Question

A patient undergoes a routine electrocardiogram (ECG), which reveals occasional premature ventricular contractions that are

present when the patient is resting and disappears with exercise. The patient has no previous history of cardiovascular disease,
and the cardiovasculaf examination is normal. The primary care NP should:
A Prescribe quinidine (Quinidex Extentabs)
B Tell the patient that treatment is not indicated
Refer the patient to a cardiologist for further evaluation
Consider using amiodarone if the patient develops other symptoms

Answer 1

Step-by-step explanation:

In this scenario, where a patient has occasional premature ventricular contractions (PVCs) that occur at rest and disappear with exercise, and there's no history of cardiovascular disease with a normal cardiovascular examination, the appropriate action would typically be:

B. Tell the patient that treatment is not indicated.

Frequent PVCs without structural heart disease or symptoms generally do not require treatment. However, the decision may depend on the specific clinical context and the patient's individual characteristics. If there are other concerning symptoms or if the PVCs become more frequent, a cardiologist might be consulted for further evaluation. It's crucial to consider the overall clinical picture and the patient's specific situation before making a decision.