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...
  • Print

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

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!