The Asymptomatic Wolff - Parkinson - White Patient Time to Be More Proactive ?

Response to Letter Regarding Editorial, "The Asymptomatic Wolff-Parkinson-White Patient: Time to be More Proactive?".

The Use of Trans-Esophageal Electrophysiology Study to Identify a High Risk Asymptomatic Wolff Parkinson White Syndrome Patient

Patients with a Wolff-Parkinson-White (WPW) pattern on their ECG can experience symptoms such as syncope, palpitations, supraventricular tachycardia, and atrial fibrillation, or they can be asymptomatic (aWPW). All patients with WPW, regardless of the presence or absence of symptoms, are at risk of sudden death. Therefore, it is recommended that younger patients with WPW undergo studies to dete...

Radiofrequency catheter ablation in the treatment of Wolff-Parkinson-White syndrome

Introduction: Tachyarrhythmias in Wolf Parkinson White (WPW) syndrome, can be a life threatening factor. Antiarrhythmic drug therapy in this syndrome, has not been completely acceptable. Efficacy, safety and economy of Radio Frequency Catheter Ablation (RFCA) in western studies, has made it as the treatment of choice. In the present study, efficacy of RFCA in the ablation of accessory pathway...

Asymptomatic Wolff-Parkinson-White syndrome: is it time to revisit guidelines?

Current guidelines (1) and expert opinion (2) do not recommend routine electrophysiologic (EP) study in patients with asymptomatic Wolff-Parkinson-White (WPW) syndrome. Patients who engage in “high-risk” occupations or those patients in whom a pre-excitation pattern precludes them from following their chosen career may be exceptions. In this issue of the Journal, Pappone et al. (3) report the r...

Asymptomatic Wolff-Parkinson-White Syndrome in Children

he management of an asymptomatic child incidentally iscovered to have Wolff-Parkinson-White (WPW) synrome on electrocardiogram (ECG) is a controversial issue. ne big impediment to settling the controversy is our gnorance about the natural history of asymptomatic WPW yndrome. In this issue of the Journal, Santinelli et al. (1) eport the largest cohort (to date) of children with asympomatic WPW s...