This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Management of benign ventricular extrasystoles

Authoring team

Usually, reassurance and explanation is all that is required.

Precipitating factors should be avoided (and underlying causes should be treated). For example:

  • excess coffee
  • excess alcohol
  • smoking
  • hypokalaemia
  • hyperthyroidism

If a patient is symptomatic and demanding therapy, then it must be explained that benefits may not outweigh the risks.

If treatment of ventricular extrasystoles is indicated then seek specialist advice. Pharmacological agents used in the management of this condition include:

  • beta-blockers
  • phenytoin - of all the class I anti-arrhythmics is the only one to promote AVN conduction. Phenytoin is contraindicated in second or third degree heart block.
  • amiodarone
  • lignocaine (lidocaine)
  • mexiletine

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.