ESC TV Today – Your Cardiovascular News
Season 3 - Ep.12: Relevance and management of ventricular ectopic beats - Lp(a) in cardiovascular risk management
Mar 27, 2025
Carlos Aguiar, a cardiology expert known for his contributions to 'Cardiology This Week', joins the discussion on ventricular ectopic beats and their management. He examines the significance of lipoprotein(a) in assessing cardiovascular risk, emphasizing the need for personalized monitoring. The podcast also dispels common myths about vegetarian diets and their effects on heart health, revealing mixed outcomes. Insights into treatment efficacy in heart failure and the implications of premature ventricular contractions in older patients are also highlighted.
25:29
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Quick takeaways
- Ventricular ectopic beats, especially beyond a 10% burden, require thorough diagnostic evaluation and potential intervention to prevent complications.
- Lipoprotein(a) serves as a stable, genetically determined cardiovascular risk factor, necessitating personalized management alongside traditional risk factors for improved outcomes.
Deep dives
Understanding Ventricular Ectopic Beats
Ventricular ectopic beats (PVCs) are common, particularly in older populations where nearly all individuals may experience them with prolonged monitoring. Assessing patients with frequent PVCs involves essential tests such as Holter monitoring to evaluate PVC burden and a 12-lead EKG for morphology. A PVC burden exceeding 10% is concerning, as it can indicate underlying cardiac issues or even PVC-induced cardiomyopathy. In patients with left ventricular dysfunction, early identification and management through catheter ablation may be necessary, highlighting the importance of thorough diagnostic processes.
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