Approach to premature ventricular complex treatment in high-risk patients

PVC: premature ventricular complex/contraction; BB: beta blockers; HF: heart failure.
* Refer to UpToDate content for further detail.
¶ Mitigating triggers: curtail or eliminate alcohol, coffee, or tea intake; abstain from recreational/stimulating drugs; and correct electrolyte abnormalities, hypoxia, hyperadrenergic state, and uncontrolled hypertension. Refer to UpToDate content for further detail.
Δ Sometimes, a patient will prefer to stop the beta blocker after symptom relief is achieved. In this case, one can try to wean the beta blocker after 6 to 12 months of medication treatment. The dose can be gradually reduced, and a 24-hour Holter recording can be repeated periodically. It is preferable to keep the patient on at least a low dose of beta blocker if they are willing, as this may prevent PVC reoccurrence.