Criteria for PVC ablation.

[hankstar]

Thanks for taking my questions once again.

   What would be the criteria for recommending a PVC ablation? How many PVCs would one have to show in a 24 hour period for ablation to be recommended or does it depends on symptoms regardless of frequency?
    Once signing off on an  ablation for PVCs would a doctor be willing to perform such an ablation , even if it is not recommended and you are giving permission regardless of the outcome or does a responsible doctor ignore the patients plea and avoid a potential adverse reaction to the procedure?
     It is my understanding that even though one focus is responsible for about 60-80-% of all PVCs. Most person have mutifocal PVCs that occur from time to time. Is this true and the reason for most EP doctors not recommending ablation for PVCs?

    Would you agree that it is more abnormal not to demonstrate PVCs on a holter monitor for 24-48 hours, than to at least demonstrate a few.
    I also understand that sudden death is more likely to occur in person that hardly have any PVCs than in those that have them occasionally, have you seen any evidence to support this?

    i also understand that even though sometimes V-fib can be induced in a EP study in a normal heart, in these cases a ICD is rarely recommended or implanted, because of the very low risks of it occuring otherwise, Is this true?

    Thanks for taking so many questions, but I hate to see the  days when no questions are posted.

Thanks again.
        Hank.

  P.S. Do you think that the success stories of PVCs ablations in these far off land is true

[Momto3]

Well said! I sure hope this does not start up again...Thanks for asking the question that is on the minds of so many!

[Guenter]

I recall one person (I believe Dotty) posted two questions in separate posting and it created quite a response.  So I don't understand how that is different from this post where there are at least 7 questions.