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In particular, PVCs arising from both the right ventricular outflow tract (RVOT) and left ventricular outflow tract (LVOT) comprise the majority of these arrhythmias and form a significant component of an electrophysiology practice. A keen understanding of the correlative anatomy of the outflow tracts, in addition to recognizing key ECG indices illustrating PVC sites of origin, are fundamental in preparing for a successful ablation. Patient selection, incorporating symptomatology, structural disease, and PVC burden can pose a challenge, though tools such as the ABC\u2010VT risk score may help identify those patients with a higher risk of clinical deterioration. Utilizing intracardiac echocardiography to highlight salient anatomic features not visible with fluoroscopy allows for a more precise and safer ablation. Interpretation of intracardiac EGMs, and the careful examination for low amplitude highly fractionated pre\u2010potentials, enhanced by the advent of new developed mapping\/ablation catheters, remains crucial. Utilizing these tools will guide the electrophysiologist to an efficient and effective outflow tract PVC ablation.<\/jats:p>","DOI":"10.1111\/pace.14290","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T14:17:52Z","timestamp":1622729872000},"page":"1449-1463","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Landing on the spot: Approaches to outflow tract PVCs; from ECG to EGMs to intracardiac echocardiography"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3094-1648","authenticated-orcid":false,"given":"Alexios","family":"Hadjis","sequence":"first","affiliation":[{"name":"Arrhythmology Department IRCCS San Raffaele Hospital  Milan Italy"},{"name":"Division of Cardiology, H\u00f4pital du Sacr\u00e9\u2010Coeur de Montr\u00e9al University of Montreal  Montreal Quebec 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