The conversation between human and AI assistant.
[|Human|] 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?
[|AI|]  Hello, PVC's have a lot of causes which can be both benign and fatal. Patients with PVC's have to be evaluated for a possible structural heart disease which will necessitate urgent management.  Depending on the cause, some PVC's may only be observed, but PVC's in the background of heart disease will require antiarrhythmic(like Amiodarone) and treatment of the primary heart disease (like antiplatelet 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 PVC's are worked up and managed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Dion, General & Family Physician
