What are the AHA/ACC recommendations on exercise stress testing (EST) in the workup of premature ventricular contractions (PVCs)?

Updated: Jan 13, 2017
  • Author: James E Keany, MD, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Answer

The role of EPS in complex ventricular ectopy is an area of both intense research and debate. A joint American Heart Association (AHA)/American College of Cardiology (ACC) statement suggested the following [10, 11] :

  • Routine EPS are not indicated in low-risk patients after MI; "low-risk" refers to simple ectopy, good left ventricular function, and low congestive heart failure (CHF) class
  • EPS are indicated in high-risk patients with complex ectopy
  • EPS are thought to be beneficial in patients with sustained ventricular tachycardia more than 48 hours after MI

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