Asymptomatic Wolff-Parkinson-White Syndrome: Who Should Be Treated?
Identifieur interne : 001281 ( Main/Curation ); précédent : 001280; suivant : 001282Asymptomatic Wolff-Parkinson-White Syndrome: Who Should Be Treated?
Auteurs : Manoj N. Obeyesekere [Canada] ; Peter Leong-Sit ; Andrew D. Krahn ; Lorne J. Gula ; Raymond Yee ; Allan C. Skanes ; George J. KleinSource :
- Cardiac electrophysiology clinics [ 1877-9182 ] ; 2012.
Abstract
This article discusses the merits of electrophysiology study (EPS) and/or ablation for asymptomatic preexcitation Wolff-Parkinson-White (WPW) ECG pattern. Sudden deaths in asymptomatic patients are too few to merit broad screening and aggressive intervention. It also discusses the risks of ablation and the low predictive accuracy of EPS. When WPW is an incidental finding, the decision to proceed with investigation and ablation can be made considering patients' situations and preferences. An invasive strategy is targeted at patients concerned about the low risk of life-threatening arrhythmia as a first presentation after a discussion of the risks and benefits.
DOI: 10.1016/j.ccep.2012.05.008
PubMed: 26939946
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<front><div type="abstract" xml:lang="en">This article discusses the merits of electrophysiology study (EPS) and/or ablation for asymptomatic preexcitation Wolff-Parkinson-White (WPW) ECG pattern. Sudden deaths in asymptomatic patients are too few to merit broad screening and aggressive intervention. It also discusses the risks of ablation and the low predictive accuracy of EPS. When WPW is an incidental finding, the decision to proceed with investigation and ablation can be made considering patients' situations and preferences. An invasive strategy is targeted at patients concerned about the low risk of life-threatening arrhythmia as a first presentation after a discussion of the risks and benefits.</div>
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