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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Cordarone And Pletal Tablets The Gold Standard Therapy For PVC?

The patient is a 29 yo female fillipina with a history of PVC for many years. Her cardiologist in the Philippines wants to put her on Cordarone (amiodarone HCl) and PLETAL (cilostazol) Tablets. Is this the gold standard therapy for a woman of her age?
Thu, 4 Apr 2019
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General & Family Physician,  's  Response
Hello,

PVC's have a lot of causes which can be both benign and fatal. Patients with PVCs have to be evaluated for a possible strucutral heart disease which will neccesitate urgent management.

Depending on the cause, some PVC's may only be observed, but PVCs in the background of heart disease will require antiarrhythmics(like Amiodarone) and treatment of the primary heart disease (like antiplatelets for ischemic heart disease).

The treatment depends on the cause. And I suggest a consult with a cardiologist for proper workup (which may include 2D echo, ECG, checking for electrolyte imbalances) and management with appropriate medications.

I hope this enlightened you in how PVCs are worked up and managed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Daryl Derick B. Dizon, General & Family Physician
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Are Cordarone And Pletal Tablets The Gold Standard Therapy For PVC?

Hello, PVC s have a lot of causes which can be both benign and fatal. Patients with PVCs have to be evaluated for a possible strucutral heart disease which will neccesitate urgent management. Depending on the cause, some PVC s may only be observed, but PVCs in the background of heart disease will require antiarrhythmics(like Amiodarone) and treatment of the primary heart disease (like antiplatelets for ischemic heart disease). The treatment depends on the cause. And I suggest a consult with a cardiologist for proper workup (which may include 2D echo, ECG, checking for electrolyte imbalances) and management with appropriate medications. I hope this enlightened you in how PVCs are worked up and managed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician