Asymptomatic Ventricular Preexcitation

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Asymptomatic Ventricular Preexcitation

Background—Sudden cardiac death can be the first clinical presentation of asymptomatic ventricular preexcitation. Methods and Results—From 1995 to 2005, we prospectively collected clinical and electrophysiological data among 293 adults with asymptomatic ventricular preexcitation (61.4% males; median age, 36 years; interquartile range [IQR], 28 to 47.5). After electrophysiological testing, patie...

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Asymptomatic ventricular preexcitation: A long-term

Background. Sudden cardiac death can be the first clinical presentation of asymptomatic ventricular preexcitation. Methods and Results. From 1995 to 2005 we prospectively collected clinical and electrophysiologic data among 293 adults with asymptomatic ventricular preexcitation (61.4 % males; median age, 36 years; interquartile range (IQR, 28-47.5). After electrophysiologic testing, patients we...

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Alternating Ventricular Preexcitation

A 45-year-old woman diagnosed with Wolff-Parkinson-White syndrome preferred treatment with propafenone rather than catheter ablation. A 12-lead electrocardiogram (Fig. 1) after the drug administration showed sinus arrhythmia; alternating ventricular preexcitation; and alternating T wave inversion in the inferior leads during normal AV conduction. Ventricular preexcitation may disappear because ...

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Unmasking of Ventricular Preexcitation

Twenty-one patients were studied in whom ventricular preexcitation (VP) had been recorded in the past and had later disappeared, indicating antegrade block in the accessory pathway (AP), either spontaneously (10 patients) or under the effect of chronic treatment with amiodarone (11 patients). VP reappeared in nine cases during vagal stimulation, and in five cases during an i.v. isoproterenol in...

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Sudden death and ventricular preexcitation: is it necessary to treat the asymptomatic patients?

Currently, asymptomatic ventricular preexcitation, which has been put at rest for many decades, remains a clinical challenge as there are no predictors of sudden death, which can be the first clinical presentation of the syndrome. Identification of risk factors for sudden death is important, considering the availability of a definitive treatment. Now, as radiofrequency catheter ablation of acce...

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ژورنال

عنوان ژورنال: Circulation: Arrhythmia and Electrophysiology

سال: 2009

ISSN: 1941-3149,1941-3084

DOI: 10.1161/circep.108.827550