For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
16
views
32
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      77
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Management of asymptomatic ventricular preexcitation

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          An incidental discovery of Wolff Parkinson White (WPW) pattern on the electrocardiogram (ECG) is not an infrequent finding facing the physician. Most patients discovered incidentally are asymptomatic and it is hard to justify further management of such patients given the time-honored adage to “first do no harm.” However, this finding does have implications. This article is an attempt to guide clinicians about this important issue that is often faced in the office.

          Related collections

          Most cited references32

          • Record: found
          • Abstract: found
          • Article: not found

          Ventricular fibrillation in the Wolff-Parkinson-White syndrome.

          Stuart Gallagher, D E Sellers, Sebastian G Klein … (1979)
          To examine the risk of ventricular fibrillation in patients with the Wolff-Parkinson-White syndrome, we compared patients who had this syndrome and a history of ventricular fibrillation related to preexcitation with patients who had the syndrome without this history. Ventricular fibrillation occurred during atrial fibrillation, with rapid conduction over the accessory pathway, and these patients had a higher prevalence of both reciprocating tachycardia and atrial fibrillation (14 of 25 vs. 18 of 73, P = 0.004) and multiple accessory pathways (five of 25 vs. four of 73, P = 0.012). The shortest preexcitation R-R interval during atrial fibrillation was less in the group with ventricular fibrillation (mean shortest R-R, 180 vs. 240 milliseconds, P less than 0.0001) as was the average R-R interval (mean average R-R, 269 vs 340 milliseconds, P less than 0.0001). Patients with Wolff-Parkinson-White syndrome who are most susceptible to ventricular fibrillation have a history of atrial fibrillation and reciprocating tachycardia, demonstrate rapid conduction over an accessory pathway during atrial fibrillation and have multiple accessory pathways.
          Article 0 comments Cited 67 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, ventricular preexcitation) electrocardiographic pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS).

            Mitchell I. Cohen, John Triedman, Bryan C. Cannon … (2012)
            Article 0 comments Cited 63 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              A population study of the natural history of Wolff-Parkinson-White syndrome in Olmsted County, Minnesota, 1953-1989.

              Laurie Feldman, Clifford D. Packer, T Munger … (1993)
              Virtually all natural history studies of Wolff-Parkinson-White (WPW) syndrome have been case series and, as such, have been constrained by referral biases, skewed age and sex distributions, or brief follow-up periods. The purpose of our study was to examine the natural history, the development of arrhythmias, and the incidence of sudden death in an entire cohort of pediatric and adult WPW patients from a community-based local population. We identified 113 residents of Olmsted County, Minnesota, during the period 1953-1989 using the centralized records-linkage system provided by the Mayo Clinic and the Rochester Epidemiology Program Project. Medical records and ECGs were reviewed to confirm the diagnosis and to establish pathway location by ECG criteria. Follow-up, via record review and telephone interview, was complete in 95% of subjects through 1990. The incidence of newly diagnosed cases was approximately four per 100,000 per year. Preexcitation was not present on the initial ECG of 22% of the cohort. Approximately 50% of the population was asymptomatic at diagnosis, with 30% subsequently having symptoms related to arrhythmia at follow-up. Two sudden cardiac deaths (SCD) occurred over 1,338 patient-years of follow-up, yielding an overall SCD rate of 0.0015 (95% confidence interval, 0.0002-0.0054) per patient-year. No SCD occurred in patients asymptomatic at diagnosis. The incidence of sudden death in a local community-based population is low and suggests that electrophysiological testing should not be performed routinely in asymptomatic patients with WPW syndrome. Nevertheless, young, asymptomatic patients, particularly those < 40 years old, should return for medical follow-up should symptoms develop.
              Article 0 comments Cited 59 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Shaun Mohan
                Journal
                Journal ID (nlm-ta): Indian Pacing Electrophysiol J
                Journal ID (iso-abbrev): Indian Pacing Electrophysiol J
                Title: Indian Pacing and Electrophysiology Journal
                Publisher: Elsevier
                ISSN (Electronic): 0972-6292
                Publication date PMC-release: 25 October 2019
                Publication date Collection: Nov-Dec 2019
                Publication date (Electronic): 25 October 2019
                Volume: 19
                Issue: 6
                Pages: 232-239
                Affiliations
                [a ]Department of Pediatrics, Division of Pediatric Cardiology, Kentucky Children’s Hospital, UK Healthcare, University of Kentucky, Lexington, KY, 40508, USA
                [b ]Department of Pediatrics (Division of Cardiology), Oregon Health & Science University, Portland, OR, 97239, USA
                Author notes
                [∗ ]Corresponding author. 138 Leader Avenue, Lexington, KY, 40509, USA. shaun.mohan@ 123456uky.edu
                Article
                Publisher ID: S0972-6292(19)30127-5
                DOI: 10.1016/j.ipej.2019.10.001
                PMC ID: 6904806
                PubMed ID: 31669128
                SO-VID: a0cf45f6-0f51-4d3a-bbd9-88814f0d4814
                Copyright © © 2019 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 3 October 2019
                Date accepted : 19 October 2019
                Categories
                Subject: Review Article

                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: wpw,ventricular preexcitation,scd,supraventricular tachycardia,risk stratification,ablation
                Data availability:
                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: wpw, ventricular preexcitation, scd, supraventricular tachycardia, risk stratification, ablation

                Comments

                Comment on this article

                scite_

                Similar content77

                See all similar

                Most referenced authors482

                See all reference authors