Evaluation
The initial evaluation of frequent PVC’s should consider the age
at presentation. In adults, it is more likely associated to coronary
heart disease and ischemia which should be ruled out by
coronary angiography or stress testing. In young patients on the
other hand, PVCs could be more likely related to an inherited
channelopathies or cardiomyopathy such as arrhythmogenic
right ventricular cardiomyopathy. Common tools for evaluation
include resting ECG, 24 hour ambulatory monitoring, stress
testing, and cardiac imaging.