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

نویسندگان

  • Derick M Todd
  • George J Klein
  • Andrew D Krahn
  • Allan C Skanes
  • Raymond Yee
چکیده

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 results of a five-year follow-up of a cohort of 212 patients with asymptomatic WPW. During the follow-up period, one patient died from ventricular fibrillation (VF), and two patients had a cardiac arrest due to VF from which they were successfully resuscitated. These findings contrast to previous studies (4–14) that have found asymptomatic WPW to be associated with a good prognosis (Table 1). In light of the findings of Pappone et al. (3), it is important to ask whether we should re-address the issue of routine EP testing for asymptomatic WPW.

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عنوان ژورنال:
  • Journal of the American College of Cardiology

دوره 41 2  شماره 

صفحات  -

تاریخ انتشار 2003