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Exercise and recovery PVCs
Most people with PVCs and otherwise normal heart function don’t need treatment, only reassurance they are safe once their heart proves OK.
If you read the studies, you would know it involved military veterans, mostly male, and 60+ of age, of whom roughly 25% were treated for heart disease (1). In this group of patients, frequent exercise PVCs proved an additional risk factor for heart disease, whether during exercise or afterwards, not unlike many other cardiac risk actors such as smoking, hypertension, high cholesterol, obesity and/or diabetes. I expect the same to be true for women with similar risk factors.
Association (shown as hazard ratio and 95% confidence interval) between exercise capacity and hospitalization for myocardial infarction among patient
subgroups for those who achieved less than 85% compared with those who achieved greater than 100% of age- and sex-predicted exercise capacity.
CAD indicates coronary artery disease; ETT, exercise treadmill testing.
If you were one of those at risk patients (male or female), it would raise a red flag for me, and I'd recommend further studies, based not only on PVCs, but also on a host of other information a consultation would supply.
That is why this requires involvement of a cardiac specialist, who can look at these things, put them into context and order appropriate tests including an exercise tress test that might lead to further treatment.
Hope this helps,
- Ventricular Arrhythmias During Clinical Treadmill Testing and Prognosis. Frederick E. Dewey, BA et al; Arch Intern Med. 2008;168(2):225-234. doi:10.1001/archinte.168.2.225
- Association of Exercise Capacity on Treadmill With Future Cardiac Events in Patients Referred for Exercise Testing. Pamela N. Peterson, MD, et al; Arch Intern Med. 2008;168(2):174-179. doi:10.1001/archinternmed.2007.68.
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