfunction and a causal link to frequent PVCs then suppression with radiofrequency ablation is a safe and effective treatment strategy.

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          Author and article information

          Journal
          Eur. J. Heart Fail.
          European journal of heart failure
          Elsevier BV
          1388-9842
          1388-9842
          Dec 2006
          : 8
          : 8
          Affiliations
          [1 ] Royal Surrey County Hospital, Guildford, United Kingdom. nesan_s@hotmail.com
          Article
          S1388-9842(06)00057-2
          10.1016/j.ejheart.2006.02.011
          16714145

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