Electrophysiology testing and catheter ablation are helpful when evaluating asymptomatic patients with Wolff-Parkinson-White pattern: the con perspective.
Identifieur interne : 000740 ( Main/Exploration ); précédent : 000739; suivant : 000741Electrophysiology testing and catheter ablation are helpful when evaluating asymptomatic patients with Wolff-Parkinson-White pattern: the con perspective.
Auteurs : Allan C. Skanes [Canada] ; Manoj Obeyesekere [Australie] ; George J. Klein [Canada]Source :
- Cardiac electrophysiology clinics [ 1877-9190 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Asymptomatic Diseases, Catheter Ablation (adverse effects), Child, Child, Preschool, Death, Sudden, Cardiac (epidemiology), Death, Sudden, Cardiac (etiology), Electrophysiologic Techniques, Cardiac (adverse effects), Female, Humans, Infant, Male, Middle Aged, Risk Factors, Wolff-Parkinson-White Syndrome (complications), Wolff-Parkinson-White Syndrome (diagnosis), Wolff-Parkinson-White Syndrome (epidemiology), Wolff-Parkinson-White Syndrome (surgery), Young Adult.
- MESH :
- adverse effects : Catheter Ablation, Electrophysiologic Techniques, Cardiac.
- complications : Wolff-Parkinson-White Syndrome.
- diagnosis : Wolff-Parkinson-White Syndrome.
- epidemiology : Death, Sudden, Cardiac, Wolff-Parkinson-White Syndrome.
- etiology : Death, Sudden, Cardiac.
- surgery : Wolff-Parkinson-White Syndrome.
- Adolescent, Adult, Asymptomatic Diseases, Child, Child, Preschool, Female, Humans, Infant, Male, Middle Aged, Risk Factors, Young Adult.
Abstract
The association between asymptomatic Wolff-Parkinson-White (WPW) syndrome and sudden cardiac death (SCD) has been well documented. The inherent properties of the accessory pathway determine the risk of SCD in WPW, and catheter ablation essentially eliminates this risk. An approach to WPW syndrome is needed that incorporates the patient's individualized considerations into the decision making. Patients must understand that there is a trade-off of a small immediate risk of an invasive approach for elimination of a small lifetime risk of the natural history of asymptomatic WPW. Clinicians can minimize the invasive risk by only performing ablation for patients with at-risk pathways.
DOI: 10.1016/j.ccep.2015.05.002
PubMed: 26304516
Affiliations:
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Skanes</name><affiliation wicri:level="1"><nlm:affiliation>Arrhythmia Services, University Hospital, Western University, 339 Windermere Road, London, Ontario N6A 5A5, Canada. 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Klein</name><affiliation wicri:level="1"><nlm:affiliation>Arrhythmia Services, University Hospital, Western University, 339 Windermere Road, London, Ontario N6A 5A5, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Arrhythmia Services, University Hospital, Western University, 339 Windermere Road, London, Ontario N6A 5A5</wicri:regionArea><wicri:noRegion>Ontario N6A 5A5</wicri:noRegion></affiliation></author></analytic><series><title level="j">Cardiac electrophysiology clinics</title><idno type="eISSN">1877-9190</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Asymptomatic Diseases</term><term>Catheter Ablation (adverse effects)</term><term>Child</term><term>Child, Preschool</term><term>Death, Sudden, Cardiac (epidemiology)</term><term>Death, Sudden, Cardiac (etiology)</term><term>Electrophysiologic Techniques, Cardiac (adverse effects)</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Wolff-Parkinson-White Syndrome (complications)</term><term>Wolff-Parkinson-White Syndrome (diagnosis)</term><term>Wolff-Parkinson-White Syndrome (epidemiology)</term><term>Wolff-Parkinson-White Syndrome (surgery)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Catheter Ablation</term><term>Electrophysiologic Techniques, Cardiac</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Death, Sudden, Cardiac</term><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Death, Sudden, Cardiac</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Wolff-Parkinson-White Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Asymptomatic Diseases</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The association between asymptomatic Wolff-Parkinson-White (WPW) syndrome and sudden cardiac death (SCD) has been well documented. The inherent properties of the accessory pathway determine the risk of SCD in WPW, and catheter ablation essentially eliminates this risk. An approach to WPW syndrome is needed that incorporates the patient's individualized considerations into the decision making. Patients must understand that there is a trade-off of a small immediate risk of an invasive approach for elimination of a small lifetime risk of the natural history of asymptomatic WPW. Clinicians can minimize the invasive risk by only performing ablation for patients with at-risk pathways.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Skanes, Allan C" sort="Skanes, Allan C" uniqKey="Skanes A" first="Allan C" last="Skanes">Allan C. Skanes</name></noRegion><name sortKey="Klein, George J" sort="Klein, George J" uniqKey="Klein G" first="George J" last="Klein">George J. Klein</name></country><country name="Australie"><noRegion><name sortKey="Obeyesekere, Manoj" sort="Obeyesekere, Manoj" uniqKey="Obeyesekere M" first="Manoj" last="Obeyesekere">Manoj Obeyesekere</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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